Research Article
BibTex RIS Cite

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

Year 2025, Volume: 4 Issue: 3, 150 - 165, 19.12.2025
https://doi.org/10.71133/anatphar.1791675
https://izlik.org/JA27XE32XX

Abstract

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

Ethical Statement

I declare that all processes of the study are in accordance with research and publication ethics, and that I comply with ethical rules and scientific citation principles.

Supporting Institution

Inonu Univertsity

Project Number

2011/148

Thanks

We would like to thank Inönü University Scientific Research Coordination Unit for providing financial support for this study.

References

  • [1] Tanrıverdi B, Tetik ŞS. Aterosklerozun patofizyolojisi ve risk faktörleri-A review. Marmara Pharmaceutical Journal, 2017; 21: 1-9. DOI: 10.12991/marupj.259875.
  • [2] Rağbetli C. Hiperlipidemi. Van Tıp Dergisi, 2009;16 (1): 43-47.
  • [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
  • [4] Davignon J, Ganz P. Role of endothelial dysfunction in atherosclerosis. Circulation. 2004;109:III27-32.
  • [5] Delanty N, Vaughan CJ. Vascular effects of statin in stroke. Stroke, 1997;28:1-15.
  • [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.
  • [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.
  • [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.
  • [10] Barış N, Sipahi İ, Tuzcu EM. Koroner Aterosklerozun Görüntülenmesinde İntravasküler Ultrasonografi Beklentilerimizin Ne Kadarını Karşılıyor. Fırat Tıp Dergisi. 2006;11(1): 1-5.
  • [11] Fuster V, Alexander RW, O’Rourke R. Aterogenez ve Belirleyicileri. In: The Heart 10. Baskı. 2002, New York : McGraw-Hill. 1065-1075.
  • [12] Temel N. Ani Ölümlerde Ateroskleroz Bulgularında Chlamydia Pneumoniae’nin Etkisinin Araştırılması. Adli Tıp Anabilim Dalı Tıpta Uzmanlık Tezi, Ankara Üniversitesi Ankara, 2014.
  • [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.
  • [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.
  • [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
  • [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.
  • [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
  • [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
  • [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.
  • [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.
  • [21] Karadeniz, T. (2004). Şifalı Meyveler. K.T.Ü. Ordu Ziraat Fak. Bahçe Bitkileri Bölümü, 34–36. ISBN975288867-4.
  • [22] Samad A, Azlan A. and Ismail A. Therapeutic effects of vinegar: a review, Current Opinion in Food Science. 2016;8:56–61
  • [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.
  • [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.
  • [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.
  • [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.
  • [27] Tanrıverdi Ş., Tetik Ş. S. Aterosklerozun Patofizyolojisi ve Risk Faktörleri. Marmara Pharmaceutcal Journal. 2016; 21(24530):1-9. DOI:10.12991/marupj.259875
  • [28] Quettier-Deleu C, Voiselle G, Fruchart JC, Duriez P et al. Hawthorn extracts inhibit LDL oxidation. Pharmazie. 2003;58(8):577-81.
  • [29] Fugh-Berman A, Herbs and dietary supplements in the prevention and treatment of cardiovascular disease. Prev Cardiol. 2000;3(1):24-32.
  • [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.
  • [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.
  • [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.
  • [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.
  • [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.
  • [36] Aksoy ŞN., Geyikli İ and Saygılı İE. Sağlıklı kişilerde plazma homosistein düzeyinin belirleyicileri. Türk Biyokimya Dergisi. 2006;31(4):175- 178.
  • [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.
  • [38] Ley K and Huo Y. VCAM-1 is critical in atherosclerosis. J Clin Invest 2001;107(10):1209–1210. doi: 10.1172/JCI13005.
  • [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.
  • [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.
  • [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.
  • [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.
  • [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.
  • [44] Ross R. Atherosclerosis—An Inflammatory Disease. New England Journal of Medicine. 14;340(2):115-26. doi: 10.1056/NEJM199901143400207.
  • [45] Kadaş Z. Alıç sirkesinin biyoaktif özelliklerinin ve metabolik etkilerinin incelenmesi. Yüksek Lisans Tezi, Abant İzzet Baysal Üniversitesi, Fen Bilimleri Enstitüsü, Bolu, 2011.
  • [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.
  • [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.
  • [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.
  • [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.
There are 47 citations in total.

Details

Primary Language English
Subjects Biochemistry and Cell Biology (Other)
Journal Section Research Article
Authors

Celalettin Rahman Çetin This is me 0009-0009-7981-953X

Özlem Çankaya 0000-0002-7407-2352

Yakup Yılmaztekin

Ayşe Burçin Uyumlu 0000-0001-9517-9274

Basri Satılmış 0000-0002-2538-5774

İsmet Yılmaz 0000-0001-8680-3098

Metin Genç 0000-0002-6244-0517

Kadir Batçıoğlu 0000-0001-6663-2287

Project Number 2011/148
Submission Date September 26, 2025
Acceptance Date November 14, 2025
Early Pub Date December 16, 2025
Publication Date December 19, 2025
DOI https://doi.org/10.71133/anatphar.1791675
IZ https://izlik.org/JA27XE32XX
Published in Issue Year 2025 Volume: 4 Issue: 3

Cite

EndNote Çetin CR, Çankaya Ö, Yılmaztekin Y, Uyumlu AB, Satılmış B, Yılmaz İ, Genç M, Batçıoğlu K (December 1, 2025) 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. Anatolian Journal of Pharmaceutical Sciences 4 3 150–165.

Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Our journal's publication policies have been verified and listed by Sherpa Romeo.