1 1 RESEARCH ARTICLE 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 A Comparative Study of Antioxidant and Antiplatelet Activity of Pomelo Juice Extracted from Three Cultivars Jindaporn Janprasit1, Paveena Yamanont1, Rataya Noppawan Phumala Morales1 Luechapudiporn2, 1 Department of Pharmacology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand 2 Department of Pharmacology and Physiology, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, 10330, Thailand Abstract Several studies have reported the protective effect of polyphenol-rich diet to cardiovascular diseases (CVD) thru antioxidant and antiplatelet activity. This study aimed to evaluate antioxidant activity and inhibitory effect of pomelo on human platelet aggregation. The nitrite content, total phenolic content, total flavonoid content and antioxidant activity were determined in juice extracted from three cultivars of pomelo; Thong Dee, Khao Tang Kwa and Khao Yai. All of pomelo juice contained phenolic content approximately 6 mM of gallic acid equivalence while contained nitrite content in range of 3-6 μM. The in vitro effect of pomelo juice on ADP-induced human platelet aggregation was investigated. Pomelo juice affected the maximum aggregation in dose-dependent manner and also altered the response curve in to biphasic shape. The juice extract from Thong Dee showed highest antioxidants and antioxidant activity and highest effect on platelet aggregation. The mechanism of action in related to active compounds in various cultivars of pomelo will be further investigated. Keywords: pomelo juice, antioxidant, antiplatelet Address correspondence and reprint request to: Noppawan Phumala Morales, Department of Pharmacology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand. E-mail address: noppawan.phu@mahidol.ac.th 2 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 Introduction Platelets are one of blood cells that are necessary for physiologic processes of hemostasis. Conversely, they also involve in atherothrombosis, which is the major cause of cardiovascular diseases (CVD). Atherothrombosis, the leading cause of mortality in developed countries, is explained as the formation of thrombi overlaid on atherosclerotic lesion disruption1. Several epidemiological studies have reported the protective effect of diets in the prevention of CVD2-5. Thus, the food or food component, which maintain or improve health, is regarded as functional food. This fact has brought the enormous interest on the antiplatelet activity of dietary components, including polyphenols and flavonoids. Several natural components that found in grape, onion, and tomato have been reported to exert the preventive role against CVD thru inhibition of platelet aggregation6-7. Interestingly, some of natural polyphenols presenting in diet affected to the platelet function, even if it is not well defined that their native compounds, metabolites, or combination of both exerted their in vivo antiplatelet activities8. The natural form of polyphenols mostly found as glycoside. The pomelo (Citrus maxima Merr.) is the largest of all nature citrus fruits that is widely consumed in Thailand. There are many cultivars that are cultivated in Thailand, namely Thong Dee, Khao Tang Kwa and Khao Yai. Pomelo enrich with vitamin C, antioxidant and flavonoids (i.e. kaemferol, myricetin, apigenin, luteolin and hesperetin). The nutritive composition and content depend on cultivar9. Previous study have confirmed that pomelo juice enrich with flavonoids in glycoside form10-11 The aim of this study is to evaluate antioxidant activity of pomelo juice extracted from 3 different cultivars, including Thong Dee, Khao Tang Kwa and Khao Yai. Furthermore, the inhibitory effect of pomelo juice on human platelet aggregation is investigated. Materials and Methods Pomelo juice preparation Three cultivars of pomelo were studied: Thong Dee (TD), Khao Yai (KY) and Khao Tang Kwa (KT). The pomelo pulps were blended and filtered to obtain pomelo juice. The samples of pomelo juice were centrifuge 10000g before performing assays. Griess assay The griess assay was performed using sulfanilamide and N-(1Naphthyl)ethylenediamine dihydrochloride (NED) to determine total nitrite (NO2-). The juice or standard (50 l) was mixed with 1% sulfanilamide in 5% phosphoric acid (50 l) for 5 minutes and 0.1% NED (50 l) was then added and mixed well. Then, it was incubated at room temperature in dark for 5 minutes. The absorbance of reaction was measured at 520 nm with microplate multimode reader (Varioskan Flash, Thermo Scientific, USA). 3 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 Total phenolic content The total phenolic content was determined using the Folin-Ciocalteau method compared to standard compound, gallic acid. The juice or standard (20 l) was mixed with 10%v/v Folin-Ciocalteau reagent (100 l) for 2 minute and 7.5% sodium carbonate solution (80 l) was then added and mixed well. Then, it was incubated at room temperature for 60 minutes. The absorbance of reaction was measured at 765 nm with a microplate multimode reader. Total flavonoid content The flavonoids content was determined using aluminum chloride (AlCl3) compared to standard compound, quercetin. The juice or standard (100 l) was mixed with 2% AlCl3 in ethanol (100 l). Then, it was incubated at room temperature for 60 minutes. The absorbance of reaction was measured at 420 nm with a microplate multimode reader. DPPH radical scavenging assay The DPPH radical scavenging assay was performed to evaluate antioxidant activity compared to standard compound, trolox. The juice or standard (100 l) was mixed with 500 M DPPH (100 l). Then, it was incubated at room temperature in dark for 10 minutes. The absorbance of reaction was measured at 520 nm with a microplate multimode reader. Ferric ion reducing antioxidant power (FRAP) assay The FRAP assay also was used to evaluate the antioxidant activity compared to standard compound, ascorbic acid. The juice or standard (20 l) was mixed with FRAP reagent (180 l). Then, it was incubated at room temperature for 10 minutes. The absorbance of reaction was measured at 593 nm with a microplate multimode reader. FRAP reagent is the mixture of 300 mM acetate buffer (pH 3.6), 10 mM TPTZ, 20 mM Ferric Chloride (FeCl3) and water in 10:1:1:1.2 ratio. Platelet preparation The blood sample was obtained from male free-drug healthy volunteer and anticoagulated with 3.8% sodium citrate. Platelet-rich plasma (PRP) was prepared by centrifugation at 800 rpm for 10 minutes. After that the rest was centrifuged at 3,500 rpm for 10 minutes to obtain platelet-poor plasma (PPP). PPP was used to dilute PRP in ratio 1:1. Platelet aggregation study The platelet aggregation was studied by turbidimetric method. PRP samples were stimulated using ADP as agonists. It was monitored in an aggregometer (AggRAM, Helena Biosciences, UK) at 37°C under continuous stirring at 1,000 rpm. PRP samples (295 l) was pre-incubated with10 l of 50% or 100% pomelo juice (TD, KY and KT) for 5 and 30 minutes at 37°C in aggregometer. Then, it was stimulated with 5 l of 8 M ADP (as shown in final concentration). The extent of platelet aggregation was estimated by measuring the maximum height above the 4 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 baseline reached by the aggregation curve within 5 minutes following stimulation. Results Determination of nitrite content, total polyphenolic content, total flavonoid contents and antioxidant activities Results of nitrite content, total phenolic content, total flavonoids content and antioxidant activities were shown in Table 1. The results showed that TD had higher phenolic and flavonoids content than others, but the significant difference was not observed. TD also had higher antioxidant activity than others. Table 1. Nitrite content, total phenolic content, total flavonoids content and antioxidant activities of pomelo juice Parameters 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 TD Value a KT KY Nitrite content 3.41 ± 0.48 5.53 ± 0.27 4.37 ± 0.62 (μM) Total phenolic content 2.39 ± 0.02 2.06 ± 0.08 2.00 ± 0.04 (GAEb, mM) Total flavonoids content 6.85 ± 0.54 6.00 ± 0.33 6.32 ± 0.05 (QEb, μM) DPPH assay 5.21 ± 0.38 3.98 ± 0.21 4.84 ± 0.62 (TEACb, mM) FRAP assay 4.59 ± 0.45 3.37 ± 0.07 3.90 ± 0.36 (VCEACb, mM) a The value shown in mean ± SD, n=3 b Abbreviations: Gallic acid equivalence (GAE), Quercetin equivalence (QE), Trolox equivalent antioxidant capacity (TEAC) and vitamin C equivalent antioxidant (VCEAC) Antiplatelet activity of pomelo juice PRP sample was pre-incubated with pomelo juice and then stimulated with 8 M ADP. In control, without pomelo juice, ADP-induced platelet aggregation was about 87-94% as shown in Figure 1. The pomelo juice affected to ADPinduced platelet aggregation depending on incubation time and concentration. Figure 1a and 1b showed that the lower concentration of pomelo juice (50%) had slightly inhibitory effect on the value of maximum aggregation. However, all of them altered the aggregation curve into biphasic shape. KY marginally decreased the value of maximum aggregation to 77.8% after 5 minutes of pre-incubation while TD and KT marginally decreased the value of maximum aggregation to 76.1% and 82.5%, respectively after 30 minutes of pre-incubation. 5 (a) 50% pomelo juice, 5 minutes (b) 50% pomelo juice, 30 minutes 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 Figure 1. (d) 100% pomelo juice, 30 minutes Platelet aggregations after incubation with pomelo juice for 5 and 30 minutes (TD; Thong Dee, KT; Khao Tang Kwa and KY; Khao Yai) Platelet samples were pre-incubated with 100% pomelo juice for 5 minutes as shown in Figure 1c. The results shown KY greatly decreased the value of maximum aggregation (29.5%) followed by KT (60.4%) and TD (85.8%). For 30 minutes of incubation time (Figure 1d), TD decreased the value of maximum aggregation to 51.6%, while KT and KY shown similarly response curve. The maximum aggregation and %inhibition, which was calculated comparing to control of each group, were shown in Table 2. Table 2. The maximum aggregation of pomelo juice pre-incubated platelet and percentage inhibition of maximum aggregation of pomelo juice Incubation time 5 minutes 30 minutes 180 181 182 183 184 (c) 100% pomelo juice, 5 minutes Sample Name TD KT KY TD KT KY Maximum aggregation (%) 50% juice 100% juice 91.5 85.8 86.8 60.4 77.8 29.5 76.1 51.6 82.5 63.4 88.5 64.7 % Inhibition 50% juice 2.0 12.2 12.6 5.3 - 100% juice 6.7 34.3 67.9 45.1 32.6 31.2 Discussion Pomelo juice from TD, KT and KY contained high polyphenol content as shown in gallic acid equivalence. The phenolic content was in millimorlar level 6 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 which was corresponded to levels of antioxidant activities as demonstrated by values obtained from DPPH and FRAP assay. On the other hand, the value of flavonoids content was in micromolar. The value may underestimate because of the limitation of technique of flavonoids assay that due to high content of water in pomelo juice may enhance dissociation between flavonoids and aluminum (III)12. Therefore, flavonoids content will be further determined by high performance liquid chromatography (HPLC) technique. The results demonstrated that pomelo juice had inhibitory effect on platelet function. Although the low concentration and shorter pre-incubation time had not significant effect on maximum platelet aggregation, the biphasic shape of the curve may indicate that pomelo juice altered the activation and delay aggregation process. Several lines of evidences have indicated the roles of flavonoids as antiplatelet functions thru several mechanisms including inhibition of ADP receptors (P2Y1 and P2Y12)6-7. Activation of platelet induced the production of free radicals that involve in the platelet aggregation pathway13-15. Therefore, mechanism related to antioxidants should be considers. In addition, three cultivars of pomelo juice (TD, KT and KY) have nitrite content in range 3-6 μM. We also suspected the effect of nitrate which nitrite is product of nitric oxide (NO). NO is chemical compound that potentially inhibit platelet aggregation16-17. The mechanism of antiplatelet activity of pomelo juice will be investigated. Conclusion Pomelo juice had high content of antioxidants and exhibited antiplatelet activity. The potency of antiplatelet activity depended on concentration, incubation time and cultivars. TD showed the highest potency among cultivars. The extract mechanism of antiplatelet activity will be future investigated. Acknowledgements This study was supported by Thailand Research Fund (RDG5820013) and Development and Promotion of Science and Technology Talents Project (DPST). References 1. Viles-Gonzalez JF, Fuster V, Badimon JJ. Atherothrombosis: A widespread disease with unpredictable and life-threatening consequences. Eur Heart J. 2004;25(14):1197-207. 2. de Lorgeril M, Renaud S, Salen P, Monjaud I, Mamelle N, Martin JL, et al. Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease. The Lancet. 1994;343(8911):1454-9. 3. Estruch R, Ros E, Salas-Salvadó J, Covas M-I, Corella D, Arós F, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. New Engl J Med. 2013;368(14):1279-90. 4. Fuentes E, Castro R, Astudillo L, Carrasco G, Alarcon M, Gutierrez M, et al. Bioassay-Guided Isolation and HPLC Determination of Bioactive Compound That Relate to the Antiplatelet Activity (Adhesion, Secretion, and Aggregation) 7 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 from Solanum lycopersicum. Evid Based Complement Alternat Med. 2012;2012:10. 5. Hu FB. Plant-based foods and prevention of cardiovascular disease: an overview. The American Journal of Clinical Nutrition. 2003;78(3):544S-51S. 6. Fuentes E, Palomo I. Antiplatelet effects of natural bioactive compounds by multiple targets: Food and drug interactions. J Funct Foods. 2014;6:73-81. 7. Vilahur G, Badimon L. Antiplatelet properties of natural products. Vascul Pharmacol. 2013;59(3–4):67-75. 8. Mattiello T, Trifiro E, Jotti GS, Pulcinelli FM. Effects of pomegranate juice and extract polyphenols on platelet function. J Med Food. 2009;12(2):334-9. 9. Kongkachuichai R, Charoensiri R, Sungpuag P. Carotenoid, flavonoid profiles and dietary fiber contents of fruits commonly consumed in Thailand. International Journal of Food Sciences and Nutrition. 2010;61(5):536-48. 10. Kawaii S, Tomono Y, Katase E, Ogawa K, Yano M. Quantitation of Flavonoid Constituents in Citrus Fruits. Journal of Agricultural and Food Chemistry. 1999;47(9):3565-71. 11. Zhang M, Duan C, Zang Y, Huang Z, Liu G. The flavonoid composition of flavedo and juice from the pummelo cultivar (Citrus grandis (L.) Osbeck) and the grapefruit cultivar (Citrus paradisi) from China. Food Chem. 2011;129(4):1530-6. 12. Zhang J, Wang J, Brodbelt JS. Characterization of flavonoids by aluminum complexation and collisionally activated dissociation. J Mass Spectrom. 2005;40(3):350-63. 13. Pignatelli P, Pulcinelli FM, Lenti L, Paolo Gazzaniga P, Violi F. Hydrogen Peroxide Is Involved in Collagen-Induced Platelet Activation. Blood. 1998;91(2):484-90. 14. Iuliano L, Pedersen JZ, Pratico D, Rotilio G, Violi F. Role of hydroxyl radicals in the activation of human platelets. Eur J Biochem. 1994;221(2):695-704. 15. Iuliano L, Colavita AR, Leo R, Praticò D, Violi F. Oxygen Free Radicals and Platelet Activation. Free Radical Biol Med. 1997;22(6):999-1006. 16. Wang GR, Zhu Y, Halushka PV, Lincoln TM, Mendelsohn ME. Mechanism of platelet inhibition by nitric oxide: in vivo phosphorylation of thromboxane receptor by cyclic GMP-dependent protein kinase. Proc Natl Acad Sci U S A. 1998;95(9):4888-93. 17. Riddell DR, Owen JS. Nitric oxide and platelet aggregation. Vitam Horm. 1999;57:25-48.