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Antihypertensive activity, toxicity and molecular docking study of newly synthesized xanthon derivatives (xanthonoxypropanolamine)

Abstract

Context

Xanthone derivatives have been reported to possess a wide range of biological properties. In effort to search new effective antihypertensive compounds, we have synthesizednovel xanthone derivatives (xanthonoxypropanolamines) and got patent for these compounds (The Patent Office, Government of India, S. No.: 011–016308, Patent No.: 250538).

Objective

In the present work, we attempted to establish the antihypertensive activity, toxicity and molecular docking study forthese newly synthesized compounds (1a, 1b and 2).

Materials and method

The preliminary antihypertensive screening was performed by administering synthesized compounds and standard drugs intraperitonially and orally into wistar rats. The change in systolic, diastolic and the mean blood pressure before and after the treatment of the drugs was measured on a Digital LE-S100 Blood Pressure Meter by Tail-cuff method non-invasively. Toxicity studies were carried out after oral administration of synthesized compounds to rats at doses of 25, 50, and 100mg/kg. The serum samples were tested for different toxicity parameters such as liver function test, kidney function test etc. The docking simulations of all the compounds were performed using Maestro, version 9.4 implemented from Schrodinger software suite.

Results and discussion

The result showed that the compound 1a, 1b and 2 have greater antihypertensive activity with almost equal or less toxicity profile in comparison to standard drug Propranolol and Atenolol. The docking score for the compound 1b was found -9.1 while for compound 1a and 2 were found -8.7 and -8.6 respectively.

Conclusion

These novel compounds i.e. 1a, 1b, and 2 have greater antihypertensive activity in comparison to standard drugs Propranolol and Atenolol. All these compounds do not have any toxicity.

Introduction

Xanthones represent a large group of heterocyclic compounds including natural, semi synthetic and totally synthetic structures. Chemically, xanthonic nucleus corresponds to dibenzo-γ- pyrone. Xanthone molecules, having a variety of substituents on the different carbon of the nucleus, constitute a group of compounds with a broad spectrum of biological activities. Xanthone derivatives have been reported to possess a wide range of biological properties including antimalarial [1], anticonvulsant [2], anticancer [3], antidiabetic [4], antioxidant [5], anti-inflammatory [6], and antihypertensive [7, 8] activities. In effort to search new effective antihypertensive compounds, we have synthesized eleven xanthone derivatives (xanthonoxypropanolamines) and got patent for these compounds [9]. In the present work, we attempted to establish the antihypertensive activity and toxicity of these compounds (1a, 1b and 2)and performed exhaustive preliminary antihypertensive screening study and different toxicity study including lever function test, kidney function test, cardiac function test, lipid function test, Acetylcholine esterase, glutathione, catalase, superoxide dismutase (SOD) estimation and Thiobarbituric acid reactive substances (TBARS) Assay. The preliminary antihypertensive screening data of these compounds showed excellent antihypertensive profile. Different toxicity test data were compared with standard drug propranolol and atenolol. It was observed that these compounds are almost as safe as propranolol and atenolol.

Molecular docking, in the field of molecular modeling, is a method which gives best fit orientation of a ligand (drug) to their target molecules (receptors) by generating different score for different orientation. These score is known as docking score. More negative value of docking score indicates better fit orientation [10]. In order to strengthen the preliminary antihypertensive screening results, here we have also reported the docking score of all the three compounds and compared with standard drug propranolol.

The hydroxyl propoxy xanthones (xanthonoxypropanolamines) were synthesized by using general route for the synthesis of xanthonoxypropanolamines as shown in the Fig 1. The appropriate phenols were reacted with epichlorhydrin in the presence of alkali and ethanol to produce their epoxy derivatives. Ring opening of epoxides was occurred by refluxing in ethanol to get the aryloxypropanolamines derivatives.

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Fig 1. Synthesis of xanthonoxypropanolamines.

1a; R = H, R1 = CH2CH2CH3 1b; R = H, R1 = CH (CH3)2 2; R = OH, R1 = CH (CH3)2.

https://doi.org/10.1371/journal.pone.0220920.g001

Materials and methods

The melting points were determined in one side sealed melting point capillary tubes using Thomas Hoover melting point apparatus and are uncorrected. The purity of the compounds was checked by thin layer chromatography (TLC) with solvent system benzene: methanol (8:2), using iodine vapours as visualizing agents and Rf values were calculated. Infra red spectra were determined on JASCO FT/IR-5300 Infrared Spectrophotometer by KBr disc method. 1H-NMR (300 MHz) and 13C-NMR (75 MHz) spectral studies were done on JEOL AL FTNMR Spectrophotometer using chloroform as solvent. The MS data were recorded on a Quattro micro API Waters’s mass spectrometer/ method—ESI-MS.

Chemistry

Synthesis of novel xanthonoxypropanolamines [11].

General Procedure

The appropriate phenols (i.e. heterocyclic aromatic compounds containing hydroxyl groups) were condensed with epichlorhydrin in the presence of alkali and ethanol to obtain their epoxy derivatives. Ring opening of epoxides with various amines was achieved by refluxing in ethanol to afford the aryloxypropanolamines derivatives.

Synthesis of di and tri-hydroxy xanthones

A mixture of o-hydroxy benzoic acid or 2, 4 dihydroxy benzoic acid, a phenol (such as catechol, pyrogallol, resorcinol, etc.), freshly fused zinc chloride (ZnCl2) and phosphorous oxychloride (POCl3) was heated on a water bath or on heating mantle (maintaining the temperature 55-70°C) for 1.5–2 hr, cooled and poured into ice water carefully in order to avoid polymerization (Grover et al., 1955). The product was filtered off, washed with 2% sodium hydrogen carbonate solution (if needed) and water, dried and crystallized from suitable solvents. The recrystallization of compounds from appropriate solvents furnished analytically pure products.

Preparation of epoxy compounds (3-aryloxy-2, 3-epoxy propane) from the respective hydroxyl-xanthones

Epichlorhydrin was added to a solution of hydroxyl xanthones in an aqueous ethanol containing sodium hydroxide. The reaction mixtures were heated under reflux at 60-75°C for two hours with continuous stirring. The mixtures for each respective xanthones were stirred for further three hours at room temperature. The products were poured into ice water, the oily layer was separated out and concentrated under reduced pressure (or aqueous layer was decanted after keeping overnight in a refrigerator and was left in open air for evaporation up to dryness). The epoxy compounds, wherever required, were further purified by silica gel column chromatography using benzene: methanol (80:20) as eluent.

Preparation of [(alkyl/aryl-amino)-2-hydroxy-propoxyl]–xanthones

The prepared epoxy derivatives of xanthones, in absolute alcohol, were added slowly in large excess of different type of alkyl/aryl amines. The molar ratio of amines and epoxides were generally taken as (500–100:1). The reaction mixtures were refluxed with stirring at least 17 to 24 hrs (in some cases up to 2–3 days) at 50-65c. The mixtures were further stirred under reflux at room temperature for 1–2 days, if needed. The products were, then, subjected to evaporate in the vacuum to remove the remaining amines. The resulting amino-alcohols were purified and recrystallized from appropriate solvents.

Spectral data.

3, 6-Di–[3-(n-propyl-amino)-2-hydroxy-propoxy] xanthone (1a): Obtained as jelly solid (soluble in water and chloroform), reddish brown. m.p. 103–104°C, Rf: 0.32 [Benzene: Methanol (8:2)], yield: 71.6%. UV (λ max CH3OH): 304, 280, 234, 224, 215 nm. IR: nmax (KBr): 3500–3450 (OH, NH), 2950 (CH3), 2807 (CH2), 1688 (C = O), 1550 (N-H and C = C merged), 1276 (N-H), 1221(C-O, phenolic), 1156, 1047 (C-O, alcoholic), 743 (C-H, aromatic), 626 cm-1. 1H NMR: (CDCl3, 300 MHz) δ 8.75 (2H, d, J = 8.0 Hz, H-1, H-8), 8.55 (2H, d, J = 2.0 Hz, H-4, H-5), 7.96 (2H, dd, J = 2.0, 8.0 Hz, H-2, H-7), 4.86 (4H, m, -OCH2-1′ and -OCH2-1″), 3.39 (2H, pentet, W1/2 = 17.0 Hz, -CH-2′ and CH-2″), 2.83 (4H, brm, -CH2-3′ and -CH2-3″), 2.46 (2H,m N-H- 4′, and N-H-4″), 1.58 (8H, m, -CH2-CH2-5′, 6′ and -CH2-CH2-5″, 6″), 0.87 (6H, t, J = 6.0Hz, -CH3-7′ and–CH3-7″). TOF MS ES+ (70 ev): m/z 458 (M+, C25H34 N2O6) (12), 403 (species -a) (7), 402 (species-b) (50), 358 (species-c) (18), 294 (species-d, base peak) (100), 273 (species-e) (35), 185 (species-f) (72).

3, 6-Di–[3-(iso-propyl-amino)-2-hydroxy-propoxy]–xanthone (1b): Recrystallized from ethanol, soluble in water and ethanol. m. p. 101–102°C, Needle shaped long, white-reddish crystals. Rf: 0.33 [Benzene: Methanol (8:2)] yield: 74.5%. UV (λ max CH3OH): 305, 296, 236, 222, 214, 211 nm. IR: nmax (KBr): 3298 (OH), 2977 (CH3), 2850 (CH2), 1651 (C = O and N-H), 1514 (C = C), 1450, 1367, 1225 (N-H), 1155 (C-O, phenolic), 760 (C = C), 566 cm-1. 1H NMR: (DMSO-d6, 300 MHz): δ 8.75 (2H, d, J = 8.0 Hz, H-1, H-8), 8.55 (2H, d, J = 2.0 Hz, H-4, H-5), 7.96 (2H, dd, J = 2.0, 8.0 Hz, H-2, H-7), 3.88 (4H, brs, -OCH2-1′ and -OCH2-1″), 3.24 (2H, pentets, W1/2 = 15.8 Hz, -CH-2′ and CH-2″), 2.80 (4H, m, -CH2-3′ and -CH2-3″), 2.0 (2H, s N-H- 4′, and N-H-4″), 1.84 (2H, septet, W1/2 = 17.5 Hz, -CH-5′, -CH-5″), 1.18 (6H, d, J = 6.0Hz, -CH3-6′ and–CH3-6″), 1.01 (6H, d, J = 6.0Hz, -CH3-7′ and–CH3-7″). 13C NMR (DMSO-d6, 75 MHz): δ 127.2 (C-1), 101.1 (C-2), 157.3 (C-3), 93.2 (C-4), 97.5 (C-5), 164.1 (C-6), 102.1 (C-7), 131.2 (C-8), 179.9 (C-9, C = O), 162.6 (C-10), 115.1 (C-11), 156.1 (C-12), 113.2 (C-13), 71.3 (C-1′, C-1″), 66.0 (C-2′, C-2″), 49.4 (C-3′, C-3″), 46.7 (C-5′, C-5″), 24.66 (C-6′, C-6″), 23.8 (C-7′, C-7″). TOF MS ES+ (70 eV): m/z 458 (M+, C25H34N2O6) (40), 414 (species-a, base peak) (100), 343 (species-b) (8) or 343 (species-c) (8), 243 (species-d) (43), 185 (species-e) (63).

3, 6-Di–[3-(iso-propyl-amino)-2-hydroxy-propoxy] -1-hydroxy xanthone (2): Obtained the product (2b) as reddish brown semisolid, soluble in water. m.p. 98–99°C, Rf: 0.31 [Benzene: Methanol (8:2)], yield: 72.4%. UV (λ max CH3OH): 307, 260, 239, 226, 212 nm. IR: n max (KBr): 3400 (NH, OH), 2950 (CH3), 2850 (CH2), 1654 (C = O), 1545 (C = C and N-H), 1446, 1380, 1287, 1179, 1106 (N-H), 1016 (C-O, alcoholic), 827 cm-1. 1H NMR (DMSO-d6, 400 MHz): δ 8.01 (1H, d, J = 2.0 Hz, H-2), 8.15 (1H, d, J = 2.0 Hz, H-4), 8.45 (1H, d, J = 2.0 Hz, H-5), 8.16 (1H, d, J = 8.5 Hz, H-8), 8.15 (1H, dd, J = 8.5, 2.0 Hz, H-7), 3.88 (4H, m, -OCH2-1′ and -OCH2-1″), 3.24 (2H, 2 pentets, W1/2 = 17.5 Hz, -CH-2′ and CH-2″), 2.80 (4H, m, -CH2-3′ and -CH2-3″), 2.50 (2H, s N-H- 4′, and N-H-4″), 1.84 (2H, septet W1/2 = 17.5 Hz, -CH-5′, -CH-5″), 1.18 (6H, d, J = 6.0Hz, -CH3-6′ and–CH3-6″), 1.01 (6H, d, J = 6.0Hz, -CH3-7′ and–CH3-7″). 13C NMR (DMSO-d6, 75 MHz): δ 165.0 (C-1), 101.1 (C-2), 157.3 (C-3), 93.2 (C-4), 97.5 (C-5), 164.1 (C-6), 102.1 (C-7), 131.2 (C-8), 179.9 (C-9), 162.6 (C-10), 115.1 (C-11), 156.1 (C-12), 113.2 (C-13), 71.3, 70.6 (C-1′, C-1″), 67.8, 66.0 (C-2′, C-2″), 49.9, 49.4 (C-3′, C-3″), 47.2, 46.7 (C-5′, C-5″), 24.66 (C-6′, C-6″), 23.8 (C-7′, C-7″). TOF MS ES+ (70 ev): m/z 474 (M+, C25H34N2O7) (18), 434 (species-a) (12), 415 (species-b) (17), 414 (species-c, base peak) (100), 361 (species -d) (50), 300 (species-e) (15), 243 (species-f) (17), 185 (species-g) (8).

Antihypertensive screening

Experimental animals.

Albino Wistar rats of either sex, weighing 180-210g, were obtained from animal house, Jamia Hamdard, Hamdard Nagar, New Delhi 110062 and kept in separated cages under standard environmental conditions of temperature 20 to 30ºC and humidity and were provided with standard rat chow and water ad libitum. This study was carried out in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the institutional animal ethical committee regulations of Jamia Hamdard (IAEC-Jamia Hamdard). The protocol was approved by the Committee on the Ethics of Animal Experiments of Jamia Hamdard University (Reg. No.: 173/GO/Re/S/2000 /CPCSEA). All experiment was performed under diethyl ether anesthesia, and all efforts were made to minimize suffering. Cervical dislocation was used as method of sacrifice.

Drugs.

The standard drugs atenelol and propranolol and the methyl prednisolone acetate were procured from sigma chemicals.

Instruments.

The change in systolic, diastolic and the mean blood pressure before and after the treatment of the drugs was measured on a Digital LE-S100 Blood Pressure Meter in Tail-cuff method non-invasively at full cautious state of the animals and compared with the standard drugs.

Method.

The standard drug methyl prednisolone acetate was administered by intraperitonial route at a single dose of 1 mg/ kg (body weight) to a group of rats. The control group was given only saline (NaCl, 0.9%) at the rate of 5 ml/ rat. Another group of rat was administered standard drug methyl prednisolone acetate intraperitoinally at a single dose of 1 mg/ kg followed by the administration of the test compounds intraperitonially and orally at a single dose of 10 mg/ kg each and reference drugs propranolol and atenolol 35 mg/ kg respectively. The rise in mean arterial BP and heart rate was observed at once appeared on digital pressure meter at the interval of each 15 minutes and the average change in mean blood pressure and heart rate was also calculated and recorded [12].

Toxicity study

The novel compounds were also evaluated for their toxicity. Liver function test [13]—Determination of Serum Glutamic Oxaloacetic Transaminase (SGOT); Serum Glutamic Pyruvate transaminase (SGPT); Alkaline Phosphatase ALP; was carried out after intraperitonial administration of single dose i.e. 10mg/ kg of all the tested compounds. Other toxicity studies such as kidney function test [14,15]—determination of level of urea and creatinine, cardiac function test [16, 17]—determination of lactate dehydrogenase (LDH), lipid function test [1821]—determination of triglyceride (TG),Acetylcholine esterase assay—determination of level of acetylcholine (ACH), Glutathione (GSH) assay, catalase assay, Superoxide dismutase (SOD) estimation [22] and Thiobarbituric acid reactive substances (TBARS) assay [23] were carried out after oral administration to rats at doses of 25, 50, and 100mg/kg at Deshpande Laboratories Pvt. Ltd. An ISO 9001:2008 Certified Drug Testing Laboratory CPCSEA Approved: 1410/c/11/CPCSEA, Bhopal, M.P. India.

Molecular docking study

The docking simulations of all the compounds were performed using Maestro, version 9.4 implemented from Schrodinger software suite. The ligands were sketched in 3D format using build panel and were prepared for docking using ligprep application. The protein for docking study was taken from protein data bank (PDB ID: 4BVN) and prepared by removing solvent, adding hydrogen and further minimization in the presence of bound ligand using protein preparation wizard. Grids for molecular docking were generated with bound co-crystallized ligand, for the validation of docking parameters the standard ligand (propranolol) was re-docked at the catalytic site of protein and the RMSD between co-crystal and re-docked pose was found to be 0.255 A. All the three synthesized compounds were docked using Glide extra-precision (XP) mode, with up to three poses saved per molecule.

Results and discussion

Antihypertensive activity study

Xanthone derivatives reduce the blood pressure by blocking calcium channel and βreceptors [24]. Synthesis of xanthonoxypropanolamines were carried out by first reaction of 2, 4-dihydroxy benzoic acid with appropriate phenol (resorcinol, phloroglucinol) in presence of freshly fused zinc chloride and POCl3 which gave di and tri-hydroxy xanthones. The solution of hydroxyl xanthones in an aqueous ethanol containing sodium hydroxide and epichlorhydrin was refluxed to give epoxy compounds (3-aryloxy-2, 3-epoxy propane) in good yield (78–81%), and then the ethanolic solution of the epoxy derivatives were refluxed in large excess of different type of alkyl/ aryl amines which yielded the xanthonoxypropanolamines (Fig 1). The xanthonoxypropanolomines were purified by recrystallization with appropriate solvent. IR, 1H-NMR, 13C NMR and MASS spectral data of all the synthesized compounds were consistent with the assigned structures. All the synthesized compounds were screened for the antihypertensive activity and toxicity of novel compounds. The result (Tables 1 and 2 and Figs 2 and 3) showed that the compound 1a, 1b and 2 have greater activity as these compound showed 11.30%, 18.8% and 12.6% reduction in systolic blood pressure and 21.00%, 25.4% and 27.30% in mean blood pressure respectively at the doses of 10 mg/kg while the standard drug Propranolol and Atenolol showed only 11.70% and 11.76% reduction in systolic blood pressure and 11.20% and 11.42% in mean blood pressure respectively at the doses of 35 mg/kg on i.p administration of drugs. After oral administration of drug, the percentages of reduction in systolic blood pressure were 12.00%, 19.20% and 11.34% and 19.00%, 20.48% and 20.66% in mean blood pressure respectively by 1a, 1b and 2 while percentages of reduction in systolic blood pressure were 11.48% and 10.71% and in mean blood pressure 10.60% and 11.52% by standard drug Propranolol and Atenolol respectively.

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Table 1. Average effect of standard drugs and test compounds (i. p. route).

https://doi.org/10.1371/journal.pone.0220920.t001

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Table 2. Average effect of standard drugs and test compounds (oral route).

https://doi.org/10.1371/journal.pone.0220920.t002

Toxicity study

Also these compounds 1a, 1b and 2 had almost equal or less toxicity profile as the data shown in Tables 3 and 4 and Fig 4 clearly indicates the level of different biochemical parameters in comparison to standard drug Propranolol and Atenolol. The compounds did not exhibit any toxicity during testing of antihypertensive activity, as no death of any rat occurred during antihypertensive screening study and the level of different biochemical parameters (urea, creatinine, triglycerides, LDH, GSH, SOD, catalase, TBARS and liver enzymes) were almost equal or less in comparison with standard drugs atenolol and propranolol.

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Fig 4. Graphical representation of SGOT, SGPT, ALP, Albumin, total protein (Liver function test—i.p. route).

https://doi.org/10.1371/journal.pone.0220920.g004

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Table 3. Comparison of liver function: Enzyme activity, Alkaline Phosphatase and proteins level.

https://doi.org/10.1371/journal.pone.0220920.t003

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Table 4. Level of different parameters in serum found at Tmax after oral administration of test compounds and standard drugs atenolol [2529] and propranolol [3033].

https://doi.org/10.1371/journal.pone.0220920.t004

Molecular docking study

Molecular docking on all the three synthesized compounds was performed against β1 adrenoreceptor and the docking studies revealed a common binding orientation of all the synthesized compounds in the catalytic binding pocket of β1 adrenoreceptor. The amino alkyl moiety plays an important role in the binding, as the carbonyl oxygen, nitrogen atom are involved in hydrogen bonding interactions with amino acid residue Tyr207, Ser212, Asn310, Phe201, Asn329 at the catalytic site as shown in Fig 5 and ligplot (Fig 6). A pi-pi stacking interaction was also observed between phenyl ring of the xanthone moiety and the phenyl ring of the amino acid residue Phe201 and Tyr207 in all the compounds. In addition, the phenyl group moiety showed hydrophobic interaction with β1 adrenoreceptor protein Tyr333, Phe201, Ser173 and Phe307 amino acid residues. The comparison of binding pose of compound 1b and propranolol with β1 adrenoreceptor protein was also reported (Figs 7 and 8).

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Fig 5. The binding mode of 1b (grey) in the β1 adrenoreceptor active site.

https://doi.org/10.1371/journal.pone.0220920.g005

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Fig 8. Comparison of 1b (green) and propranolol ligand (grey) binding mode in the β1 active site.

https://doi.org/10.1371/journal.pone.0220920.g008

For better understanding of binding mode of amino alkyl substituted xanthone derivatives at the molecular level, we carried out molecular docking simulations of all the three synthesized molecules at the β1 adrenoreceptor catalytic ligand binding site. The docking score for the compound 1b was found -9.1 while for compound 1a and 2 were found -8.7 and -8.6 respectively.

Conclusions

It was observed during the studies that these novel compounds i.e. 1a, 1b, and 2 have greater antihypertensive activity in comparison to standard drugs Propranolol and Atenolol, as these compounds showed greater percentage of reduction in both systolic and mean blood pressure. The compounds did not exhibit any toxicity during study, as no death of any rat occurred during antihypertensive screening study and the level of different biochemical parameters (urea, creatinine, etc.) were almost equal or less in comparison with standard drugs atenolol and propranolol. The binding of these synthesized compounds with beta adrenoceptors were better than Propranolol, as the docking score for these compounds were found to be -9.1 for 1b while for compound 1a and 2 were found to be -8.7 and -8.6 respectively. Thus, it concludes that these compounds can be used as lead molecules for future investigations.

Acknowledgments

The authors are thankful to the Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Jamia Hamdard, New Delhi, India for providing all facilities to conduct this experimental work.

References

  1. 1. Hay A, Helesbeux J, Duval O, Labaied M, Grellier P, Richomme P. Antimalarial xanthones from Calophyllumcaledonicum and Garcinia vieillardii. Life Sci. 2004; 75: 3077–85. pmid:15474559
  2. 2. Marona H, Pekala E, Antkiewicz-Michaluk L, Walczak M, Szneler E. Anticonvulsant activity of some xanthone derivatives. Bioorg. Med. Chem. 2008; 16: 7234–44. pmid:18640843
  3. 3. Na Y. Recent cancer drug development with xanthone structures. J. Pharm. Pharmacol. 2009; 61: 707–12. pmid:19505360
  4. 4. Liu Y, Zou L, Ma L, Chen WB, Wang Z. Xu. Synthesis and pharmacological activities of xanthone derivatives as a-glucosidase inhibitors. Bioorg. Med. Chem. 2006; 14: 5683–90. pmid:16651002
  5. 5. Blanco-Ayala T, Lugo-Huitrón R, Serrano-Lopez EM, Reyes-Chilpa R, Rangel-Lopez E, Pineda B, et al. Antioxidant properties of xanthones from Calophyllumbrasiliense: prevention of oxidative damage induced by FeSO4. BMC Complement. Altern. Med. 2013; 13: 262. pmid:24119308
  6. 6. Gutierrez-Orozco F, Failla ML. Biological Activities and Bioavailability of Mangosteen Xanthones: A Critical Review of the Current Evidence. Nutrients. 2013; 5: 3163–83. pmid:23945675
  7. 7. Marona H, Librowski T, Cegła M, Erdogan C, Sahin NO. Antiarrhythmic and antihypertensive activity of some xanthone derivatives. Acta. Pol. Pharm. 2008; 65: 383–90. pmid:18646559
  8. 8. Wang L, Kang J, Chen I, Teng C, Lina C. Antihypertensive and Vasorelaxing Activities of Synthetic Xanthone Derivatives. Bioorg. Med. Chem. 2002; 10: 567–72. pmid:11814844
  9. 9. Ahmed B. 2012; Indian Patent No. 250538. Delhi, India: Indian patent office.
  10. 10. Jorgensen WL. Rusting of the lock and key model for protein-ligand binding. Science. 1991; 254: 954–5. pmid:1719636
  11. 11. Grover PK, Shah GD, Shah RC. A new synthesis of hydroxyxanthones and hydroxybenzophenones. J. Chem. Soc. 1955; 0: 3982–5.
  12. 12. Ghosh MU. Fundamentals of Experimental Pharmacology. Scientific Book Agency, Calcutta, 1994.
  13. 13. Ahmed B, Khan SA. Antihepatotoxic Activity of Flavolignans of seeds of Silybummarianum. OCAIJ. 2003; 1: 47–52.
  14. 14. Ashwood ER, Tietz NW, Burtis CA. Kidney function test: Creatinine clearance, Tietz Textbook of clinical chemistry. Saunders, Philadelphia, 1994.
  15. 15. Teitz NW. Clinical guide to laboratory tests (Urea). WB Saunders Co., Philadelphia, 1976.
  16. 16. Buduneli E. Systemic Low-Dose Doxycycline and Alendronate Administration and Serum Interleukin-1Beta, Osteocalcin, and C—reactive protein Levels in Rats (Cardiac Functions test; C Reactive protein. J. Periodontol. 2005; 76: 1927–33. pmid:16274312
  17. 17. King J. Practical and clinical enzymology (LDH). Van Nostrand, London, 1965.
  18. 18. Warnick GR, Nguyen T, Albers AA. Lipid Profile, LDL/HDL Cholesterol, Comparison of improved method for quantification of HDL cholesterol. Clin. Chem.1985; 31: 217–22. pmid:2578337
  19. 19. Wybenga DR, Pileggi VJ, Dirstine PH, Di Georgio J. Direct manual determination of serum total cholesterol with a single stable reagent. Clin. Chem. 1970; 16: 980–84. pmid:4098216
  20. 20. Trinder P. Determination of triglycerides. Ann. Clin. Biochem. 1969; 6: 24–7.
  21. 21. Friedwalds WT, Levy RT, Friedickson DS. Estimation of concentration of low density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin. Chem. 1972; 18: 499–502. pmid:4337382
  22. 22. Ellman GL, Courtny KD, Valentino A Jr. A new and rapid method for determination of tissue Acetyl cholinesterase activity. Biochem. Pharmacol. 1961; 7: 88–99. pmid:13726518
  23. 23. Feldman E. Thiobarbituric acid reactive substances (TBARS) Assay, Animal Models of Diabetic Complications Consortium (AMDCC Protocols). 2004; 1–3.
  24. 24. Wang LW, Kang JJ, Chen IJ, Teng CM, Lin CN. Antihypertensive and vasorelaxing activities of synthetic xanthone derivatives.Bioorg. Med. Chem. 2002; 10:567–72. pmid:11814844
  25. 25. Pires MJ, Rodriguez–Pena A, Colaco A, Arevalo M, Esteller A, Lopez-Novoa JM. Comparative effects of nebivolol and atenolol on renal functionin rats with chronic renal failure. Port. J. Nephrol. Hypert. 2010; 24: 33–43.
  26. 26. Goyal BR, Bhadada SV, Patel MM. Comparative evaluation of spironolactone, atenolol, metoprolol, ramipril and perindopril on diabetes-induced cardiovascular complications in type 1diabetes in rats. Int. J. Diabetes & Metab. 2011; 19: 11–8.
  27. 27. Prajapati AR, Patel BK, Patel PM. Comparison of effects of atenelol, carvedilol, and nebivelol on strepetozotocin induced diabetes associated with cardiovascular complications. ijprb, 2012; 1: 396–410.
  28. 28. Avula PR, Asdaq SM, Asad M. Effect of aged garlic extract and s-allyl cysteine and their interaction with atenolol during isoproterenol induced myocardial toxicity in rats. Indian J. Pharmacol. 2014; 46: 94–9. pmid:24550592
  29. 29. MakI T, Chmielinska JJ, Nedelec L, Torres A, Weglicki WB. D-propranolol attenuates lysosomal iron accumulation and oxidative injury in endothelial cells. J. Pharmacol. Exp. Ther. 2006; 317: 522–8. pmid:16456084
  30. 30. Arakawa H, Kodama H, Matsuoka N, Yamaguchi I. Stress Increases Plasma Enzyme Activity in Rats: Differential Effects of Adrenergic and Cholinergic Blockades. J. Pharmacol. Exp. Ther. 1997; 280: 1296–303. pmid:9067316
  31. 31. Asdaq SMB, Inamdar MN. Interaction of Propranolol with Garlic on Biochemical and Histological Changes in Rat. Iran. J. Pharm. Res. 2009; 8: 201–7.
  32. 32. Padi SSV, Chopra K. Salvage of Cyclosporine A-Induced Oxidative Stress and Renal Dysfunction by Carvedilol. Nephron. 2002; 92: 685–92. pmid:12372956
  33. 33. Kunihara M, Oshima T. Effects of epinephrine on plasma cholesterol levels in rats. J. Lipid Res. 1983; 24: 639–44. pmid:6308112