Fei Xianming, Yuan Wufeng, Jiang Lei, Wang Huan
Center of Laboratory Medicine, Zhejiang Provincial People's Hospital, and People's Hospital of Hangzhou Medical College, Hangzhou 310014, China.
Ann Transl Med. 2017 Apr;5(7):157. doi: 10.21037/atm.2017.03.17.
Ledeb (APL) has showed anticoagulant and antithrombotic activities in some studies, whereas its actual effects on blood coagulation are still unclear. This study was designed to observe the in vitro effects of APL aqueous extracts on blood coagulation, as well as to investigate the underlying mechanisms.
Studies were divided into four groups: 0, 4, 20, and 80 g/L of APL aqueous extracts mixed with plasma or whole blood samples. Clotting time of whole blood, plasma coagulation tests, activities of plasma coagulation factors, plasma calcium ion, platelet aggregation test, and platelet fibrinogen receptor as well as the blood viscosity were measured.
It was observed that the APL aqueous extracts in 4 g/L significantly prolonged the whole blood clotting time and activated partial thromboplastin time, shortened prothrombin time, decreased activities of coagulation factor VIII, IX and XI, and levels of platelet aggregation and fibrinogen receptor expression. However, coagulation factor VII activity, and blood viscosity were increased after the extracts treatment. And the effects of APL extracts were in a concentration-dependent manner (0-80 g/L).
The results suggest that APL aqueous extracts have a total anticoagulant activity, whereas they exhibit opposite effects of greater anticoagulant activity than pro-coagulant activity.
在一些研究中,列当(APL)已显示出抗凝和抗血栓形成活性,但其对血液凝固的实际影响仍不清楚。本研究旨在观察APL水提取物对血液凝固的体外影响,并探讨其潜在机制。
研究分为四组:将0、4、20和80 g/L的APL水提取物与血浆或全血样本混合。测量全血凝固时间、血浆凝血试验、血浆凝血因子活性、血浆钙离子、血小板聚集试验、血小板纤维蛋白原受体以及血液粘度。
观察到4 g/L的APL水提取物显著延长全血凝固时间和活化部分凝血活酶时间,缩短凝血酶原时间,降低凝血因子VIII、IX和XI的活性,以及血小板聚集和纤维蛋白原受体表达水平。然而,提取物处理后凝血因子VII活性和血液粘度增加。并且APL提取物的作用呈浓度依赖性(0 - 80 g/L)。
结果表明,APL水提取物具有全面的抗凝活性,但其表现出的抗凝活性大于促凝活性,呈现相反的作用。