In vitro membrane stabilizing, thrombolytic and antioxidant potentials of Drynaria quercifolia L., a remedial plant of the Garo tribal people of Bangladesh
© The Author(s). 2016
Received: 21 November 2015
Accepted: 22 June 2016
Published: 4 July 2016
Drynaria quercifolia L. (Family- Polypodiaceae) is a fern grows in Bangladesh used in traditional healing by the Garo tribe of Mymensingh district. In the current study, rhizomes and fertile foliage fronds of this plant have been investigated comprehensively to assess their in vitro membrane stabilizing, thrombolytic and antioxidant properties.
Rhizomes and fertile foliage fronds of D. quercifolia were collected, dried, powdered and extracted with methanol. Later on, crude methanol extracts of the plant parts were fractionated into petroleum ether, carbon tetrachloride, chloroform and aqueous soluble fractions. The extractives were then subjected to membrane stabilizing, thrombolytic and antioxidant assays.
In membrane stabilizing assay, crude methanol extracts of rhizomes and fertile foliage fronds and their petroleum ether fractions were found to be very effective for stabilizing erythrocyte membrane in hypotonic solution. In case of thrombolytic study, crude methanol extract of rhizomes and its aqueous fraction exhibited noticeable clot lysis. However, in antioxidant assays, crude methanol extracts of the tested plant parts and their aqueous fractions exhibited potent 1,1-diphenyl-2-picrylhydrazyl (DPPH), hydrogen peroxide and 2, 2’-azinobis (3-ethylbenzothiazoline sulphonic acid) (ABTS) radical scavenging activity. Besides, these extractives also displayed substantial ferric reducing potential in ferric reducing antioxidant power (FRAP) assay. Crude methanol extracts of the plant parts and their aqueous fractions were also found rich in phenolics.
This study demonstrates the medicinal potentials of D. quercifolia and justifies the local uses of it by the Garo tribal people of Bangladesh for multiple disease management.
KeywordsDrynaria quercifolia Membrane stabilizing Thrombolytic DPPH Hydrogen peroxide ABTS FRAP Antioxidant The Garo
Medicinal plants are always very promising for the development of new drugs. To distinguish any plant possessing medicinal quality, proper scientific screening is essential. Traditionally different plants are known to have different efficacy for treating various types of diseases. If the right plant is known for healing a particular disease, attempts should be made to isolate the bioactive lead molecule(s) from the plant .
Almost 30 tribal communities are living at different parts of Bangladesh. The Garo is one of them and considered as an ethnic group of ‘Tibbeti Borman’, belonging to the Mongolian human race. They are now living in Mymensingh, Tangail, Netrokona, Sylhet and Sunamgonj districts. They have their own curative practices involving many medicinal plants as evident from some ethnobotanical surveys [2, 3]. These plants can be systematically evaluated to explore their healing abilities. With this view, Drynaria quercifolia (L.) J. Sm., a medicinal plant used by the Garo tribe, was selected to perceive its medicinal properties through chemical and biological assays.
D. quercifolia (L.) J. Sm. (Bengali name: Bandor shoal, Pankhiraj) belongs to a large family of ferns, Polypodiaceae, having 56 genera and 1200 species distributed throughout the world. It is native to Bangladesh, India, Southeast Asia, Malaysia, Indonesia, Australia, the Philippines, New Guinea, etc. . This epiphytic or lithophytic fern is available in wet tropical environments and generally grows on wall, tree or rock anchored by rhizome. It has two types of fronds known as fertile foliage fronds and sterile nest fronds. This plant is traditionally used to heal typhoid, hectic fever, cough, dyspepsia, jaundice, diabetes, tuberculosis, throat infection, etc. [5–8]. Besides, it has been reported to have antifertility, analgesic, antiedematous, antibacterial, etc. activities [6, 9–12]. Preliminary phytochemical screening has revealed the presence of alkaloids, glycosides, saponins, amino acids, flavonoids, triterpenes, phytosterols and carbohydrates [11, 13].
The aim of the present study is to investigate the rhizomes and the fertile foliage fronds of D. quercifolia for their membrane stabilizing, thrombolytic and antioxidant activities comprehensively. This might explore the remedial potential of this plant to a great extent.
Collection and identification of plant materials
D. quercifolia is abundant in the Garo Hill of Mymensingh, Bangladesh and was collected from there on June, 2013. It was officially identified by an expert taxonomist at Bangladesh National Herbarium (BNH), Mirpur Road-1, Dhaka (http://www.bnh.gov.bd), which is a government institute for providing plant identification service nationally. An accession number DACB -38386 was provided by BNH after identification of the submitted voucher specimen of the plant. The specimen has been preserved there for future references.
Membrane stabilizing activity
1,1-Diphenyl-2-picrylhydrazyl (DPPH) free radical scavenging activity
The stable DPPH was used for the determination of free radical scavenging activity . In this assay, a methanol solution of the extract or standard (2 ml) at different concentrations (500 to 15.625 μg/ml) was mixed with a 3 ml of DPPH solution (20 μg/ml methanol). Absorbance was determined at 517 nm by using a UV-visible spectrophotometer after 20 min keeping in dark. The percent inhibition was calculated from [(Ao–A1)/Ao] × 100, where Ao is the absorbance of the control and A1 is the absorbance of the test sample. Here, ascorbic acid was used as standard. IC50 (half maximal inhibitory concentration) was calculated from the graph plotted inhibition percentage against extract concentration.
Hydrogen peroxide free radical scavenging activity
The free radical scavenging activity of the plant extractives was also examined by using hydrogen peroxide free radical . In this experiment, 43 mM hydrogen peroxide solution was prepared in phosphate buffer saline (pH 7.4). Ascorbic acid (standard) and the extract solution were arranged separately at concentration from 500 to 15.625 μg/ml. An aliquot of either standard or extract solutions (3.4 ml) was mixed with 0.6 ml of hydrogen peroxide solution. The reaction mixtures were incubated at room temperature for 10 min and the absorbance was determined at 230 nm by using a UV-visible spectrophotometer. The percentage inhibitory activity (I %) was calculated from [(Ao–A1)/Ao] × 100, where Ao is the absorbance of the control and A1 is the absorbance of the test sample. Here, ascorbic acid was used as standard. IC50 was calculated from the graph plotted inhibition percentage against extract concentration.
2, 2’-Azinobis (3-ethylbenzothiazoline sulphonic acid) (ABTS) radical scavenging activity
ABTS scavenging activity was determined by using a method described by Re et al.  with minor modification. The stock solution was comprised of 7 mM ABTS solution and 2.45 mM potassium persulfate (K2S2O8). The working solution was kept at room temperature in the dark for 16 h. The ABTS solution was adjusted with distilled water to obtain an absorbance of 0.70 ± 0.02 at 734 nm. Fresh ABTS solution was prepared for each assay. During test, 0.1 ml of extract or standard of different concentrations (500-15.625 μg/ml) was allowed to react with 2.9 ml of the ABTS solution in the dark at room temperature for 7 min. Then the absorbance was measured at 734 nm with the help of a UV-visible spectrophotometer. The percent inhibition was calculated from [(Ao–A1)/Ao] × 100, where Ao is the absorbance of the control and A1 is the absorbance of the test sample. Ascorbic acid was used as standard.
Ferric reducing antioxidant power (FRAP) assay
The ferric reducing activity was conducted by a modified method of Benzie and Strain . The stock solution was comprised of 300 mM acetate buffer (3.1 g C2H3NaO2 · 3H2O and 16 ml C2H4O2), pH 3.6, 10 mM 2,4,6-tripyridyl-s-triazine (TPTZ) solution in 40 mM HCl and 20 mM FeCl3 · 6H2O solution. The freshly prepared working solution was a mixture of 25 ml acetate buffer, 2.5 ml TPTZ and 2.5 ml FeCl3 · 6H2O. The temperature of the solution was maintained at 37 °C before use. 200 μl of extract (2.5 mg/ml) or ascorbic acid (100 μg/ml) was allowed to react with 2800 μl of the FRAP solution for 30 min in the dark condition. The absorbance of the colored product (ferrous tripyridyltriazine complex) was taken at 593 nm by using a UV-visible spectrophotometer. A standard curve was prepared for FeSO4 (0-1000 μM) and the results were expressed in μmol of Fe+2/g dry mass.
Total phenolic content determination
Total phenolic content of the extractives was measured by using Folin-Ciocalteu reagent as an oxidizing agent and gallic acid as a standard . In this assay, 0.5 ml of plant extract (2 mg/ml) in water was mixed with 2.5 ml of Folin-Ciocalteu reagent (10 times diluted with water) and 2 ml of sodium carbonate (7.5 % w/v) solution. After 20 min of incubation at room temperature, the absorbance was measured at 760 nm by using a UV-visible spectrophotometer. Total phenolic content was determined by calibration curve obtained from measuring the known concentrations of gallic acid (0-100 μg/ml) and expressed as mg of GAE (gallic acid equivalent)/g of the dried extract.
Three replicates of each sample were used for statistical analysis and the values are reported as mean ± standard deviation (SD).
Membrane stabilizing activity
DPPH free radical scavenging activity
Hydrogen peroxide free radical scavenging activity
ABTS radical scavenging activity
Ferric reducing antioxidant power (FRAP) assay
Total phenolic content determination
The Garo is a tribal community of Bangladesh. Their family pattern, norms, foods, festivals, etc. are different from other tribal communities and mainstream Bangladeshi common people . The healers of this tribe use many medicinal plants for treating their people. Recently some ethnobotanical surveys have been conducted on this [2, 6], which have revealed the studied fern, D. quercifolia, as one of the medicinally important plants of the Garo tribe.
Inflammation is a very complex biological state. Chronic inflammation may be associated with aging, cancer, adipogenesis, diabetes, cardiovascular problems, lung disease, etc. [23–25]. Membrane stabilization assay of erythrocytes is a very popular tool to investigate the anitiinflammatory potential of the plant extract. When erythrocytes are exposed to hypotonic medium, heat, methyl salicylate, phenylhydrazine, etc., the lysis of their membrane occurs. It results in the leakage of serum protein and fluids into the tissues instigating inflammation . So, the compounds capable of membrane stabilization might be very suitable as antiinflammatory agents . Crude methanol extract of rhizomes demonstrated noticeable membrane stabilizing property (Fig. 2). Moderate membrane protecting activity was displayed by the crude methanol extract of fertile foliage fronds and petroleum ether fractions of both parts of the fern. The antiinflammatory potential of this plant was also partially verified earlier by another preliminary study using only ethanol extract of rhizomes on mice model . However, active inflammation of the gastroduodenal mucosa is a cause of dyspepsia . D. quercifolia is well recognized to treat dyspepsia , which might be linked with antiinflammatory potential of this fern. Several flavonoids and triterpenes have been reported earlier to have antiinflammatory activity [28, 29]. As flavonoids and triterpenes are also present in D. quercifolia [13, 30], it might be a reason for its membrane stabilizing antiinflammatory potential.
Thrombus development leads to many vascular complexities including myocardial infarction, stroke, deep vein thrombosis, renal vein thrombosis, portal vein thrombosis, etc. which might result in death. Tissue plasminogen activator, urokinase, streptokinase, etc. are used currently for treating thrombosis but better thrombolytic agents are still a demand of time [31, 32]. In the current study, higher thrombolytic activity was exhibited by crude methanol extracts and aqueous fractions of both rhizomes and fertile foliage fronds (Fig. 3). This plant was previously reported to have significant hypolipidemic activity on diabetic rats . The thrombolytic activity of the plant along with lipid lowering ability might contribute to maintain a healthy cardiovascular system . It has been noticed earlier that flavonoids might have significant potentials of displaying thrombolytic activity . The abundance of flavonoids in D. quercifolia might be a reason for its thrombolytic ability .
Free radicals become notorious when produced in excess in vivo and cause oxidative damages. They can destroy immunity system and develop a wide range of diseases such as alzheimer's disease, parkinson's disease, complication in diabetes, rheumatoid arthritis, neuro-degeneration, cardiovascular complications, DNA damage, carcinogenesis, metabolic disorders, aging, etc. [36, 37]. To counteract the complications generated by free radicals, antioxidants might be very beneficial. Different fractions of D. quercifolia were subjected to DPPH and hydrogen peroxide free radical scavenging assays, where crude methanol extracts and their aqueous fractions scavenged the free radicals evidently (Figs. 4 and 5). On the other hand, the decolorization in ABTS assay reveals the capacity of an antioxidant species to donate electrons or hydrogen atoms to deactivate the radical species of ABTS . Aqueous fractions and crude methanol extracts again displayed noticeable ABTS radical scavenging capacity (Fig. 6). However, FRAP assay measures the reducing potential, where a compound exerts its effect by donating hydrogen atom to ferric tripyridyltriazine complex and interferes the radical chain reaction . In the present study, aqueous fractions and crude methanol extracts were very dominant for exhibiting ferric reducing potentials (Fig. 7).
It is well-known that phenolic compounds are very useful to serve as antioxidants . So, the total phenolic content of extractives was assessed (Fig. 8). Higher level of phenolic content was seen in the aqueous fractions and crude methanol extracts of the plant. This finding might explain a reason for stronger antioxidant potential of the high polar extractives.
Jaundice might cause accelerated generation of hydroxyl radicals in plasma and liver tissues as evident from an earlier study performed on common bile duct ligated jaundice rats . D. quercifolia is traditionally used for curing jaundice  which might be related with the antioxidant potential of this fern. A higher level of free radicals and oxidative stress has a vital role in the deterioration of diabetic complications. Therefore, use of antioxidants reduces oxidative stress and helps in diabetes management . The Garo healers use D. quercifolia to treat diabetes mellitus , which is very much reasonable in the context of antioxidant potential of this fern. Antioxidant treatment was reported very promising for quick alleviation of respiratory infection and inflammation . Rhizomes and fronds of D. quercifolia are also locally used for treating tuberculosis and throat infections , which might be assisted with the antioxidant potential of this plant as evident from the present study along with its antibacterial potential as reported earlier .
D. quercifolia is a medicinally important plant to the Garo tribal people of Bangladesh. In the present study, rhizomes and fertile foliage fronds of this fern have been studied comprehensively. Crude methanol extracts and petroleum ether fractions of rhizomes and fertile foliage fronds were very promising to show membrane stabilizing antiinflammatory potential. Besides, crude methanol extracts and aqueous fractions were very active for displaying thrombolytic activity. In addition, aqueous fractions and crude methanol extracts of both parts of the plant were very capable to scavenge the free radicals and reduce oxidized materials, which might be attributed to the high level of phenolic contents of the polar extractives. The outcomes of the present study add some values to the reported healing traits of this fern. Overall, the medicinal potential of this plant can be considered very substantial. Further comprehensive investigations are required to isolate bioactive compound(s) and know the underlying mechanisms. Herbal drug developers might also use these information for appropriate safety and efficacy trial in future.
We are grateful to the Bangladesh National Herbarium, Mirpur Road-1, Dhaka (http://www.bnh.gov.bd) for plant identification.
This research was conducted by the financial support of the University Grants Commission (UGC) of Bangladesh.
Availability of data and materials
All data are presented in the manuscript.
MSR designed the study, interpreted the data and prepared the manuscript as principal investigator. FR collected and extracted the plant parts and carried out assays. MK did the literature study and performed assays. All the authors have read and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
Ethics approval and consent to participate
This study was approved by the ethical review committee of the Faculty of Pharmacy, University of Dhaka, Bangladesh for using human blood for the assays. Informed consent was also obtained from donors for using their blood in this study.
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- Harvey AL, Edrada-Ebel R, Quinn RJ. The re-emergence of natural products for drug discovery in the genomics era. Nat Rev Drug Discov. 2015;14:111–29.View ArticlePubMedGoogle Scholar
- Mia M, Kadir M, Hossan M, Rahmatullah M. Medicinal plants of the Garo tribe inhabiting the madhupur forest region of Bangladesh. Am Eurasian J Sustain Agric. 2009;3:165–71.Google Scholar
- Das TK, Islam MHZ. Psycho-social dimensions of ethnicity: The situation of Garo community in Bangladesh. Asian Aff. 2005;27:45–54.Google Scholar
- Khan A, Haque E, Rahman M, Mosaddik A, Rahman M, Sultana N. Isolation of antibacterial constituent from rhizome of Drynaria quercifolia and its sub-acute toxicological studies. Daru. 2007;15:205–11.Google Scholar
- Rahim ZB, Rahman MM, Saha D, Hosen SZ, Paul S, Kader S. Ethnomedicinal plants used against jaundice in Bangladesh and its economical prospects. Bull Pharma Res. 2012;2:91–105.Google Scholar
- Rahmatullah M, Azam MN, Khatun Z, Seraj S, Islam F, Rahman MA, Jahan S, Aziz MS. Medicinal plants used for treatment of diabetes by the Marakh sect of the Garo tribe living in Mymensingh district, Bangladesh. Afr J Tradit Complement Altern Med. 2012;9:380–5.PubMedPubMed CentralGoogle Scholar
- Mannan MM, Maridass M, Victor B. A review on the potential uses of ferns. Ethnobot Leaflets. 2008;2008:33.Google Scholar
- Sen A, Ghosh P. A note on the ethnobotanical studies of some pteridophytes in Assam. Indian J Tradit Know. 2011;10:292–5.Google Scholar
- Anuja GI, Latha PG, Suja SR, Shyamal S, Shine VJ, Sini S, Pradeep S, Shikha P, Rajasekharan S. Anti-inflammatory and analgesic properties of Drynaria quercifolia (L.) J. Smith. J Ethnopharmacol. 2010;132:456–60.View ArticlePubMedGoogle Scholar
- Das B, Dey A, Das Talukdar A, Nongalleima K, Choudhury MD, Deb L. Antifertility efficacy of Drynaria quercifolia (L.) J. Smith on female Wister albino rats. J Ethnopharmacol. 2014;153:424–9.View ArticlePubMedGoogle Scholar
- Saravanan S, Mutheeswaran S, Saravanan M, Chellappandian M, Gabriel Paulraj M, Karunai Raj M, Ignacimuthu S, Duraipandiyan V. Ameliorative effect of Drynaria quercifolia (L.) J. Sm., an ethnomedicinal plant, in arthritic animals. Food Chem Toxicol. 2013;51:356–63.View ArticlePubMedGoogle Scholar
- Shokeen P, Ray K, Bala M, Tandon V. Preliminary studies on activity of Ocimum sanctum, Drynaria quercifolia and Annona squamosa against Neisseria gonorrhoeae. Sex Transm Dis. 2005;32:106–11.View ArticlePubMedGoogle Scholar
- Ramesh N, Viswanathan MB, Saraswathy A, Balakrishna K, Brindha P, Lakshmanaperumalsamy P. Phytochemical and antimicrobial studies on Drynaria quercifolia. Fitoterapia. 2001;72:934–6.View ArticlePubMedGoogle Scholar
- VanWagenen BC, Larsen R, Cardellina JH, Randazzo D, Lidert ZC, Swithenbank C. Ulosantoin, a potent insecticide from the sponge Ulosa ruetzleri. J Org Chem. 1993;58:335–7.View ArticleGoogle Scholar
- Shinde UA, Phadke AS, Nair AM, Mungantiwar AA, Dikshit VJ, Saraf MN. Membrane stabilizing activity — a possible mechanism of action for the anti-inflammatory activity of Cedrus deodara wood oil. Fitoterapia. 1999;70:251–7.View ArticleGoogle Scholar
- Prasad S, Kashyap R, Deopujari J, Purohit H, Taori G, Daginawala H. Effect of Fagonia arabica (Dhamasa) on in vitro thrombolysis. BMC Complement Altern Med. 2007;7:36.View ArticlePubMedPubMed CentralGoogle Scholar
- Chowdhury A, Alam MA, Rahman MS, Hassan MA, Rashid MA. Antioxidant, antimicrobial and cytotoxic activities of Corypha taliera Roxb. Latin Am J Pharm. 2010;29:1231–4.Google Scholar
- Figueroa LA, Navarro LB, Pati M, Vera MP, Petricevich V. Antioxidant activity, total phenolic and flavonoids contents and cytotoxicity evaluation of Bougainvillea xbuttiana. Int J Pharm Pharm Sci. 2014;6:497-502.Google Scholar
- Gülçin İ, Huyut Z, Elmastaş M, Aboul-Enein HY. Radical scavenging and antioxidant activity of tannic acid. Arab J Chem. 2010;3:43–53.View ArticleGoogle Scholar
- Re R, Pellegrini N, Proteggente A, Pannala A, Yang M, Rice-Evans C. Antioxidant activity applying an improved ABTS radical cation decolorization assay. Free Radic Biol Med. 1999;26:1231–7.View ArticlePubMedGoogle Scholar
- Benzie IF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of "antioxidant power": The FRAP assay. Anal Biochem. 1996;239:70–6.View ArticlePubMedGoogle Scholar
- Sikder MAA, Kaisar MA, Rashid MA, Millat MS, Sultana A. In vitro membrane stabilizing activity, total phenolic content, cytotoxic, thrombolytic and antimicrobial activities of Calliandra surinamensis (Wall.). J Pharmacog Phytochem. 2012;1:45–50.Google Scholar
- Olszanecka-Glinianowicz M, Zahorska-Markiewicz B, Kocelak P, Janowska J, Semik-Grabarczyk E, Wikarek T, Gruszka W, Dabrowski P. Is chronic inflammation a possible cause of obesity-related depression? Mediators Inflamm. 2009;2009:439107.View ArticlePubMedPubMed CentralGoogle Scholar
- Khansari N, Shakiba Y, Mahmoudi M. Chronic inflammation and oxidative stress as a major cause of age-related diseases and cancer. Recent Pat Inflamm Allergy Drug Discov. 2009;3:73–80.View ArticlePubMedGoogle Scholar
- Sjoholm A, Nystrom T. Chronic inflammation can cause type 2 diabetes. Lakartidningen. 2004;101:1716–21.PubMedGoogle Scholar
- Halliwell B, Whiteman M. Measuring reactive species and oxidative damage in vivo and in cell culture: How should you do it and what do the results mean? Br J Pharmacol. 2004;142:231–55.View ArticlePubMedPubMed CentralGoogle Scholar
- Toukan AU, Kamal MF, Amr SS, Arnaout MA, Abu-Romiyeh AS. Gastroduodenal inflammation in patients with nonulcer dyspepsia. Dig Dis Sci. 1985;30:313–20.View ArticlePubMedGoogle Scholar
- Serafini M, Peluso I, Raguzzini A. Flavonoids as anti-inflammatory agents. Proc Nutr Soc. 2010;69:273–8.View ArticlePubMedGoogle Scholar
- Safayhi H, Sailer E. Anti-inflammatory actions of pentacyclic triterpenes. Planta Med. 1997;63:487–93.View ArticlePubMedGoogle Scholar
- Beknal AK, Korwar PG, Halkai M, Kulkarni U, Patil BS, Soodam SR. Phytochemical investigation and antioxidant activity study of Drynaria quercifolia Linn. rhizome. Int J Curr Pharmaceut Res. 2010;4:36–9.Google Scholar
- Hilleman D, Campbell J. Efficacy, safety and cost of thrombolytic agents for the management of dysfunctional hemodialysis catheters: a systematic review. Pharmacotherapy. 2011;31:1031–40.View ArticlePubMedGoogle Scholar
- van Domburg RT, Boersma E, Simoons ML. A review of the long term effects of thrombolytic agents. Drugs. 2000;60:293–305.View ArticlePubMedGoogle Scholar
- Rajimol EK, Mohammed SP, Latheef N, Sriganesan P. Evaluation of antidiabetic and hypolipidemic potential of Drynaria quercifolia Linn rhizome in streptozotocin induced diabetic rats. Int J Pharm Sci Rev Res. 2014;25:118–24.Google Scholar
- Doggen CJ, Smith NL, Lemaitre RN, Heckbert SR, Rosendaal FR, Psaty BM. Serum lipid levels and the risk of venous thrombosis. Arterioscler Thromb Vasc Biol. 2004;24:1970–5.View ArticlePubMedGoogle Scholar
- Rathee P, Chaudhary H, Rathee S, Rathee D, Kumar V, Kohli K. Mechanism of action of flavonoids as anti-inflammatory agents: a review. Inflamm Allergy Drug Targets. 2009;8:229–35.View ArticlePubMedGoogle Scholar
- Nigri GR, Kossodo S, Waterman P, Fungaloi P, LaMuraglia GM. Free radical attenuation prevents thrombosis and enables photochemical inhibition of vein graft intimal hyperplasia. J Vasc Surg. 2004;39:843–9.View ArticlePubMedGoogle Scholar
- Schetter AJ, Heegaard NH, Harris CC. Inflammation and cancer: Interweaving microRNA, free radical, cytokine and p53 pathways. Carcinogenesis. 2010;31:37–49.View ArticlePubMedGoogle Scholar
- Kahkonen MP, Hopia AI, Vuorela HJ, Rauha JP, Pihlaja K, Kujala TS, Heinonen M. Antioxidant activity of plant extracts containing phenolic compounds. J Agric Food Chem. 1999;47:3954–62.View ArticlePubMedGoogle Scholar
- Tsai L-Y, Lee K-T, Liu T-Z. Evidence for accelerated generation of hydroxyl radicals in experimental obstructive jaundice of rats. Free Radic Biol Med. 1998;24:732–7.View ArticlePubMedGoogle Scholar
- Rahimi R, Nikfar S, Larijani B, Abdollahi M. A review on the role of antioxidants in the management of diabetes and its complications. Biomed Pharmacother. 2005;59:365–73.View ArticlePubMedGoogle Scholar
- Castro SM, Guerrero-Plata A, Suarez-Real G, Adegboyega PA, Colasurdo GN, Khan AM, Garofalo RP, Casola A. Antioxidant treatment ameliorates respiratory syncytial virus–induced disease and lung inflammation. Am J Resp Crit Care Med. 2006;174:1361–9.View ArticlePubMedPubMed CentralGoogle Scholar