<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>ajps</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Anatolian Journal of Pharmaceutical Sciences</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2980-0463</issn>
                                                                                            <publisher>
                    <publisher-name>Inonu University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.71133/anatphar.1791675</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Biochemistry and Cell Biology (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Biyokimya ve Hücre Biyolojisi (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Examination Of The Protective Efficiency Of The Fruit Extract And Fruit Vinegar Of The Hawthorn (Crataegus Tanacetifolia) Plant Against Hyperlipidemia And Possible Endothelial Damage In An Experimentally Induced Model Of Hyperlipidemia In Rats</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0009-7981-953X</contrib-id>
                                                                <name>
                                    <surname>Çetin</surname>
                                    <given-names>Celalettin Rahman</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-7407-2352</contrib-id>
                                                                <name>
                                    <surname>Çankaya</surname>
                                    <given-names>Özlem</given-names>
                                </name>
                                                                    <aff>İnönü Üniversitesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                <name>
                                    <surname>Yılmaztekin</surname>
                                    <given-names>Yakup</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-9517-9274</contrib-id>
                                                                <name>
                                    <surname>Uyumlu</surname>
                                    <given-names>Ayşe Burçin</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-2538-5774</contrib-id>
                                                                <name>
                                    <surname>Satılmış</surname>
                                    <given-names>Basri</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8680-3098</contrib-id>
                                                                <name>
                                    <surname>Yılmaz</surname>
                                    <given-names>İsmet</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-6244-0517</contrib-id>
                                                                <name>
                                    <surname>Genç</surname>
                                    <given-names>Metin</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6663-2287</contrib-id>
                                                                <name>
                                    <surname>Batçıoğlu</surname>
                                    <given-names>Kadir</given-names>
                                </name>
                                                                    <aff>İNÖNÜ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20251219">
                    <day>12</day>
                    <month>19</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>4</volume>
                                        <issue>3</issue>
                                        <fpage>150</fpage>
                                        <lpage>165</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250926">
                        <day>09</day>
                        <month>26</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20251114">
                        <day>11</day>
                        <month>14</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2022, Anatolian Journal of Pharmaceutical Sciences</copyright-statement>
                    <copyright-year>2022</copyright-year>
                    <copyright-holder>Anatolian Journal of Pharmaceutical Sciences</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Atherosclerosis is one of the leading causes of death in humans worldwide. Hyperlipidaemia is a significant risk factor for atherosclerosis and is characterised by accelerated atherosclerosis. However, factors such as homocysteine, adhesion molecules, and low HDL-C levels have been reported to play a role in the development of atherosclerosis and hyperlipidaemia. This study aimed to investigate the effects of hawthorn (Crataegus tanacetifolia) fruit extract and fruit vinegar on total cholesterol (TC), triglycerides (TG), Nitrit (NOx), HDL-C, LDL-C, homocysteine, P-selectin, and VCAM-1 levels, which are among the factors causing hyperlipidaemia and atherosclerosis. In the study, hawthorn extract (HE) and hawthorn vinegar (HV) were administered by gavage to rats with experimentally induced hyperlipidaemia (HL). Rats were divided into seven groups. The control group was fed a normal diet. Blood samples taken at the beginning of the study and the end of the fourth and eighth weeks were separated, and the levels of TC, TG, NOx, HDL-C, LDL-C, homocysteine, P-selectin, and VCAM-1 were measured. Our results showed that adding HE or HV to the diet reduced homocysteine, P-selectin, TC, LDL-C, NOx and TG levels and increased HDL-C levels. In conclusion, the results of this study, in which we hypothesised that hawthorn fruit extract and fruit vinegar may reduce the risk of atherosclerosis, which increases in correlation with hyperlipidaemia, hypercholesterolaemia, hyperhomocysteinemia and increased levels of adhesion molecules caused by a high-fat diet, showed that hawthorn fruit extract had a strong antiatherogenic effect</p></abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Hawthorn</kwd>
                                                    <kwd>  Hawthorn vinegar</kwd>
                                                    <kwd>  Crataegus tanacetifolia</kwd>
                                                    <kwd>  Hyperlipidaemia</kwd>
                                                    <kwd>  Atherosclerosis</kwd>
                                            </kwd-group>
                            
                                                                                                                    <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Inonu Univertsity</named-content>
                            </funding-source>
                                                                            <award-id>2011/148</award-id>
                                            </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">[1]	Tanrıverdi B, Tetik ŞS. Aterosklerozun patofizyolojisi ve risk faktörleri-A review. Marmara Pharmaceutical Journal, 2017; 21: 1-9.   DOI: 10.12991/marupj.259875.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">[2]	Rağbetli C. Hiperlipidemi. Van Tıp Dergisi, 2009;16 (1): 43-47.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">[3]	Büyükbingöl Z. ( 2025, 19 Eylül ). Ateroskleroz ve Diğer Lipit Metabolizması Bozuklukları Ankara Üniversitesi Açık Ders Malzemeleri. reached https://acikders.ankara.edu.tr/mod/resource/view.php?id=60897</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">[4]	Davignon J, Ganz P. Role of endothelial dysfunction in atherosclerosis. Circulation. 2004;109:III27-32.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">[5]	Delanty N, Vaughan CJ. Vascular effects of statin in stroke. Stroke, 1997;28:1-15.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">[6]	Eryavuz OD, Aydoğan C, Aygül N, Sivrikaya A. et al. Periferik arter hastalarında yükselmiş serum homositrulin düzeyleri. Turk Hij Den Biyol Derg. 2022;79(1):103-114.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">[7]	Hansson GK., Nilsson, J. Pathogenesis of Atherosclerosis. In: Crawford, M.H., Di Marco, J.P., Paulus, W.J., eds. Cardiology. 3rd Ed. 2010, Philadelphia. Mosby Elsevier, 1-12.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">[8]	Kumar, V., Cotran, RS., Robbins, SL. Atherosklerosis. Basic Pathology. 6.baskı. 1997, Elsevier/ Nobel Tıp Kitabevleri, 282-288.
[9]	Ross R. Atherosclerosis- an inflammatory disease. N Engl J Med. 1999; 340:115-126.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">[10]	Barış N, Sipahi İ, Tuzcu EM. Koroner Aterosklerozun Görüntülenmesinde İntravasküler Ultrasonografi Beklentilerimizin Ne Kadarını Karşılıyor. Fırat Tıp Dergisi. 2006;11(1): 1-5.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">[11]	Fuster V, Alexander RW, O’Rourke R. Aterogenez ve Belirleyicileri.  In: The Heart 10. Baskı. 2002, New York : McGraw-Hill. 1065-1075.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">[12]	Temel N. Ani Ölümlerde Ateroskleroz Bulgularında Chlamydia Pneumoniae’nin Etkisinin Araştırılması. Adli Tıp Anabilim Dalı Tıpta Uzmanlık Tezi, Ankara Üniversitesi Ankara, 2014.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">[13]	Chen CC, Chou FP, Ho YC, Lin WL et al. Inhibitory effects of Hibiscus sabdariffa L. extract on low-density lipoprotein oxidation and antihyperlipidemia in fructose-fed and cholesterol-fed rats. J. Food Agric. 2004; 84: 1989.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">[14]	Rafieian-kopaei M, Keshvari M, Asgary S, Salimi M et al. Potential role of a nutraceutical spice (Allium hirtifolium) in reduction of atherosclerotic plaques. Herbmed Pharmacol. 2013;2(2): 23-28.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">[15]	Woo KS, Yip TW, Chook P, Kwong SK et al. Cardiovascular Protective Effects of Adjunctive Alternative Medicine (Salvia miltiorrhiza and Pueraria lobata) in High-Risk Hypertension. Evid Based Complement Alternat Med., 2013;132912. doi: 10.1155/2013/132912</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">[16]	Zhang S, Zou J, Li P, Zheng X et al. Curcumin protects against atherosclerosis in apolipoprotein E-knockout mice by inhibiting toll-like receptor 4 expression. J Agric Food Chem. 2018;66(2):449- 56.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">[17]	Nayak Nagendra IM, Chinta Rajasekhar, Jett Raghu. Anti-Atherosclerotic Potential of Aqueous Extract of Cinnamomum zeylanicum Bark against Glucocorticoid Induced Atherosclerosis in Wistar Rats. Journal of Clinical and Diagnostic Research. 2017;11(5):FC19-FC23 doi: 10.7860/JCDR/2017/23910.9864</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">[18]	Elbouny H, Ouahzizi B, Bekkouch O, Bennani A et al. Thymus atlanticus (Ball) Roussine Aqueous Extract Exerts Lipid-lowering and Anti-atherosclerotic Effects in Hyperlipidemic Guinea Pigs. Cardiovasc Hematol Disord Drug Targets. 2023;23(4):256-262. doi: 10.2174/011871529X270863231123063744</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">[19]	Sun Mmed. Junfeng, Mmed. Zheng Xiaojun, Gao Mmed. Qiang, Lone Nisar H. Berberine Exhibits Anti-atherosclerotic Effects in a Mouse Model by Targeting the JAK/STAT Pathway. ChemistrySelect. 2023;8: 1-9.  doi.org/10.1002/slct.202301235.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">[20]	Gulec M., Erarslan Z.B. and Kultur S. The Medicinal Plants Traditionally Used Against Cardiovascular Diseases in Türkiye. International Journal of Traditional and Complementary Medicine Research. 2023;4 (2). doi: 10.53811/ijtcmr.1232190.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">[21]	Karadeniz, T. (2004). Şifalı Meyveler. K.T.Ü. Ordu Ziraat Fak. Bahçe Bitkileri Bölümü, 34–36. ISBN975288867-4.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">[22]	Samad A, Azlan A. and Ismail A. Therapeutic effects of vinegar: a review, Current Opinion in Food Science. 2016;8:56–61</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">[23.]	Munzel T, Sinning C, Post F, Warnholtz A et al. Pathophysiology, diagnosis and prognostic implications of endothelial dysfunction. Ann Med. 2008; 40:180-96.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">[24]	Wang, NT, Lin HI, Yeh D., Chou TY et al. Effects of the Antioxidants Lycium Barbarum and Ascorbic Acid on Reperfusion Liver Injury in Rats. Transplantation Proceedings. 2009;41:4110–4113.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">[25]	Lozano JD, Juárez-Flores Bİ,  Pinos-Rodríguez J, Aguirre-Rivera JR et al. Supplementary effects of vinegar on body weight and blood metabolites in healthy rats fed conventional diets and obese rats fed high-caloric diets. Journal of Medicinal Plants Research. 2012; 6(24):4135-4141.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">[26]	Najwa K C, Nabil W W. Determination of Inorganic Nitrate in Serum and Urine by a Kinetic Cadmium-Reduction Method. Clın. Chem. 1990;36(8):1440-1443.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">[27]	Tanrıverdi Ş., Tetik Ş. S. Aterosklerozun Patofizyolojisi ve Risk Faktörleri. Marmara Pharmaceutcal Journal. 2016; 21(24530):1-9. DOI:10.12991/marupj.259875</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">[28]	Quettier-Deleu C, Voiselle G, Fruchart JC, Duriez P et al. Hawthorn extracts inhibit LDL oxidation. Pharmazie. 2003;58(8):577-81.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">[29]	Fugh-Berman A, Herbs and dietary supplements in the prevention and treatment of cardiovascular disease. Prev Cardiol. 2000;3(1):24-32.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">[30]	Song-zi Wang, Min Wu, Ke-ji Chen, Yue Liu, et al. Hawthorn Extract Alleviates Atherosclerosis through Regulating Inflammation and Apoptosis Related Factors: An Experimental Study. Chinese Journal of Integrative Medicine. 2019;25:108–115.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">[31]	Akila M and Devaraj H. Synergistic effect of tincture of Crataegus and Mangifera indica L. extract on hyperlipidemic and antioxidant status in atherogenic rats. Vascul Pharmacol. 2008;49(4-6):173-7.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">[32]	Rajendran S, Deepalakshmi PD, Parasakthy K, Devaraj H et al. Effect of tincture of Crataegus on the LDL-receptor activity of hepatic plasma membrane of rats fed an atherogenic diet. Atherosclerosis. 1996;123(1-2):235-41.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">[33]	Shanthi S, Parasakthy K, Deepalakshmi PD, Devaraj SN. Hypolipidemic activity of tincture of Crataegus in rats. Indian J Biochem Biophys. 1994;31(2):143-6.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">[34]	Xu H, Xu HE, Ryan D. A Study of the Comparative Effects of Hawthorn Fruit Compound and Simvastatin on Lowering Blood Lipid Levels. Am. J. Chin. Med. 2009;37(5): 903.
[35]	Alınterim B. Alıç Bitkisinin (Crataegus Monogyna) Kardiyovasküler Etkileri. KSÜ Doğa Bil. Derg. 2012;15(3):16-18.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">[36]	Aksoy ŞN., Geyikli İ and Saygılı İE. Sağlıklı kişilerde plazma homosistein düzeyinin belirleyicileri. Türk Biyokimya Dergisi. 2006;31(4):175- 178.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">[37]	Hansson GK, Libby P, Schonbeck U and Yan ZQ. Innate and adaptive immunity inthe pathogenesis of atherosclerosis. Circulation Research. 2002;91(4):281-91.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">[38]	Ley K and Huo Y. VCAM-1 is critical in atherosclerosis. J Clin Invest 2001;107(10):1209–1210. doi: 10.1172/JCI13005.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">[39]	Cybulsky MI., Liyama K, Li H., Zhu S et al. A majör role for VCAM-1, but not ICAM-1, in early atherosclerosis. J Clin Invest. 2001;107:1255-62. DOI: 10.1172/JCI11871.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">[40]	Dong ZM, Chapman SM, Brown AA, Wagner DD et al. The combined role of P- and E-selectins in atherosclerosis. J Clin Invest. 1998;102:145-52. DOI: 10.1172/JCI3001.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">[41]	Shın IS, Lee MY, Lem HS, Ha H et al. An extract of Crataegus pinnatifida fruit attenuates airway inflammation by modulation of matrix metalloproteinase-9 in ovalbumin induced asthma. Plos One. 2012;7(9):e45734. doi: 10.1371.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">[42]	Fürst R, Zirgiebel U, Totzke F, Zahler S et al. The Crataegus extract WS® 1442 inhibits balloon catheter-induced intimal hyperplasia in the rat carotid artery by directly influencing PDGFR-β. Atherosclerosis. 2010;211(2):409–417.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">[43]	Napoli C, Nigris F and Palinski  W.  Multiple role of reactive oxygen species in the arterial wall. J Cell Biochem. 2001;82(4):674-82. doi: 10.1002/jcb.1198.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">[44]	Ross R. Atherosclerosis—An Inflammatory Disease. New England Journal of Medicine. 14;340(2):115-26. doi: 10.1056/NEJM199901143400207.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">[45]	Kadaş  Z. Alıç sirkesinin biyoaktif özelliklerinin ve metabolik etkilerinin incelenmesi. Yüksek Lisans Tezi, Abant İzzet Baysal Üniversitesi, Fen Bilimleri Enstitüsü, Bolu, 2011.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">[46]	D Karakçı, B Bakır, N Seyidoglu and Yıkmış S. Ultrasound-Treated and Thermal-Pasteurized Hawthorn Vinegar: Antioxidant and Lipid Profiles in Rats. Nutrients. 2023;15(18);3933.</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">[47]	Zhang J, Chai X, Zhao F, Hou G et al. Food Applications and Potential Health Benefits of Hawthorn. Foods. 2022;11(18):2861. doi: 10.3390/foods11182861.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">[48]	Duman D. Yüksek Kolesterol Diyetle Beslenen Ratlarda Silybin’in Hiperlipidemi Üzerine Etkisi. Yüksek Lisans Tezi, Hatay Mustafa Kemal Üniversitesi Sağlık Bilimleri Enstitüsü Biyokimya (Tıp) Anabilim Dalı, Hatay, 2019.</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">[49]	Yu JN, Cunningham JA, Thouin SR, Gurvich T, Liu D. Hyperlipidemia, Primary Care: Clinics in Office Practice. 2000;27(3): 541-587 doi: 10.1016/s0095-4543(05)70164-0.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
