Neurology
doi: 10.25005/2074-0581-2025-27-3-703-711
THE NEUROPROTECTIVE EFFECTS OF HAWTHORN-BASED MEDICATIONS
1Department of Pharmacognosy with Botany and Fundamentals of Phytotherapy, Samara State Medical University, Samara, Russian Federation
2Department of Pharmacognosy and Botany, Bashkir State Medical University, Ufa, Russian Federation
3Department of Neurology, Psychiatry and Medical Psychology named after Professor M.G. Gulyamov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
4Department of Pharmacоlogy named after Professor A.A. Lebedev, Samara State Medical University, Samara, Russian Federation
The purpose of this review is to summarize and organize the existing literature data on the antidepressant activity of drugs derived from plants in the genus Crataegus L. For this article, over 50 sources from the PubMed abstract database and the scientific information network eLibrary.ru were consulted, covering the period from 1999 to 2024. The keywords used in the search included "hawthorn", "Crataegus L.", "neuroprotective activity", and "antidepressant activity". Only studies that specifically addressed the neuroprotective activity and antidepressant properties of hawthorn-based medications were included. At the same time, articles on the use of hawthorn in other areas of medicine were excluded.
Herbal medicines with neuroprotective effects, some of which also act as antidepressants, are used in global medical practice. Currently, from the perspective of evidence-based medicine, the most widely recognized herbal antidepressant is Hypericum perforatum (St. John's Wort).
Given that one of the active components in this plant is the flavonoid hyperoside, it is essential to focus on the fruits, flowers, and leaves of various hawthorn species (Crataegus L.) as they also contain this compound. Additionally, hawthorn plant materials are known to contain other flavonoids, such as procyanidins and vitexin, along with their derivatives, which are noteworthy for their neuroprotective activity. Hawthorn-based medications are presently used as cardiotonic agents. Continued research in this area could lead to the development of new and effective treatments for both nervous and cardiovascular diseases in humans.
Keywords: Hawthorn, Crataegus L., neuroprotective activity, antidepressant activity, flavonoids.
References
- Kovalyov NI, Krepkova LV, Lupanova IA, Maslyakov VYu, Saybel OL, Ferubko EV, i dr. (red). Atlas lekarstvennykh rasteniy Rossii [Atlas of medicinal plants of Russia]. Moscow, RF: FGUP «Akademicheskiy nauchno-izdatel'skiy, proizvodstvenno- poligraficheskiy i knigorasprostranitel'skiy tsentr «Nauka»; 2021. 646 p.
- Nathan P. The experimental and clinical pharmacology of St John's Wort (Hypericum perforatum L.). Mol Psychiatry. 1999;4(4):333-8. https://doi. org/10.1038/sj.mp.4000557
- Morozova TK, Kurkin VA, Zaytseva EN, Dubishchev AV, Kurkin AV, Pravdivtseva OE, i dr. Antidepressantnaya aktivnost' ekstraktov boyaryshnika krovavo- krasnogo [Antidepressant activity of Crataegus sanguinea Pall. extracts]. Farmatsiya. 2017;66(4):37-9.
- Kurkin VA, Pravdivtseva OE, Shaykhutdinov IKh, Kurkina AV, Zaytseva EN, Volkova EN. Vidy roda boyaryshnik (Crataegus L.): standartizatsiya i sozdanie lekarstvennykh preparatov [Species of the genus hawthorn (Crataegus L.): standardization and creation of medicines]. Samara, RF: OOO «Ofort»; 2020. 118 p.
- Nitzan K, David D, Franko M, Toledano R, Fidelman S, Tenenbaum YS, et al. Anxiolytic and antidepressants' effect of Crataegus pinnatifida (Shan Zha): Biochemical mechanisms. Transl Psychiatry. 2022;12(1):208. https://doi. org/10.1038/s41398-022-01970-6
- Kurkin VA, Dubishchev AV, Ezhkov VN, Titova IN, Avdeeva EV. Antidepresantnaya aktivnost' nekotorykh fitopreparatov i fenilpropanoidov [Antidepressant activity of some phytopreparations and phenylpropanoids]. Khimiko-farmatsevticheskiy zhurnal. 2006;40(11):33-8.
- Kurkin VA, Kurkina AV, Zaytseva EN, Dubishchev AV, Pravdivtseva OE, Morozova TV. Diureticheskaya i antidepressivnaya aktivnost' gustogo ekstrakta iz plodov boyaryshnika krovavo-krasnogo [Diuretic and antidepressant activity of a thick extract from the fruits of Crataegus sanguinea Pall.]. Byulleten' sibirskoy meditsiny. 2015:14(3):18-22.
- Kurkin VA, Zaytseva EN, Morozova EN, Pravdivtseva OE, Kurkina AV, Dubishchev AV, i dr. Sravnitel'noe issledovanie antidepressantnoy i diureticheskoy aktivnosti zhidkikh ekstraktov boyaryshnika polumyagkogo [Comparative study of antidepressant and diuretic activity of liquid extracts of Crataegus submollis Sarg.]. Zhurnal MediAl'. 2019;1:66-70. https://doi.org/10.21145/2225-0026- 2019-1-66-70
- Kurkin VA, Zaytseva EN, Avdeeva EV, Stenyaeva VV, Shaykhutdinov IKh, Zhdanova AV. Sravnitel'naya farmakologicheskaya aktivnost' preparatov plodov boyaryshnika [Comparative pharmacological activity of hawthorn fruit preparations]. Nauka i innovatsii v meditsine. 2020;5(2):136-9. https://doi. org/10.35693/2500-1388-2020-5-2-136-139
- Kurkin VA, Pravdivtseva OE, Kurkina AV, Zaytseva EN, Dubishchev AV, Morozova TV, i dr. Problemy sozdaniya kardioprotektorov na osnove plodov boyaryshnik [The problems of creating cardioprotectors based on hawthorn fruits]. Okhrana truda i tekhnika bezopasnosti v uchrezhdeniyakh zdravookhraneniya. 2019;1- 2:28-32.
- Trofimova SV, Khasanova SR, Kudashkina NV, Baschenko NZh, Sapozhnikova TA. Izuchenie antiaritmicheskoy aktivnosti list'ev Crataegus sanguinea (Rosaceae) [Study of the antiarrhythmic activity of the leaves of Crataegus sanguinea (Rosaceae)]. Meditsinskiy vestnik Bashkortostana. 2011;2:299-302.
- Sendker J, Petereit F, Lautenschläger M, Hellenbrand N, Hensel A. Phenylpropanoid-substituted procyanidins an tentatively identified procyanidin glycosides from hawthorn (Crataegus spp.). Planta Med. 2013;79(1):45-51. https://doi.org/10.1055/s-0032-1327926
- Kurkin VA, Zaytseva EN, Volkova NA, Klimova AI, Pravdivtseva OE, Dubishchev AV. Izuchenie vliyaniya flavonoida giperozida na vydelitel'nuyu funktsiyu pochek [Study of the effect of flavonoids hyperoside on the excretory function of the kidneys]. Traditsionnaya meditsina. 2022;3:58-61. https://doi.org/10.54296/18 186173_2022_3_58.
- Wang Q, Wei HC, Zhou SJ, Li Y, Zheng TT, Zhou CZ, et al. Hyperoside: A review on its sources, biological activities, and molecular mechanisms. Phytother Res. 2022;36(7):2779-802. https://doi.org/10.1002/ptr.7478
- Holubarsch CJF, Colucci WS, Eha J. Benefit-risk assessment of Crataegus extract WS 1442: An evidence-based review. Am J Cardiovasc Drugs. 2018;18(1):25-36. https://doi.org/10.1007/s40256-017-0249-9
- Lim DW, Han T, Jung J, Song Y, Um MY, Yoon M, et al. Chlorogenic acid from hawthorn berry (Crataegus pinnatifida Fruit) prevents stress hormone- induced depressive behavior, through monoamine oxidase B-reactive oxygen species signaling in hippocampal astrocytes of mice. Mol Nutr Food Res. 2018;62(15):e1800029. https://doi.org/10.1002/mnfr.201800029
- Orhan IE. Phytochemical and pharmacological activity profile of Crataegus oxyacantha L. (Hawthorn) – A cardiotonic herb. Curr Med Chem. 2018;25(37):4854- 65. https://doi.org/10.2174/0929867323666160919095519
Authors' information:
Kurkin Vladimir Aleksandrovich,
Doctor of Pharmaceutical Sciences, Full Professor, Head of the Department of Pharmacognosy with Botany and the Basics of Phytotherapy, Samara State Medical University
Researcher ID: L-7663-2015
Scopus ID: 25023727600
ORCID ID: 0000-0002-7513-9352
SPIN: 1974-5537
Author ID: 55891
E-mail: v.a.kurkin@samsmu.ru
Kudashkina Nataliya Vladimirovna,
Doctor of Pharmaceutical Sciences, Full Professor, Head of the Department of Pharmacognosy and Botany, Bashkir State Medical University
Researcher ID: Q-1655-2015
Scopus ID: 57207299733
ORCID ID: 0000-0002-0280-143Х
SPIN: 4256-5502
Author ID: 637292
E-mail: phytoart@mail.ru
Zaripov Nurali Abdurakibovich,
PhD, Assistant of the Department of Neurology, Psychiatry and Medical Psychology named after Professor M.G. Gulyamov, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-5494-1218
SPIN: 8489-6082
Author ID: 1054132
E-mail: nur.tj-94@mail.ru
Pravdivtseva Olga Evgenievna,
Doctor of Pharmaceutical Sciences, Full Professor, Professor of the Department of Pharmacognosy with Botany and the Basics of Phytotherapy, Samara State Medical University
Scopus ID: 14323814100
ORCID ID: 0000-0003-3318-3168
SPIN: 8639-6831
Author ID: 55887
E-mail: o.e.pravdivtseva@samsmu.ru
Zaytseva Elena Nikolaevna,
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pharmacology named after Professor A.A. Lebedev, Samara State Medical University
Researcher ID: Р-6647-2015
Scopus ID: 56735950700
ORCID ID: 0000-0001-5689-2077
SPIN: 8679-2730
Author ID: 197699
E-mail: e.n.zaitceva@samsmu.ru
Khasanova Svetlana Rashitovna,
Doctor of Pharmaceutical Sciences, Full Professor, Professor of the Department of Pharmacognosy and Botany, Bashkir State Medical University
Researcher ID: DWR-9689-2022
Scopus ID: 57212514163
ORCID ID: 0000-0001-7000-8014
SPIN: 7027-0676
Author ID: 465615
E-mail: svet-khasanova@yandex.ru
Information about support in the form of grants, equipment, medications
The research was carried out in accordance with the research plan of Samara State Medical University (state registration number – АААА-А19-119051490148-7). The authors did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Kurkin Vladimir Aleksandrovich
Doctor of Pharmaceutical Sciences, Full Professor, Head of the Department of Pharmacognosy with Botany and the Basics of Phytotherapy, Samara State Medical University
443099, Russian Federation, Samara, Chapaevskaya str., 89
Tel.: +7 (927) 6058797
E-mail: v.a.kurkin@samsmu.ru
This work is licensed under a Creative Commons Attribution 4.0 International License.
Materials on the topic:
- USING VIRTUAL REALITY EXPOSURE THERAPY IN THE TREATMENT OF SEVERE ANXIETY IN SOMATIC SYMPTOM AND RELATED DISORDERS
- CHRONIC OCCLUSION OF THE INTERNAL CAROTID ARTERY WITHOUT IMPAIRMENT OF CEREBRAL CIRCULATION: DOES THE EXCEPTION ALWAYS PROVE THE RULE? (CLINICAL OBSERVATION)
- A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT
- POTENTIAL APPLICATION OF HAWTHORN IN NEUROLOGY
- RISK FACTORS OF HOSPITALIZED STROKE PATIENTS IN THE VASCULAR DEPARTMENT OF A CITY HOSPITAL
- DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF CHILDREN WITH CEREBRAL PALSY RECEIVING INPATIENT TREATMENT
- POSTOPERATIVE COGNITIVE DYSFUNCTION: PREDICTORS, DIAGNOSIS, PREVENTION AND TREATMENT
- WERNICKE ENCEPHALOPATHY FOLLOWING BARIATRIC SURGERY: CASE REPORT
- NEUROPHYSIOLOGICAL AND NEURORADIOLOGICAL CHARACTERISTICS OF CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY WITH REGARD TO GENDER AND LATERALITY OF HEMIPARESIS
- NEUROPSYCHOLOGICAL PROFILE IN PATIENTS WITH HYPERTENSIVE ENCEPHALOPATHY IN THE BACKGROUND OF RESISTANT ARTERIAL HYPERTENSION