Onion (Allium cepa L.) peel extract has anti-platelet effects in rat platelets
© Ro et al.; licensee Springer. 2015
Received: 12 September 2014
Accepted: 2 January 2015
Published: 13 January 2015
The effects of onion peel extract (OPE) in collagen (5 μg/mL)-stimulated washed rat platelet aggregation were investigated. OPE inhibited platelet aggregation via inhibition of aggregation-inducing molecules, intracellular Ca2+ and thromboxane A2 (TXA2) by blocking cyclooxygenase-1 (COX-1) and TXA2 synthase (TXAS) activities in a dose-dependent manner. In addition, OPE elevated the formation of cyclic adenosine monophosphate (cAMP), aggregation-inhibiting molecule, but not cyclic guanosine monophosphate (cGMP). High performance liquid chromatography (HPLC) analysis of OPE revealed that OPE contains quercetin, one of the major flavonoids, which has anti-platelet effect. In conclusion, we suggest that OPE is an effective inhibitor of collagen-stimulated platelet aggregation in vitro. Therefore, it can be a promising and safe strategy for anti-cardiovascular diseases.
KeywordsOnion peel extract Quercetin Platelet aggregation Intracellular Ca2+ Cyclic adenosine monophosphate Thromboxane A2
When normal blood vessels are damaged, platelets are activated by stimuli which are present in the walls of blood vessels, and induce aggregation (Nieswandt and Watson 2003). Platelets are activated by agonists such as collagen, thrombin and ADP, and it induces the signals by activating multiple G protein–mediated pathways to activate platelet-shape change, degranulation and aggregation (Nieswandt and Watson 2003; Offermanns 2006). But in many cardiovascular diseases such as acute coronary syndromes, atherosclerosis, stroke and peripheral vascular diseases, excessive platelet activation is regarded as the cause of thrombosis (FitzGerald et al. 1987; Davi and Patrono 2007; Kapoor 2008). Abnormal platelet aggregation leads to excessive TXA2 formation interacts with other platelets, inducing thrombotic disorders (Miller et al. 1977; FitzGerald et al. 1987). Therefore, the development of an anti-platelet agent could be a fundamental therapeutic approach to cardiovascular diseases (Bhatt and Topol 2003; Jackson and Schoenwaelder 2003). The activation of phospholipase C (PLC) through G protein, which results in the formation of inositol 1,4,5-triphosphate (IP3) and diacylglycerol (DG) plays an important role in platelet aggregation, contributing to elevated cytosolic free Ca2+ ([Ca2+]i) (Brass and Joseph 1985; Williamson et al. 1985). DG is hydrolyzed by DG lipase to produce arachidonic acid (20:4). The metabolic pathways of 20:4 lead to TXA2 formation which is one of the positive-feedback mediators during platelet aggregation through COX-1 and TXAS pathways (Baumgartner and Haudenschild 1972; Hamberg et al. 1975). On the other hand, cAMP and cGMP are known as anti-platelet aggregatory regulators. The major inhibitors of platelet activation are nitric oxide (NO) and prostacyclin (PGI2), which raise the levels of cAMP and cGMP (Trovati et al. 1997). The aggregatory effects of cAMP and cGMP on platelets are mediated via cAMP and cGMP-dependent protein kinases, which phosphorylate substrate protein, vasodilator-stimulated phosphoprotein (VASP) entailed in the inhibitory effect of platelet aggregation (Halbrugge et al. 1990). Thus, cAMP and cGMP are anti-platelet second messengers in platelet aggregation, and a substance which elevates the levels of cAMP and cGMP may control platelet aggregation.
Onion (Allium cepa L.) has been reported to have beneficial effects, including preventing stroke, coronary thrombosis, atherosclerosis, hyperlipidemia and hypertension (Bordia et al. 1975; Kawamoto et al. 2004). Especially, it has been reported to inhibit platelet aggregation induced by various agonists in vitro and in vivo (Moon et al. 2000; Bordia et al. 1996). In dogs, onion juice reduced collagen-induced whole-blood platelet aggregation (Briggs et al. 2001). Also, in rats treated with aqueous extracts of garlic and onion (500 mg/kg of body weight) for 4 weeks, TXB2 levels were significantly inhibited compared with that of control in serum (Bordia et al. 1996). These results may be linked by quercetin known as one of the most abundant flavonoids in vegetables (Crozier et al. 1997; Ewald et al. 1999). Epidemiological data suggest that those who consume a diet rich in quercetin-containing foods may have a reduced risk of cardiovascular diseases (Glässer et al. 2002; Kris-Etherton et al. 2004). Indeed, collagen-stimulated platelet aggregation was inhibited after ingestion of onion soup high in quercetin in a time-dependent manner (Hubbard et al. 2006). Therefore, in vitro and in vivo, onion has been concerned with anti-thrombotic effects by inhibiting platelet aggregation and activation (Kawakishi and Morimitsu 1988; Ali et al. 1999; Moon et al. 2000; Briggs et al. 2001). However, while those studies have investigated the effects of anti-platelet aggregation of onion bulb extract, the signaling for anti-platelet effects of the outer skin extract of onion have been barely analyzed. Therefore, this work was carried out in an effort to investigate the anti-platelet effects of outer skin of onion. In the present study, we investigated that OPE has inhibitory effects on platelet-mediated thrombotic disorders via down-regulation of TXA2 through reducing the [Ca2+]i, COX-1 and TXAS activities, as well as also up-regulation of cAMP levels in collagen-stimulated rat platelet aggregation without any toxicity in vitro.
Results and Discussion
OPE possesses quercetin in highest level
OPE inhibits platelet aggregation via down-regulation of [Ca2+]i levels
Intracellular calcium ions level ([Ca2+]i) play a key role in regulation of platelet function on their migration and adhesion (Detwiler et al. 1978). An elevation of [Ca2+]i activates platelet aggregation (Nishikawa et al. 1980). In the previous study, quercetin has been reported to inhibit collagen-induced platelet aggregation through inhibition of [Ca2+]i and glycoprotein VI signaling pathway (Hubbard et al. 2003). Therefore, we investigated if OPE inhibits [Ca2+]i under collagen exposure. When Fura 2-loaded platelets (108 cells/mL) were stimulated by collagen (10 μg/mL), the level of [Ca2+]i increased from 98.2 ± 10.3 to 704.3 ± 76.7 nM (Figure 2B). However, this was significantly reduced by various concentrations (50, 100 and 500 μg/mL) of OPE (450.1 ± 85.4, 143.1 ± 7.0 and 103.6 ± 2.9 nM, respectively) in a dose-dependent manner. These results suggest that inhibitory effects of OPE on collagen-stimulated platelet aggregation was due to lowering of the level of [Ca2+]i, one of the key factor for platelet activation.
OPE decreases the production of TXA2
We next investigated whether TXB2 down-regulation by OPE is directly related to inhibition of its metabolic enzyme, COX-1 or TXAS activity.
OPE inhibits TXAS and COX-1 activity
When platelets were stimulated by collagen, arachidonic acid (AA) converts to TXA2 via COX-1 and TXAS activities (Hamberg et al. 1975). We determined whether OPE had the effect on TXAS or COX-1 activity. First, TXAS activity assay was assessed by measuring TXB2 formation. In Figure 3B, OPE (50, 100 and 500 μg/mL) significantly inhibited TXAS from 122.3 ± 1.5 (control) to 87.1 ± 7.2 (29% inhibition at 50 μg/mL) and 76.1 ± 12.6 (38% inhibition at 100 μg/mL) ng/min/mg-protein, respectively. 11 nM of ozagrel, a TXAS inhibitor, was used as a positive control and it decreased TXA2 level to 95.5 ± 5.9 ng/min/mg-protein (22% inhibition). These results indicate that OPE inhibited TXAS, one of the TXA2 metabolic enzymes, in a dose dependent manner.
We next assessed whether OPE affected COX-1 activity. After the addition of AA for 1 min at 37°C, COX-1 activity was determined by measuring fluorescent compound resorufin which the reaction between PGG2 and ADHP produced. In Figure 3C, OPE (50, 100 and 500 μg/mL) significantly inhibited COX-1 activity from 2.6 ± 0.1 (control) to 1.3 ± 0.2 (50% inhibition at 50 μg/mL) and 0.8 ± 0.1 (69% inhibition at 100 μg/mL) nmoL/min/mg-protein, respectively. 500 μM of aspirin and 330 nM of SC-560, COX-1 inhibitors, were used as positive controls. They inhibited COX-1 activities 2.1 ± 0.1 (19% inhibition) and 1.4 ± 0.3 nmoL/min/mg-protein (46% inhibition), respectively.
The inhibition of TXAS or COX-1 activity decreases TXA2 production and leads to anti-aggregatory effects (Gresele et al. 1991; FitzGerald et al. 1987). Therefore, the inhibitors of TXA2 production inducer (such as COX-1 and TXAS) can have the beneficial anti-thrombotic potential (Vilahur et al. 2007). In Figure 3, OPE reduced TXB2 production via regulation of COX-1 and TXAS activities. Therefore, our results suggest that OPE may have the beneficial property as an anti-platelet agent for cardiovascular diseases.
OPE increases the formation of cAMP
In platelets, it is known that cAMP- and cGMP-dependent effects inhibit agonist-induced increases in cytosolic calcium concentration and granule secretion (Aszodi et al. 1999). Considering these results, the inhibitory effect of OPE on [Ca2+]i mobilization (Figure 2B) may be associated with up-regulation of cAMP levels by OPE (Figure 4A). Because the increased cAMP and cGMP levels affect activating PKA and PKG respectively, these enzymes phosphorylate their substrate proteins resulting in negative regulation of platelet aggregation (Li et al. 2003). Therefore, increased cAMP levels by OPE on collagen-induced platelet aggregation might be associate with the activity of PKA, and additional research in this area is recommended.
OPE does not exert toxicity on platelets
We suggest that the inhibitory effects of OPE on collagen-induced platelet aggregation might involve the following pathway; OPE inhibits collagen-stimulated platelet aggregation without any toxicity in vitro, and has anti-platelet effects via up-regulation of cAMP levels but not cGMP and down-regulation of TXA2 through reducing the [Ca2+]i, COX-1 and TXAS activities. Therefore, OPE could be a promising strategy in many cardiovascular diseases such as atherosclerosis, myocardial infarction, and thrombosis.
Collagen was obtained from Chrono-Log Corp. (Havertown, PA) and LDH cytotoxicity assay, COX-1 fluorescent assay, and TXB2 EIA kits were bought from Cayman Chemical (Ann Arbor, MI). Fura 2-AM, ozagrel, acetylsalicylic acid (ASA), DMSO and quercetin were obtained from Sigma Chemical Corp. (St. Louis, MO). cAMP- and cGMP-EIA kits were purchased from BioVision, Inc. (Milpitas, CA). All other chemicals and reagents used in this study were obtained from Sigma Chemical Corp. (St. Louis, MO).
Preparation of onion peel extract (OPE)
Onions were purchased from a local store in South Korea. 3 g of onion peels were washed in tap water twice and dried. Chopped onion peels were extracted with 60 mL of 70% ethanol at 100°C for 5 hr, and blended by vortex mixer for 10 min. OPE was centrifuged at 1,800 × g for 10 min and the clear supernatant was collected. The sediment was blended by vortex mixer for 10 min after adding 10 mL of D.W. The mixture was centrifuged at 1,800 × g for 10 min and the clear supernatant was collected. The above procedures were repeated for 5 times. Collected OPE was freeze-dried with a freeze dryer model (Ilshin BioBase Co., Ltd., Gyeonggi-do, South Korea) and re-suspended with D.W. to desired concentrations.
Analysis of quercetin in OPE with HPLC
OPE dissolved in 50% methanol, and then it was analyzed by HPLC. An Agilent 1100 liquid chromatography system (Agilent Technologies, Santa Clara, CA), equipped with vacuum degasser, quaternary gradient pump, autosampler and diode array detector (DAD) connected to an Agilent ChemStation software. A Zorbax octadecylsilane (ODS) C18 column (250 mm × 4.6 mm id, 5 μm) and a Zorbax ODS C18 guard column (12.5 mm × 4.6 mm id, 5 μm) were used at a column temperature of 25°C. The mobile phase consisted of water with 0.1% acetic acid (A) and acetonitrile (ACN) (B) using the following program: 0–30 min, 0–50% B; 30–40 min, 50–100% B. The flow rate was at 1.0 mL/min and sample injection volume was 10 μL. The UV detection was operated at 254 nm. Three concentrations of standard quercetin were injected in duplicate, and then the calibration curve was constructed by plotting the peak area against the concentration of analyte.
Preparation of washed rat platelets
Rats (8 week-old, male, Sprague–Dawley, specific pathogen-free) were purchased from Taconic Farm., Inc. (Hudson, NY). Rats were housed with a 12 hr light–dark cycle, and fed a normal diet. Tap water was freely available. The rats were sacrificed after starvation for 12 hr. They were anesthetized with ethyl ether, and blood was collected from the abdominal vein with 3.2% sodium citrate (1:9, v/v). Platelet-rich plasma (PRP) was centrifuged at 125 × g for 10 min to remove the red blood cells and PRP was separated with platelet-poor plasma (PPP) and platelet layer. Platelets were washed twice with washing buffer (138 mM NaCl, 2.7 mM KCl, 12 mM NaHCO3, 0.36 mM NaH2PO4, 5.5 mM glucose, and 1 mM EDTA, pH 6.9). The washed platelets were resuspended in suspension buffer (138 mM NaCl, 2.7 mM KCl, 12 mM NaHCO3, 0.36 mM NaH2PO4, 0.49 mM MgCl2, 5.5 mM glucose, pH 7.4) to a final concentration of 5 × 108 platelets/mL. All of the above procedures were carried out at 25°C to avoid platelet aggregation on cooling. All animal experiments were carried out according to the guidelines of Konyang University (Daejeon, South Korea) and Ethics Committee.
Measurement of platelet aggregation
Washed platelets (108 cells/mL) were pre-incubated for 3 min at 37°C in the presence of 2 mM exogenous CaCl2 with or without OPE (50, 100 and 500 μg/mL). After the incubation, washed platelets stimulated with collagen (5 μg/mL) for 5 min. Aggregation was monitored using a Chrono-Log aggregometer at a constant stirring speed of 1,200 rpm (Breddin 2005; Born and Carlo 2006; Maione et al. 2011, 2014). Each aggregation rate was evaluated as an increase in light transmission. The suspension buffer was used as the reference. Quercetin was dissolved in 0.5% of DMSO, and the effect of DMSO was subtracted from the results.
Determination of [Ca2+]i
PRP was incubated with 5 μM Fura 2-AM at 37°C for 60 min. Because Fura 2-AM is light-sensitive, the tube containing the PRP was covered with aluminum foil during loading. Fura 2-loaded washed platelets (108 cells/mL) were pre-incubated for 3 min at 37°C with various concentrations of OPE (50, 100 and 500 μg/mL) in the presence of 2 mM CaCl2 and then stimulated with collagen (10 μg/mL) for 5 min for evaluation of [Ca2+]i. Fura 2 fluorescence was measured with a RF-5301 spectrofluorometer (Shimadzu Corp., Kyoto, Japan) with an excitation wavelength that changed every 0.5 sec from 340 to 380 nm; the emission wavelength was set at 510 nm. The [Ca2+]i values were calculated using the method of Schaeffer (Schaeffer and Blaustein 1989).
Measurement of TXB2
Washed platelets (108 cells/mL) were pre-incubated with or without OPE (50, 100 and 500 μg/mL) for 3 min in the presence of 2 mM CaCl2, and activated for 5 min with collagen (5 μg/mL) for 37°C. The reactions were terminated by the addition of ice-cold EDTA (5 mM) and indomethacin (0.2 mM). The amount of TXB2, a stable metabolite of TXA2, was determined using a TXB2 EIA kit according to the manufacturer’s recommendations. Quercetin was dissolved in 0.5% of DMSO, and the effect of DMSO was subtracted from the results.
TXAS activity assay
Platelets in a suspension buffer containing 1% protease inhibitor were sonicated. The platelet lysates (10 μg-protein) were pre-incubated with or without OPE (50, 100 and 500 μg/mL) at 37°C for 5 min. The reactions were initiated by the addition of PGH2. After incubation for 1 min at 37°C, the reaction was terminated by the addition of 1 M citric acid and neutralization with 1 N NaOH. Ozagrel (11 nM) was used as a positive control of TXAS inhibitor. The amount of TXB2, a stable metabolite of TXA2, was determined using a TXB2 EIA kit according to the manufacturer’s recommendations.
COX-1 activity assay
Platelets in a suspension buffer containing 1% protease inhibitor were sonicated. The platelet lysates (10 μg-protein) were incubated with or without various concentrations of OPE (50, 100 and 500 μg/mL) for 30 min at 37°C. The reactions were initiated by the addition of arachidonic acid. After incubation for 1 min at 37°C, COX-1 activity was assayed with COX-1 activity fluorescent assay kit according to the manufacturer’s recommendations. SC-560 (330 nM) and ASA (500 μM) were used as a positive control of COX-1 inhibitor. COX-1 activity was measured with Synergy HT multi-model microplate reader (BioTek Instruments, Winooski, VT).
Measurement of cAMP and cGMP
Washed platelets (108 cells/mL) were pre-incubated for 3 min at 37°C with various concentrations of OPE (50, 100 and 500 μg/mL) in the presence of 2 mM CaCl2, and then stimulated with collagen (5 μg/mL) for 5 min for platelet aggregation. The aggregation was terminated by the addition of 80% ice-cold ethanol. cAMP and cGMP were measured using cAMP and cGMP EIA kits according to the manufacturer’s recommendations.
To assess whether OPE has toxicity, we examined the effect of OPE on LDH release in vitro, which is a stable enzyme normally found in the cytosol of cells, but rapidly releases into the supernatant upon damage of cell membrane. Washed platelets (108 platelets/mL) were incubated for 5 min at 37°C with various concentrations of OPE (50, 100 and 500 μg/mL), and then the supernatant was measured by an LDH assay kit according to the manufacturer’s recommendations.
The experiment results are expressed as the mean ± SD Statistical analysis was performed by two tailed unpaired Student’s t-test or ANOVA as appropriate. If this analysis indicated significant differences among the group means, each group was compared by the Scheffe’s method for post hoc tests (Brown 2005).
This work was supported by the Korea Foundation for the Advancement of Science & Creativity (KOFAC) funded by the Korean Government (MOE) (20140021C9I0101S000100) and Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010–0024028).
- Ali M, Bordia T, Mustafa T (1999) Effect of raw versus boiled aqueous extract of garlic and onion on platelet aggregation. Prostaglandins Leukot Essent Fatty Acids 60:43–47View ArticleGoogle Scholar
- Aszodi A, Pfeifer A, Ahmad M, Glauner M, Zhou XH, Ny L et al (1999) The vasodilator-stimulated phosphoprotein (VASP) is involved in cGMP- and cAMP-mediated inhibition of agonist-induced platelet aggregation, but is dispensable for smooth muscle function. EMBO J 18:37–48View ArticleGoogle Scholar
- Baumgartner HR, Haudenschild C (1972) Adhesion of platelets to subendothelium. Ann N Y Acad Sci 201:22–36View ArticleGoogle Scholar
- Bhatt DL, Topol EJ (2003) Scientific and therapeutic advances in antiplatelet therapy. Nat Rev Drug Discov 2:15–28View ArticleGoogle Scholar
- Bordia A, Bansal HC, Arora SK, Singh SV (1975) Effect of the essential oils of garlic and onion on alimentary hyperlipemia. Atherosclerosis 21:15–19View ArticleGoogle Scholar
- Bordia T, Mohammed N, Thomson M, Ali M (1996) An evaluation of garlic and onion as antithrombotic agents. Prostaglandins Leukot Essent Fatty Acids 54:183–186View ArticleGoogle Scholar
- Born G, Carlo P (2006) Antiplatelet drugs. Br J Pharmacol 147(S1):S241–S251View ArticleGoogle Scholar
- Brass LF, Joseph SK (1985) A role for inositol triphosphate in intracellular Ca2+ mobilization and granule secretion in platelets. J Biol Chem 260:15172–15179Google Scholar
- Breddin HK (2005) Can platelet aggregometry be standardized? Platelets 16(3–4):151–158View ArticleGoogle Scholar
- Briggs WH, Folts JD, Osman HE, Goldman IL (2001) Administration of raw onion inhibits platelet-mediated thrombosis in dogs. J Nutr 131:2619–2622Google Scholar
- Brown AM (2005) A new software for carrying out one-way ANOVA post hoc tests. Comput Methods Programs Biomed 79:89–95View ArticleGoogle Scholar
- Bunting S, Moncada S, Vane JR (1983) The prostacyclin–thromboxane A2 balance: pathophysiological and therapeutic implications. Br Med Bull 39:271–276Google Scholar
- Cho MJ, Liu J, Pestina TI, Steward SA, Thomas DW, Coffman TM et al (2003) The roles of alpha IIb beta 3-mediated outside-in signal transduction, thromboxane A2, and adenosine diphosphate in collagen-induced platelet aggregation. Blood 101:2646–2651Google Scholar
- Cho HJ, Cho JY, Rhee MH, Lim CR, Park HJ (2006) Cordycepin (3'-deoxyadenosine) inhibits human platelet aggregation induced by U46619, a TXA2 analogue. J Pharm Pharmacol 58:1677–1682Google Scholar
- Crozier A, Lean ME, McDonald MS, Black C (1997) Quantitative analysis of the flavonoid content of commercial tomatoes, onions, lettuce, and celery. J Agric Food Chem 45:590–595View ArticleGoogle Scholar
- Davi G, Patrono C (2007) Platelet activation and atherothrombosis. N Engl J Med 357:2482–2494View ArticleGoogle Scholar
- Detwiler TC, Charo I, Feinman R (1978) Evidence that calcium regulates platelet function. Thromb Haemost 40:207–211Google Scholar
- Ewald C, Fjelkner-Modig S, Johansson K, Sjöholm I, Åkesson B (1999) Effect of processing on major flavonoids in processed onions, green beans, and peas. Food Chem 64:231–235View ArticleGoogle Scholar
- FitzGerald GA, Healy C, Daugherty J (1987) Thromboxane A2 biosynthesis in human disease. Fed Proc 46:154–158Google Scholar
- Glässer G, Graefe E, Struck F, Veit M, Gebhardt R (2002) Comparison of antioxidative capacities and inhibitory effects on cholesterol biosynthesis of quercetin and potential metabolites. Phytomedicine 9:33–40View ArticleGoogle Scholar
- Gresele P, Deckmyn H, Nenci GG, Vermylen J (1991) Thromboxane synthase inhibitors, thromboxane receptor antagonists and dual blockers in thrombotic disorders. Trends Pharmacol Sci 12:158–163View ArticleGoogle Scholar
- Halbrugge M, Friedrich C, Eigenthaler M, Schanzenbacher P, Walter U (1990) Stoichiometric and reversible phosphorylation of a 46-kDa protein in human platelets in response to cGMP- and cAMP-elevating vasodilators. J Biol Chem 265:3088–3093Google Scholar
- Hamberg M, Svensson J, Samuelsson B (1975) Thromboxanes: a new group of biologically active compounds derived from prostaglandin endoperoxides. Proc Natl Acad Sci U S A 72:2994–2998View ArticleGoogle Scholar
- Hertog MG, Hollman PC, Katan MB (1992) Content of potentially anticarcinogenic flavonoids of 28 vegetables and 9 fruits commonly consumed in the Netherlands. J Agric Food Chem 40:2379–2383View ArticleGoogle Scholar
- Houston DS, Shepherd JT, Vanhoutte PM (1986) Aggregating human platelets cause direct contraction and endothelium-dependent relaxation of isolated canine coronary arteries. Role of serotonin, thromboxane A2, and adenine nucleotides. J Clin Invest 78:539Google Scholar
- Hubbard GP, Stevens JM, Cicmil M, Sage T, Jordan PA, Williams CM et al (2003) Quercetin inhibits collagen-stimulated platelet activation through inhibition of multiple components of the glycoprotein VI signaling pathway. J Thromb Haemost 1:1079–1088View ArticleGoogle Scholar
- Hubbard GP, Wolffram S, de Vos R, Bovy A, Gibbins JM, Lovegrove JA (2006) Ingestion of onion soup high in quercetin inhibits platelet aggregation and essential components of the collagen-stimulated platelet activation pathway in man: a pilot study. Br J Nutr 96:482–488Google Scholar
- Jackson SP, Schoenwaelder SM (2003) Antiplatelet therapy: in search of the 'magic bullet'. Nat Rev Drug Discov 2:775–789View ArticleGoogle Scholar
- Jang EK, Azzam JE, Dickinson NT, Davidson MM, Haslam RJ (2002) Roles for both cyclic GMP and cyclic AMP in the inhibition of collagen‐induced platelet aggregation by nitroprusside*. Brit J Haematol 117:664–675View ArticleGoogle Scholar
- Kapoor JR (2008) Platelet activation and atherothrombosis. N Engl J Med 358:1638, author reply 1638–1639View ArticleGoogle Scholar
- Kawakishi S, Morimitsu Y (1988) New inhibitor of platelet aggregation in onion oil. Lancet 2:330View ArticleGoogle Scholar
- Kawamoto E, Sakai Y, Okamura Y, Yamamoto Y (2004) Effects of boiling on the antihypertensive and antioxidant activities of onion. J Nutr Sci Vitaminol (Tokyo) 50:171–176View ArticleGoogle Scholar
- Kris-Etherton P, Lefevre M, Beecher G, Gross M, Keen C, Etherton T (2004) Bioactive compounds in nutrition and health-research methodologies for establishing biological function: the antioxidant and anti-inflammatory effects of flavonoids on atherosclerosis. Annu Rev Nutr 24:511–538View ArticleGoogle Scholar
- Li Z, Ajdic J, Eigenthaler M, Du X (2003) A predominant role for cAMP-dependent protein kinase in the cGMP-induced phosphorylation of vasodilator-stimulated phosphoprotein and platelet inhibition in humans. Blood 101:4423–4429View ArticleGoogle Scholar
- Maione F, Cicala C, Liverani E, Mascolo N, Perretti M, D’Acquisto F (2011) IL-17A increases ADP-induced platelet aggregation. Biochem Biophys Res Commun 408(4):658–662View ArticleGoogle Scholar
- Maione F, De Feo V, Caiazzo E, De Martino L, Cicala C, Mascolo N (2014) Tanshinone IIA, a major component of Salvia milthorriza Bunge, inhibits platelet activation via Erk-2 signaling pathway. J Ethnopharmacol 155(2):1236–1242View ArticleGoogle Scholar
- Miller OV, Johnson RA, Gorman RR (1977) Inhibition of PGE1-stimulated cAMP accumulation in human platelets by thromboxane A2. Prostaglandins 13:599–609Google Scholar
- Moon C, Jung Y, Kim M, Lee S, Baik E, Park S (2000) Mechanism for antiplatelet effect of onion: AA release inhibition, thromboxane A2 synthase inhibition and TXA2/PGH2 receptor blockade. Prostaglandins Leukot Essent Fatty Acids 62:277–283Google Scholar
- Müller B (1990) Pharmacology of thromboxane A2, prostacyclin and other eicosanoids in the cardiovascular system. Therapie 46:217–221Google Scholar
- Nieswandt B, Watson SP (2003) Platelet-collagen interaction: is GPVI the central receptor? Blood 102:449–461View ArticleGoogle Scholar
- Nishikawa M, Tanaka T, Hidaka H (1980) Ca2+-calmodulin-dependent phosphorylation and platelet secretion. Nature 287:863–865Google Scholar
- Offermanns S (2006) Activation of platelet function through G protein-coupled receptors. Circ Res 99:1293–1304View ArticleGoogle Scholar
- Prakash D, Suri S, Upadhyay G, Singh BN (2007) Total phenol, antioxidant and free radical scavenging activities of some medicinal plants. Int J Food Sci Nutr 58:18–28View ArticleGoogle Scholar
- Schaeffer J, Blaustein M (1989) Platelet free calcium concentrations measured with fura-2 are influenced by the transmembrane sodium gradient. Cell Calcium 10:101–113View ArticleGoogle Scholar
- Trovati M, Anfossi G, Massucco P, Mattiello L, Costamagna C, Piretto V et al (1997) Insulin stimulates nitric oxide synthesis in human platelets and, through nitric oxide, increases platelet concentrations of both guanosine-3', 5'-cyclic monophosphate and adenosine-3', 5'-cyclic monophosphate. Diabetes 46:742–749View ArticleGoogle Scholar
- Vilahur G, Casani L, Badimon L (2007) A thromboxane A2/prostaglandin H2 receptor antagonist (S18886) shows high antithrombotic efficacy in an experimental model of stent-induced thrombosis. Thromb Haemost 98:662–669Google Scholar
- Williamson JR, Cooper RH, Joseph SK, Thomas AP (1985) Inositol trisphosphate and diacylglycerol as intracellular second messengers in liver. Am J Physiol 248:C203–C216Google Scholar
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