- Research article
- Open Access
- Open Peer Review
Anti-platelet activity of panaxatriol saponins is mediated by suppression of intracellular calcium mobilization and ERK2/p38 activation
- Hongyi Qi†1,
- Yongliang Huang†2,
- Yi Yang1,
- Guojun Dou1,
- Fang Wan3,
- Wenwu Zhang3,
- Huarong Yang3,
- Li Wang3,
- Chunjie Wu4 and
- Li Li1Email author
© The Author(s). 2016
- Received: 28 January 2016
- Accepted: 3 June 2016
- Published: 8 June 2016
Increased platelet aggregation is implicated in the pathogenesis of ischemic stroke and anti-platelet strategy may contribute to its therapy. Panaxatriol saponin (PTS), the main components extracted from Panax notoginseng, has been shown to be efficacious in the prevention and treatment of ischemic stroke in China. The aim of this study is to determine the anti-platelet activity and explore the underlying mechanisms.
Inhibitory effect of PTS and its main ginsenosides on agonists-induced platelet aggregation was determined using rabbit or human platelets. Intracellular Ca2+ concentration ([Ca2+]i) mobilization was detected with fura-2/AM probe. MAPKs phosphorylation was determined by Western blotting.
Our results showed PTS inhibited the rabbit platelet aggregation induced by various agonists (collagen, thrombin and ADP). The three main ginsenosides (Rg1, Re and R1) existing in PTS also showed anti-platelet activity, while their combination exhibited no synergistic effect on rabbit platelet aggregation. Further study demonstrated that PTS and its main ginsenosides also exhibited inhibitory effect on human platelet aggregation. Mechanism study demonstrated that pre-treatment with PTS inhibited the agonists-induced intracellular calcium mobilization. Moreover, PTS significantly suppressed the activation of both ERK2 and p38 by the agonists via reducing the phosphorylation of ERK2 and p38.
We proved that PTS is effective in anti-platelet aggregation, which may, at least in part, be related to the suppression of intracellular calcium mobilization and ERK2/p38 activation. This study may provide one reasonable explanation for the efficacy of PTS on the prevention and treatment of ischemic stroke.
- Panaxatriol saponin
- Platelet aggregation
- Intracellular calcium mobilization
Platelets which only exist in mammals mainly function as stopping bleeding at the site of interrupted endothelium. Under normal physiological condition, platelets are quiescent and don’t bind to fibrinogen. Once there is an injury in the endothelium, platelets will adhere to the interrupted endothelium and become activated via changing shape, turning on receptors and secreting chemical messengers. Then, they interconnect through receptor bridges to form aggregation and finally promote the blood coagulation . However, abnormal platelet activation triggered by pathophysiological factors can lead to the development and progression of vascular diseases . Increased platelet aggregation is believed to play an important role in the pathogenesis of ischemic stroke . Therefore, anti-platelet therapy may represent an alternative way for the prevention and treatment of ischemic stroke.
Panaxatriol saponin (PTS) is one of the major components of Panax notoginseng and composed of ginsenoside Rg1 (Rg1), notoginsenoside R1 (R1) and ginsenoside Re (Re). It has been clinically used in China for the treatment of cerebral infarction. Previous pharmacological study demonstrated that PTS alleviated the focal cerebral ischemia-induced injury via reducing the cerebral edema, up-regulating HSP70 expression and down-regulating transferring . Our recent investigation indicated that PTS exerted neuroprotection through modulating the cyto-protective Nrf2 signaling pathway . In addition, several studies have reported that ginsenosides, for example, Rp1 , Rg3 , Rg1 , Rh1 and F1 , exhibited the anti-platelet activities. In view of the protective effect on ischemic stroke, whether PTS also has the anti-platelet activity is accordingly drawing our attention. Therefore, we designed experiments to investigate the effect of PTS on platelet aggregation and explore the underlying mechanisms in the current study.
PTS extracted from Panax notoginseng was obtained from Huasun Group Co., Ltd. (Sichuan, China). As determined in our previous study , PTS is comprised of Rg1, R1 and Re with the concentration of 46.1, 12.3 and 5.7 %, respectively. The antibodies against p-ERK, p-p38 and HRP conjugated goat anti-mouse IgG were purchased from Cell Signaling Technology (Boston, MA, USA). Thrombin and collagen were purchased from Sigma-Aldrich (St. Louis, MO, USA). ADP was obtained from Tokyo Chemical Industry (Shanghai) Co. Ltd. (Shanghai, China). Fura-2/AM was obtained from Beyotime Biotechnology Corporation (Jiangsu China). Other chemicals were obtained from Sigma-Aldrich Co. (St. Louis, MO, USA) unless indicated otherwise. Human peripheral blood was collected from healthy human donors after obtaining the informed consent under a Chengdu University of Traditional Chinese Medicine Internal Review Board–approved protocol.
New Zealand albino rabbits (2.0 ± 0.2 kg) used in this study were obtained from Experimental Animal Center of Chengdu University of Traditional Chinese Medicine. The animals were acclimated for 1 week prior to the experiments, and housed in an air-conditioned animal room with a 12/12 h light/dark cycle at a temperature of 25 ± 1 °C and humidity of 50 ± 10 %. The animals were provided with a laboratory diet and water ad libitum. All experimental protocols involving the use of animals were conducted in accordance with National Institutes of Health (NIH) guidelines and approved by the Committee on Animal Care at the Southwest University.
The preparation of the platelets has been described previously with minor modifications . The human blood or rabbit blood was transferred to a tube containing 1 ml of a citrate phosphate dextrose solution (90 mM Na3C6H5O7 · 2H2O, 16 mM C6H8O7 · H2O, 16 mM NaH2PO4 · H2O, 142 mM dextrose). Platelet-rich plasma (PRP) was obtained by centrifuging rabbit blood samples at 230 × g for 5 min. Platelets were precipitated by centrifugation of the PRP at 800 × g for 15 min and washed twice with the washing buffer (10 mM Na3C6H5O7 · 2H2O,150 mM NaCl,1 mM EDTA,1 % (w/v) dextrose and pH 7.4). The pellet was re-suspended in HEPES buffer (140 mM NaCl, 2.7 mM KCl, 3.8 mM HEPES, 5 mM EGTA and pH 7.4) and the cell dilution was adjusted to 4 × 108 cells · ml-1 for subsequent experiment.
Platelet aggregation assay
Whereas OD0 and OD1 indicate the optical density before and after the inducer is added, respectively.
Whereas PARtest and PARblank represent the PAR of the tested samples and the blank solvent, respectively.
Determination of the intracellular calcium concentration ([Ca2+]i)
[Ca2+] i was determined with fura-2/AM as described previously . Briefly, the PRP with concentration of 4 × 108 cells/ml was incubated with 5 μM of fura-2/AM for 60 min at 37 °C. The fura-2-loaded washed platelets were pre-incubated with the tested sample or the blank solvent (saline) for 3 min at 37 °C in the presence of 1 mM CaCl2. Next, the platelets were stimulated with thrombin (0.1 U · ml-1), collagen (2.5 μg · ml-1) or ADP (10 μM) for 5 min, respectively. Fura-2 fluorescence was measured in a spectrofluorometer (F-2500, Hitachi, Japan) with an excitation wavelength of 340 nm and an emission wavelength of 510 nm. The [Ca2+] i was calculated by the method of Schaeffer : [Ca2+] i in cytosol = 224 nM×(F − F min )/(F max − F), where 224 nM is the dissociation constant of the fura-2-Ca2+ complex, and F min and F max represent the fluorescence intensity levels at very low and very high Ca2+ concentrations, respectively. In our experiment, F max is the fluorescence intensity of the fura-2-Ca2+ complex at 510 nm after the platelet suspension containing 1 mM of CaCl2 had been solubilized by Triton X-100 (0.1 %). F min is the fluorescence intensity of the fura-2-Ca2+ complex at 510 nm, after the platelet suspension containing 20 mM Tris/3 mM of EGTA had been solubilized by Triton X-100 (0.1 %). F represents the fluorescence intensity of the fura-2-complex at 510 nm after the platelet suspension was stimulated by inducer, with and without the tested samples, in the presence of 1 mM CaCl2.
Western blotting analysis
The cellular proteins were extracted and analyzed for protein expression as previously described . Briefly, thirty micrograms of the cellular proteins were resolved by electrophoresis in 10 % SDS-polyacrylamide gel, and subsequently transferred to polyvinylidene difluoride (PVDF) membrane. Following 1 h incubation in a fresh TBS buffer containing 0.1 % Tween-20 and 5 % BSA, the blots were probed with specific antibodies including anti-p-ERK, anti-p-p38 and anti-β-actin. The bound primary antibodies were detected by HRP conjugated anti-mouse IgG accordingly. The activity of peroxidase on the blot was visualized by enhanced chemiluminescence (ECL) detection reagents (GE Healthcare, Sweden).
All data were presented as mean ± SD from three independent experiments. Statistical analysis was performed by two-tail Student’s t-test. A P-value of less than 0.05 was considered to be statistically significant.
Inhibitory effect of PTS on agonist induced rabbit platelet aggregation
Inhibitory effect of the main ginsenosides in PTS on thrombin induced rabbit platelet aggregation
Inhibitory effect of PTS and its main ginsenosides on agonist induced human platelet aggregation
Effect of PTS on calcium mobilization
Effect of PTS on the phosphorylation of MAPKs
In this study, we first determined the inhibitory activity of PTS on platelet aggregation activated by collagen, thrombin and ADP, respectively. It’s well established that the three different agonists act on different types of receptors. Collagen is a potent ligand against integrin-type receptors, including α2β1 and glycoprotein VI, whereas thrombin and ADP are potent ligands of G-protein coupled seven transmembrane receptors (GPCR) (PAR-1 and PAR-4 thrombin receptors, P2Y1 and P2Y12 ADP receptors), respectively [17–19]. Our result demonstrated that PTS showed anti-platelet activity irrelevant to the types of agonists, suggesting that PTS may not function as an antagonist to counteract the binding to platelet receptors on the plasma membrane of these three agonists. PTS is a complex fraction containing three major ginsenosides Rg1, Re and R1 . Previous study showed that Rg1  exhibited anti-platelet activity. Then, we are interested to determining the effect of another two main compounds (Re and R1) in PTS on platelet aggregation and whether the combination of these three ginsenosides could function synergistically. As a result, Rg1 inhibited the platelet aggregation at relative low concentrations, whereas Re showed stronger effect at higher concentration. The inhibitory activity of R1 was much similar than that of Re. However, the potency of the combination in inhibiting platelet aggregation didn’t improve, indicating there may be no synergistic effect among the components in PTS. To make our study become more clinical relevance, we then determined the effect of PTS and its main ginsenosides on human platelet aggregation. As a result, both PTS and its main ginsenosides showed significant inhibitory effect.
[Ca2+] i plays an important role in the activation and aggregation of platelets and the thrombus formation. The exogenous or endogenous activation of a membrane receptor with thrombin, collagen or ADP leads to the influx of Ca2+ into the platelets [20, 21]. The activation of thrombin receptors PAR1 and PAR4 or a P2Y ADP receptor, which belong to the Gq protein-coupled receptors, leads to the activation of phospholipase (PLC)-β. Additionally, collagen binds to glycoprotein VI on the platelet surface leading to the increase of PLC activity by phosphorylating PLCγ-2 on a tyrosine residue. Then, these receptors stimulate the release of inositol trisphosphate (IP3) from phosphatidylinositol bisphosphate (PIP2). Finally, the calcium mobilization is resulted by the binding of IP3 to type 2 IP3 receptors in the secretory granules of human platelets [14, 22, 23]. To find out the possible signaling pathway involved in the downstream of membrane receptors, we determined the effect of PTS on the intracellular calcium mobilization. In our study, all the three agonists thrombin, collagen and ADP stimulate the [Ca2+] i . While pre-treatment with PTS, the [Ca2+] i in all these agonists-activated platelets remarkably reduced, suggesting that inhibition of calcium mobilization may be one of the common signaling pathways responsible for the inhibitory effect of PTS against platelet aggregation stimulated by these three different agonists.
MAPKs including ERK2, JNK1 and p38 are present in platelets and activated by various agonists [16, 24]. Our results demonstrated that PTS significantly suppressed the activation of both ERK2 and p38 induced by thrombin, collagen or ADP via reducing the expression level of p-ERK2 and p-p38. However, PTS showed no statistically significant influence on p-JNK1 (data not shown). It’s reported that ERK2 and p38 have complementary effects in the control of platelet adhesion to collagen. In static adhesion condition, p38 was involved in platelet adhesion and spreading. In blood flow condition, p38 activation is required for platelet adhesion at low collagen coverage densities, while ERK2 activation is necessary for platelet adhesion at higher collagen coverage densities . Therefore, suppression of ERK2 and p38 activation may be partially as a common signaling pathway responsible for the inhibitory effect of PTS on platelet aggregation in our study.
In summary, we have investigated the potential effect of PTS on platelet aggregation and explored the underlying mechanisms in this study. PTS exhibited anti-platelet activity against stimulation of different agonists, including collagen, thrombin and ADP. The three major ginsenosides used alone also showed anti-platelet activity, whereas their combination didn’t improve the effect synergistically. Further mechanism study revealed that PTS significantly inhibited intracellular calcium mobilization induced by the three different agonists. Moreover, PTS also inhibited the phosphorylation of ERK2 and p38 induced by all the three agonists. Collectively, our study showed PTS has anti-platelet activity and inhibition of intracellular calcium mobilization and p-ERK2/p-p38 may, in part, be as the common signaling pathways responsible for this effect. The anti-platelet activity of PTS may be implicated in its beneficial effect on the prevention and treatment of ischemic stroke.
ADP, adenosine diphosphate; BSA, bovine serum albumin; ECL, enhanced chemiluminescence; EGTA, ethylene glycol tetraacetic acid; F max , the fluorescence intensity levels at very high Ca2+ concentrations; F min , the fluorescence intensity levels at very low Ca2+ concentrations; GPCR, G-protein coupled seven transmembrane receptor; HEPES, 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid; HRP, horseradish peroxidase; HSP70, heat shock protein 70; IP3, inositol trisphosphate; Nrf2, nuclear factor (erythroid-derived 2)-like 2; OD, optical density; PAR, platelet aggregation rate; PIP2, phosphatidylinositol bisphosphate; PRP, platelet-rich plasma; PTS, panaxatriol saponin; PVDF, polyvinylidene difluoride; R1, notoginsenoside R1; Re, ginsenoside Re; Rg1, ginsenoside Rg1; SDS, sodium dodecyl sulfate
This work was supported by the NSFC Projects (No. 81373903; No. 81202946), a Doctoral Fund Program Grant (swu11107) from the Southwest University, the Key Project of Fundamental Research Fund for the Central Universities (XDJK2016B040), a Cooperative Research Program Grant (41004013) from Chengdu University of Traditional Chinese Medicine and the Chongqing Project of Science and technology talent cultivation (cstc2013kjrc-qnrc1002).
Availability of data and materials
This information is not relevant.
HQ, YLH, FW, WWZ, CJW and LL contributed to the study design, analysis, and interpretation of data. CJW and LL conceived of the study. HQ, YLH, FW, WWZ, HRY, YY, GJD and LW performed the experiments. HQ and YLH drafted the manuscript. CJW and LL carried out the revision and provided important suggestions. All authors approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
This information is not relevant.
Ethics approval and consent to participate
The animal experiments of this study were approved by the Committee on Animal Care at the Southwest University. Human peripheral blood was collected from healthy human donors after obtaining the informed consent under a Chengdu University of Traditional Chinese Medicine Internal Review Board–approved protocol.
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- Mustard JF, Packham MA. Factors influencing platelet function: adhesion, release, and aggregation. Pharmacol Rev. 1970;22(2):97–187.PubMedGoogle Scholar
- Fuster V, Badimon L, Cohen M, Ambrose JA, Badimon JJ, Chesebro J. Insights into the pathogenesis of acute ischemic syndromes. Circulation. 1988;77(6):1213–20.View ArticlePubMedGoogle Scholar
- Wu KK, Hoak JC. Increased platelet aggregates in patients with transient ischemic attacks. Stroke. 1975;6(5):521–4.View ArticlePubMedGoogle Scholar
- Yao XH, Li XJ. Protective effects and its mechanism of panaxatriol saponins isolated from Panax notoginseng on cerebral ischemia. Zhongguo Zhong Yao Za Zhi. 2002;27(5):371–3.PubMedGoogle Scholar
- Huang Y, Yu J, Wan F, Zhang W, Yang H, Wang L, et al. Panaxatriol saponins attenuated oxygen-glucose deprivation injury in PC12 cells via activation of PI3K/Akt and Nrf2 signaling pathway. Oxid Med Cell Longev. 2014;2014:978034. doi:10.1155/2014/978034.PubMedPubMed CentralGoogle Scholar
- Endale M, Lee WM, Kamruzzaman SM, Kim SD, Park JY, Park MH, et al. Ginsenoside-Rp1 inhibits platelet activation and thrombus formation via impaired glycoprotein VI signalling pathway, tyrosine phosphorylation and MAPK activation. Br J Pharmacol. 2012;167(1):109–27. doi:10.1111/j.1476-5381.2012.01967.x.View ArticlePubMedPubMed CentralGoogle Scholar
- Lee WM, Kim SD, Park MH, Cho JY, Park HJ, Seo GS, et al. Inhibitory mechanisms of dihydroginsenoside Rg3 in platelet aggregation: critical roles of ERK2 and cAMP. J Pharm Pharmacol. 2008;60(11):1531–6. doi:10.1211/jpp/60.11.0015.View ArticlePubMedGoogle Scholar
- Liu R, Xing D, Lu H, Wu H, Du L. Pharmacokinetics of puerarin and ginsenoside Rg1 of CBN injection and the relation with platelet aggregation in rats. Am J Chin Med. 2006;34(6):1037–45. doi:10.1142/s0192415x06004508.View ArticlePubMedGoogle Scholar
- Wang J, Huang ZG, Cao H, Wang YT, Hui P, Hoo C, et al. Screening of anti-platelet aggregation agents from Panax notoginseng using human platelet extraction and HPLC-DAD-ESI-MS/MS. J Sep Sci. 2008;31(6-7):1173–80. doi:10.1002/jssc.200700507.View ArticlePubMedGoogle Scholar
- Born GV. Aggregation of blood platelets by adenosine diphosphate and its reversal. Nature. 1962;194:927–9.View ArticlePubMedGoogle Scholar
- Schaeffer J, Blaustein MP. Platelet free calcium concentrations measured with fura-2 are influenced by the transmembrane sodium gradient. Cell Calcium. 1989;10(2):101–13.View ArticlePubMedGoogle Scholar
- Qi H, Han Y, Rong J. Potential roles of PI3K/Akt and Nrf2-Keap1 pathways in regulating hormesis of Z-ligustilide in PC12 cells against oxygen and glucose deprivation. Neuropharmacology. 2012;62(4):1659–70. doi:10.1016/j.neuropharm.2011.11.012.View ArticlePubMedGoogle Scholar
- Nesbitt WS, Giuliano S, Kulkarni S, Dopheide SM, Harper IS, Jackson SP. Intercellular calcium communication regulates platelet aggregation and thrombus growth. J Cell Biol. 2003;160(7):1151–61. doi:10.1083/jcb.200207119.View ArticlePubMedPubMed CentralGoogle Scholar
- Kim SD, Lee IK, Lee WM, Cho JY, Park HJ, Oh JW, et al. The mechanism of anti-platelet activity of davallialactone: Involvement of intracellular calcium ions, extracellular signal-regulated kinase 2 and p38 mitogen-activated protein kinase. Eur J Pharmacol. 2008;584(2-3):361–7. doi:10.1016/j.ejphar.2008.02.008.View ArticlePubMedGoogle Scholar
- Toth-Zsamboki E, Oury C, Cornelissen H, De Vos R, Vermylen J, Hoylaerts MF. P2X1-mediated ERK2 activation amplifies the collagen-induced platelet secretion by enhancing myosin light chain kinase activation. J Biol Chem. 2003;278(47):46661–7. doi:10.1074/jbc.M308452200.View ArticlePubMedGoogle Scholar
- Mazharian A, Roger S, Maurice P, Berrou E, Popoff MR, Hoylaerts MF, et al. Differential Involvement of ERK2 and p38 in platelet adhesion to collagen. J Biol Chem. 2005;280(28):26002–10. doi:10.1074/jbc.M414083200.View ArticlePubMedGoogle Scholar
- Kuijpers MJ, Schulte V, Bergmeier W, Lindhout T, Brakebusch C, Offermanns S, et al. Complementary roles of glycoprotein VI and alpha2beta1 integrin in collagen-induced thrombus formation in flowing whole blood ex vivo. FASEB J. 2003;17(6):685–7. doi:10.1096/fj.02-0381fje.PubMedGoogle Scholar
- Leon C, Alex M, Klocke A, Morgenstern E, Moosbauer C, Eckly A, et al. Platelet ADP receptors contribute to the initiation of intravascular coagulation. Blood. 2004;103(2):594–600. doi:10.1182/blood-2003-05-1385.View ArticlePubMedGoogle Scholar
- Rivera J, Lozano ML, Navarro-Nunez L, Vicente V. Platelet receptors and signaling in the dynamics of thrombus formation. Haematologica. 2009;94(5):700–11. doi:10.3324/haematol.2008.003178.View ArticlePubMedPubMed CentralGoogle Scholar
- Holmsen H. Significance of testing platelet functions in vitro. Eur J Clin Invest. 1994;24 Suppl 1:3–8.View ArticlePubMedGoogle Scholar
- Rink TJ, Sage SO. Calcium signaling in human platelets. Annu Rev Physiol. 1990;52:431–49. doi:10.1146/annurev.ph.52.030190.002243.View ArticlePubMedGoogle Scholar
- Daniel JL, Dangelmaier CA, Selak M, Smith JB. ADP stimulates IP3 formation in human platelets. FEBS Lett. 1986;206(2):299–303.View ArticlePubMedGoogle Scholar
- Smith JB, Selak MA, Dangelmaier C, Daniel JL. Cytosolic calcium as a second messenger for collagen-induced platelet responses. Biochem J. 1992;288(Pt 3):925–9.View ArticlePubMedPubMed CentralGoogle Scholar
- Mazharian A, Roger S, Berrou E, Adam F, Kauskot A, Nurden P, et al. Protease-activating receptor-4 induces full platelet spreading on a fibrinogen matrix: involvement of ERK2 and p38 and Ca2+ mobilization. J Biol Chem. 2007;282(8):5478–87. doi:10.1074/jbc.M609881200.View ArticlePubMedGoogle Scholar