@article {2412, title = {Abnormalities in Hemostatic Parameters Related to Hemodialysis in End-stage Kidney Pathology: A Narrative Review}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {October 2024}, pages = {1223-1230}, type = {Review Article}, chapter = {1223}, abstract = {

Chronic kidney disease (CKD) is a progressively prevalent global health issue. During the initial phases of the condition, CKD is commonly linked to a tendency for excessive blood clotting. While in the end-stage of disease, patients undergoing hemodialysis have a multitude of hemostatic abnormalities. These include prolonged bleeding time, altered platelet count, prolonged PT and aPTT, elevated FDPs and D-dimer, dysregulated vWF activity, and abnormal thrombin generation. These changes result from a combination of uremic toxicity, endothelial dysfunction, inflammatory states, and the effects of the hemodialysis procedure itself. Understanding these mechanisms is crucial for managing and mitigating the bleeding and thrombotic risks in this patient population. This review aims to systematically investigate the effects of hemodialysis on key hemostasis parameters in CKD patients.

}, keywords = {Coagulation, End-stage Kidney Disease (ESKD), Hemodialysis, Hemostasis}, doi = {10.5530/pj.2024.16.200}, author = {Bassam A. Hazae and Yetti Hernaningsih and Puspa Wardhani and Fatima Albadwi and Nastasya Nunki} } @article {1480, title = {Jackfruit (Artocarpus heterophyllus) seed extract exhibits fibrino(geno)lytic activity}, journal = {Pharmacognosy Journal}, volume = {7}, year = {2015}, month = {09th Mar, 2015}, pages = {171-177}, type = {Original Article}, chapter = {171}, abstract = {

Objective: The current study assesses the fibrinogen and fibrin clot hydrolyzing activities of aqueous seed extract of Jackfruit (AqSEJ). Methods: The protein banding pattern of AqSEJ (100 \μg) was analyzed on SDS-PAGE. The proteolytic activity of AqSEJ was confirmed by spectrophotometer and zymography experiments. Fibrinogen, fibrin and plasma protein hydrolyzing activities of AqSEJ were analyzed on SDS-PAGE under reduced conditions. Plasminogen activation and indirect hemolytic activities was analyzed using spectrophotometer. The non-toxic property of AqSEJ was tested by edema, hemorrhage in experimental mice. Results: AqSEJ exhibited proteolytic activity and the specific activity was found to be 1.04 units/mg/min. Furthermore, AqSEJ non-specifically hydrolyzed A\α, followed by B\β and \γ chains of human fibrinogen and specifically hydrolyzed \α polymer and \α chain of partially cross linked human fibrin clot without affecting \β chain and \γ-\γ dimer even up to the tested dose of 30 \µg for the incubation period of 8 hours. Importantly, AqSEJ did not hydrolyze other plasma proteins and devoid of plasminogen activation property. The proteolytic activity of AqSEJ was completely neutralized by PMSF and IAA, while EDTA, EGTA, 1,10-Phenanthroline did not, suggesting the presence of serine and cysteine family proteases. Moreover, AqSEJ did not cause edema and hemorrhage in experimental mice up to the tested dose of 200 \µg and nontoxic to RBC cells. Conclusion: AqSEJ hydrolyzes fibrinogen and fibrin clot and non-toxic in nature. Hence, this work showcases the potential applications of Jack fruit seed proteases in the treatment of thrombotic disorders.

Key words: Fibrino(geno)lysis, Hemostasis, Jackfruit, Moraceae, Non-hemorrhagic, Serine/cysteine protease.

}, keywords = {Fibrino(geno)lysis, Hemostasis, Jackfruit, Moraceae, Non-hemorrhagic, Serine/cysteine protease.}, author = {Sowmyashree Gangaraju and Bhagyalakshmi Manjappa and Girish Kesturu Subbaiah and Kemparaju Kempaiah} } @article {49, title = {Jackfruit (Artocarpus heterophyllus) seed extract exhibits fibrino(geno)lytic activity}, journal = {Pharmacognosy Journal}, volume = {7}, year = {2015}, month = {01/2015}, pages = {171-177}, type = {Original Article}, chapter = {171}, abstract = {

Objective: The current study assesses the fibrinogen and fibrin clot hydrolyzing activities of aqueous seed extract of Jackfruit (AqSEJ). Methods: The protein banding pattern of AqSEJ (100 \μg) was analyzed on SDS-PAGE. The proteolytic activity of AqSEJ was confirmed by spectrophotometer and zymography experiments. Fibrinogen, fibrin and plasma protein hydrolyzing activities of AqSEJ were analyzed on SDS-PAGE under reduced conditions. Plasminogen activation and indirect hemolytic activities was analyzed using spectrophotometer. The non-toxic property of AqSEJ was tested by edema, hemorrhage in experimental mice. Results: AqSEJ exhibited proteolytic activity and the specific activity was found to be 1.04 units/mg/min. Furthermore, AqSEJ non-specifically hydrolyzed A\α, followed by B\β and \γ chains of human fibrinogen and specifically hydrolyzed \α polymer and \α chain of partially cross linked human fibrin clot without affecting \β chain and \γ-\γ dimer even up to the tested dose of 30 \µg for the incubation period of 8 hours. Importantly, AqSEJ did not hydrolyze other plasma proteins and devoid of plasminogen activation property. The proteolytic activity of AqSEJ was completely neutralized by PMSF and IAA, while EDTA, EGTA, 1,10-Phenanthroline did not, suggesting the presence of serine and cysteine family proteases. Moreover, AqSEJ did not cause edema and hemorrhage in experimental mice up to the tested dose of 200 \µg and non-toxic to RBC cells. Conclusion: AqSEJ hydrolyzes fibrinogen and fibrin clot and non-toxic in nature. Hence, this work showcases the potential applications of Jack fruit seed proteases in the treatment of thrombotic disorders.

}, keywords = {Fibrino(geno)lysis, Hemostasis, Jackfruit, Moraceae, Non-hemorrhagic, Serine/cysteine protease.}, doi = {10.5530/pj.2015.3.5}, author = {Sowmyashree Gangaraju and Bhagyalakshmi Manjappa and Girish Kesturu Subbaiah and Kemparaju Kempaiah and Rangaiah Shashidharamurthy and Jane Hoover Plow and Sebastin Santhosh Martin and Manohar Shinde and Devaraja Sannaningaiah} }