This study was conducted to investigate the antiplatelet effects of be
rberine, an alkaloid found in Berberis aristata and some other plants.
Platelet rich plasma, prepared from blood of normal human volunteers,
was treated with varying concentrations of berberine, and the platele
t aggregation in response to various agonists was measured by a Lumi-a
ggregometer. The results show that berberine selectively inhibited pla
telet aggregation induced by collagen (638 nM) in a dose-dependent man
ner (1-100 mu M). In contrast, low doses of berberine (up to 30 mu M)
potentiated the ADP (4 mu M)-induced aggregation. The aggregation indu
ced by other platelet agonists, AA (1.7 mM), adrenaline (20 mu M), cal
cium ionophore, A23187 (1 mu M) and PAF (800 nM) was not affected by b
erberine at a dose range of 1-100 mu M. These results are indicative t
hat berberine selectively inhibits collagen-induced platelet aggregati
on. Since berberine was unable to inhibit the aggregation mediated by
activation of thromboxane Az, increase in calcium influx, or stimulati
on of G-protein linked pathways, it is likely that berberine selective
ly inhibits platelet aggregation by interfering with the collagen-medi
ated adhesion process. (C) 1998 John Wiley & Sons, Ltd.