The effect of hawthorn flower and leaf extract (Crataegus Spp.) on cardiac hemostasis and oxidative parameters in Sprague Dawley rats

Abeer M. Rababa'h, Omar N. Al Yacoub, Tamam El-Elimat, Mo'ath Rabab'ah, Salah Altarabsheh, Salil Deo, Ahmad Al-Azayzih, Aref Zayed, Sayer Alazzam, Karem H. Alzoubi

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Cardiovascular diseases are described as disorders of heart and vessels that involve stroke and coronary heart diseases. People in the Middle East converged to complementary medicine as an economic alternative to expensive healthcare services. Crataegus monogyna Jacq. (Lindm.) Rosacea is among the most commonly used herb for the treatment of declining cardiac performance, hypertension, and arrhythmias. Previously, we had shown that Crataegus Spp. (Hawthorn) extract increased the tendency of bleeding among patients undergoing coronary artery bypass grafting. Herein, the effects of Crataegus Spp. extract on oxidative stress, cardiac and hematological parameters were evaluated in Sprague Dawley rats. Male rats were randomly assigned into four groups. Group 1 served as control while groups 2–4 served as the experimental groups and were administered extract at doses of 100, 200, and 500 mg/kg. All the doses were given orally once/day and the treatment was continued for three weeks. Hawthorn treatment resulted in a significant decrease in the liver thiobarbituric acid reactive substances level in a dose-dependent manner compared to the control (1.258 (3, 24); P < 0.0001). We found a significant increase in the cardiac antithrombin III among hawthorn treated group compared to the control (4.18 (3, 24); P < 0.0001). On the other hand, hawthorn treatment decreased significantly the liver factor-X level (0.1341 (3, 22); P < 0.0001), while no significant changes were seen in soluble-platelet endothelial cell adhesion molecule-1 (P-value = 0.0599). In conclusions, hawthorn extract possesses an antioxidant effect and blood-thinning properties. Hence, we recommend attention when using this herbal extract with other anticoagulation and/or antiplatelet drugs or undergoing major cardiac surgery.

Original languageEnglish
Article numbere04617
Issue number8
Publication statusPublished - Aug 2020


  • Alternative medicine
  • Bioactive plant product
  • Botany
  • Cardiovascular system
  • Clinical toxicology
  • Crataegus monogyna Jacq. (Lindm.) Rosacea
  • Ethnopharmacology
  • Hawthorn
  • Hemostasis
  • Oxidative biomarkers
  • Pharmacology
  • Rats

ASJC Scopus subject areas

  • General


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