Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen

The simultaneous administration of three antiplatelet agents has been proposed as an efficient strategy for the secondary prevention of atherothrombotic events and is included in the European guidelines. However, this strategy presented an increased risk of bleeding; therefore, the identification of...

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Main Authors: Antonios D. Tsiailanis, Constantinos C. Tellis, Paraskevi Papakyriakopoulou, Androniki D. Kostagianni, Vasileios Gkalpinos, Christos M. Chatzigiannis, Nikolaos Kostomitsopoulos, Georgia Valsami, Alexandros D. Tselepis, Andreas G. Tzakos
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Molecules
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Online Access:https://www.mdpi.com/1420-3049/28/5/2311
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author Antonios D. Tsiailanis
Constantinos C. Tellis
Paraskevi Papakyriakopoulou
Androniki D. Kostagianni
Vasileios Gkalpinos
Christos M. Chatzigiannis
Nikolaos Kostomitsopoulos
Georgia Valsami
Alexandros D. Tselepis
Andreas G. Tzakos
author_facet Antonios D. Tsiailanis
Constantinos C. Tellis
Paraskevi Papakyriakopoulou
Androniki D. Kostagianni
Vasileios Gkalpinos
Christos M. Chatzigiannis
Nikolaos Kostomitsopoulos
Georgia Valsami
Alexandros D. Tselepis
Andreas G. Tzakos
author_sort Antonios D. Tsiailanis
collection DOAJ
description The simultaneous administration of three antiplatelet agents has been proposed as an efficient strategy for the secondary prevention of atherothrombotic events and is included in the European guidelines. However, this strategy presented an increased risk of bleeding; therefore, the identification of new antiplatelet agents, with improved efficacy and diminished side effects, is of great importance. In silico studies, UPLC/MS Q-TOF plasma stability, in vitro platelet aggregation experiments, and pharmacokinetic studies were exploited. In the present study, it has been predicted that the flavonoid apigenin could target different platelet activation pathways, including P2Y12, protease-activated receptor-1 (PAR-1), and cyclooxygenase 1 (COX-1). To enhance apigenin’s potency, hybridization with docosahexaenoic acid (DHA) was performed, as fatty acids have illustrated potent efficacy against cardiovascular diseases (CVDs). The new molecular hybrid, termed 4′-DHA-apigenin, demonstrated enhanced inhibitory activity against platelet aggregation induced by thrombin receptor activator peptide-6 (TRAP-6), adenosine diphosphate (ADP), and arachidonic acid (AA), with respect to the parent apigenin. The 4′-DHA-apigenin hybrid illustrated an almost 2-fold enhanced inhibitory activity, with respect to apigenin, and an almost 3-fold enhanced inhibitory activity, with respect to DHA, for the ADP-induced platelet aggregation. Additionally, the hybrid presented a more than 12-fold enhanced inhibitory activity with respect to DHA for the TRAP-6 induced platelet aggregation. Furthermore, a 2-fold enhanced inhibitory activity was recorded for the 4′-DHA-apigenin hybrid for the AA-induced platelet aggregation with respect to apigenin. To surmount the reduced LC-MS based plasma stability, a novel dosage form in olive oil has been developed. The 4′-DHA-apigenin olive oil-based formulation presented an enhanced antiplatelet inhibitory effect in three activation pathways. To further explore the pharmacokinetic profile of 4′-DHA-apigenin in olive oil formulations, a UPLC/MS Q-TOF protocol has been established to quantify the serum levels of apigenin after oral administration to C57BL/6J wild type mice. The olive oil-based formulation of 4′-DHA-apigenin demonstrated an increase in apigenin bioavailability of 262 %. This study may offer a new therapeutic strategy tailored to improve the treatment of CVDs.
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spelling doaj.art-6f867f58fe2047f996fcbceb465741662023-11-17T08:14:55ZengMDPI AGMolecules1420-30492023-03-01285231110.3390/molecules28052311Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic RegimenAntonios D. Tsiailanis0Constantinos C. Tellis1Paraskevi Papakyriakopoulou2Androniki D. Kostagianni3Vasileios Gkalpinos4Christos M. Chatzigiannis5Nikolaos Kostomitsopoulos6Georgia Valsami7Alexandros D. Tselepis8Andreas G. Tzakos9Section of Organic Chemistry and Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceAtherothrombosis Research Centre, Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceDepartment of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, 15771 Athens, GreeceSection of Organic Chemistry and Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceSection of Organic Chemistry and Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceSection of Organic Chemistry and Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceCenter for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, 11527 Athens, GreeceDepartment of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, 15771 Athens, GreeceAtherothrombosis Research Centre, Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceSection of Organic Chemistry and Biochemistry, Department of Chemistry, University of Ioannina, 45110 Ioannina, GreeceThe simultaneous administration of three antiplatelet agents has been proposed as an efficient strategy for the secondary prevention of atherothrombotic events and is included in the European guidelines. However, this strategy presented an increased risk of bleeding; therefore, the identification of new antiplatelet agents, with improved efficacy and diminished side effects, is of great importance. In silico studies, UPLC/MS Q-TOF plasma stability, in vitro platelet aggregation experiments, and pharmacokinetic studies were exploited. In the present study, it has been predicted that the flavonoid apigenin could target different platelet activation pathways, including P2Y12, protease-activated receptor-1 (PAR-1), and cyclooxygenase 1 (COX-1). To enhance apigenin’s potency, hybridization with docosahexaenoic acid (DHA) was performed, as fatty acids have illustrated potent efficacy against cardiovascular diseases (CVDs). The new molecular hybrid, termed 4′-DHA-apigenin, demonstrated enhanced inhibitory activity against platelet aggregation induced by thrombin receptor activator peptide-6 (TRAP-6), adenosine diphosphate (ADP), and arachidonic acid (AA), with respect to the parent apigenin. The 4′-DHA-apigenin hybrid illustrated an almost 2-fold enhanced inhibitory activity, with respect to apigenin, and an almost 3-fold enhanced inhibitory activity, with respect to DHA, for the ADP-induced platelet aggregation. Additionally, the hybrid presented a more than 12-fold enhanced inhibitory activity with respect to DHA for the TRAP-6 induced platelet aggregation. Furthermore, a 2-fold enhanced inhibitory activity was recorded for the 4′-DHA-apigenin hybrid for the AA-induced platelet aggregation with respect to apigenin. To surmount the reduced LC-MS based plasma stability, a novel dosage form in olive oil has been developed. The 4′-DHA-apigenin olive oil-based formulation presented an enhanced antiplatelet inhibitory effect in three activation pathways. To further explore the pharmacokinetic profile of 4′-DHA-apigenin in olive oil formulations, a UPLC/MS Q-TOF protocol has been established to quantify the serum levels of apigenin after oral administration to C57BL/6J wild type mice. The olive oil-based formulation of 4′-DHA-apigenin demonstrated an increase in apigenin bioavailability of 262 %. This study may offer a new therapeutic strategy tailored to improve the treatment of CVDs.https://www.mdpi.com/1420-3049/28/5/2311triple antiplatelet activityflavonoidsDHAliquid chromatographypharmacokinetics
spellingShingle Antonios D. Tsiailanis
Constantinos C. Tellis
Paraskevi Papakyriakopoulou
Androniki D. Kostagianni
Vasileios Gkalpinos
Christos M. Chatzigiannis
Nikolaos Kostomitsopoulos
Georgia Valsami
Alexandros D. Tselepis
Andreas G. Tzakos
Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
Molecules
triple antiplatelet activity
flavonoids
DHA
liquid chromatography
pharmacokinetics
title Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
title_full Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
title_fullStr Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
title_full_unstemmed Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
title_short Development of a Novel Apigenin Dosage form as a Substitute for the Modern Triple Antithrombotic Regimen
title_sort development of a novel apigenin dosage form as a substitute for the modern triple antithrombotic regimen
topic triple antiplatelet activity
flavonoids
DHA
liquid chromatography
pharmacokinetics
url https://www.mdpi.com/1420-3049/28/5/2311
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