Review Article

Molecular Mechanisms of Hawthorn Extracts in Multiple Organs Disorders in Underlying of Diabetes: A Review

Table 1

Effects of hawthorn extracts on diabetic-induced injury in several organs.

OrganHawthorn extractDose(s)/route/duration/animalEffectsReference (s)

StomachEthyl acetate extract hawthorn seeds3, 6, and12 mg/kg/oral/4 weeks/rat↓BS&MDA
SOD and GPX
↑ plasma level and ghrelin gastric expression
↑ nNOS gastric expression c-kit gastric expression ↑
Gastric emptying and small intestinal ↑ propulsion
↑ Body weight
[68]

LiverCrataegus aronia500 mg/kg/60 days/oral/rat↓ BS,HbA1C, OGTT, TG, TC,LDL, VLDL, TBARS, TNF-α&IL-6
↑GSH, SOD, HDL, and hepatic glycogen
↓GLUT-2 and G6Pase hepatic mRNAS
↑IR-A and GK hepatic mRNAS
[59]

LiverCrataegus pinnatifida Bge. var. major N.E. Br.0.2, 0.5, 1.0 g/kg/4 weeks/oral/rat↑ AMPK phosphorylation& HDL-C
PPARs expression↑
↓ PEPCK and glucose production
↓ SREBP-1c, SREBP2, and FAS
[39]

PanceaseCrataegus monogyna extract100, 200, and 400 mg/kg/ip/3 weeks/rat↓ BS and MDA
TAC↑
↓ histopathological alterations
[55]

PanceaseCrataegus flavonoids200 mg/kg/oral/4 weeks/mice↑ Serum insulin levels
↑ PDX-1, Mafa and Neurog 3, Ins-1, and Ins-2
↓Appetite
↓ Water intake
↓ OGTT
↓ Histopathological alterations
[55]

HeartHawthorn leaf flavonoids50, 100, and 200 mg/kg/oral/16 weeks/rat↓ BS and MDA
↓TNF-α and NF-κB proteins expression
↓ mRNA expression of PKC-α & PKC-α protein
↓ Histopathological changes
SOD ↑
[81]

HeartCrataegus oxyacantha extract100 mg/kg/oral/10 weeks/rat↑ Body weight
↑ GPx
↓ FBS, CK-MB, and LDH
↓ MPO
[88]

AortaHawthorn polyphenol extract300 mg/kg/oral/4 weeks/rat↓ TC, TG, FBS, OGTT, and LPS levels
↑ Insulin level and body weigh
↑ Phosphorylation of GLUT4, IRS1, AKT, and PI3K in liver
↓ TNF-α and IL-6 in serum
↑ Phosphorylation of IRS1 and AKT in skeletal muscle
↓ Protein expression of TNF-α and IL-6 in liver and skeletal muscle
↓ Protein expression of MCP-1 in the liver
Repair of aortic injury via SIRT1/NF-κB/Wnt2/β-catenin pathway
↓ Inflammation and IR (liver): SIRT1/AMPK/NF-κB pathway
↓ Inflammation &IR(skeletal muscle): SIRT1/NF-κB pathway
[95]

KidneyHawthorne leaf flavonoids200 mg/kg/oral/12 weeks/rat↑ Body weight
↑ SOD and NO
↓ Urine protein concentration
↓ BUN, Cr, TG& MDA levels
↓ p38MPAK protein expression
↓Histopathological changes
[116]

BrainCrataegus extract100, 300, and 1000 mg/kg/oral/2 weeks/rat↓Cholesterol, TG, and BS
↑ HDL
Improvement of PAL
[24]