Author
Ariel Joseph Abellana,
Destiny Allison Maglasang,
Allen Christian Magos,
Cherrylyn Mae Miel,
Jean Althea Napigquit,
Micole Natividad,
Ghen Christelle Pepito,
Ma. Shaira Perigo,
Jeuis Khen Resuento,
Diane May Tugonon,
Lorreine Denise W. Castañares
Related Institution
Publication Information
Publication Type
Thesis/Dissertations
Specialization
Medical Technology
Publication Date
November 2018
Abstract
In a previous study, it was proven that citrus fruits such as Citrus limon contain citric acid that when neutralized can be used as an alternative to the anticoagulant, sodium citrate. However, there are insufficient experimental studies that have been conducted to prove the same property found in fruits of the same family. This study, therefore, aimed to prove the in vitro anticoagulant property of another fruit, Kalamansi (Citrofortunella microcarpa). The participants involved in this study are thirty-four (34) students from Cebu Doctors' University that have not undergone anticoagulant therapy and have normal Prothrombin Time and Activated Partial Thromboplastin Time. Single-blind randomized controlled trial was used to determine the anticoagulant activity of the citric acid component that was extracted from Citrofortunella microcarpa. The extract was tested for its efficacy as an alternative to sodium citrate in determining Prothrombin Time and Activated Partial Thromboplastin Time.
Results showed that the citric acid isolated from Citrofortunella microcarpa extract does not have enough anticoagulant properties due to the formation of clot. The experimental group yielded a frequency of 17 clotted samples, a percentage distribution of 100% with a mean clotting time of 6.2 minutes.
Based on the findings, it is concluded that citric acid extracted from kalamansi cannot be used as an anticoagulant alternative to Sodium Citrate due to its failure in preventing the coagulation process. The researchers would like to recommend the following: employ a quantitative test on the concentration of citric acid, evaluate the citric acid of another citrus fruit with a higher citric acid concentration, and the use of other methods in isolating citric acid.
References
5. Bersamin, S. V. , Legaspi, A. S. , Macalincag, N. G. . (). Studies on the effect of calamansi (Citrus mitis) juice on the preservation of suahe or shrimps (Genus Peneus). . Retrieved November 1, 2018, from:
http://www.fao.org/3/a-bm491e.pdf
7. Brown, B.A. . Hematology: Principles and procedures (5th ed.) Philadelphia: Lea & Fegiger, 1988.
11. Ciriminna, R. , Meneguzzo, F. , Delisi, R. , Pagliaro, M. . "Citric acid: Emerging applications of key biotechnology industrial product"
Chemistry Central Journal 11(22): 2017. Retrieved from:
http://doi: 10.1186/s13065-017- 0251-y
17. Cortes, K.C. . Laboratory manual in clinical hematology (MT 40) Mandaue City: Cebu Doctors’ University Medical Technology Department, 2011.
18. Crisostomo, B. J. , Declaro, R. A. , Mamba, S. , Rogelio, M. G. , Siccion, R. C. , Yap, M. A. . A comparative study of the in-vitro anticoagulant properties of calamansi and lemon as alternative sources of Sodium citrate for Prothombin Time and Partial Thromboplastin Time. University of Santo Tomas, Manila.. 2006.
19. Daneshfar, A. , Baghlani, M. , Sarabi, R. S. , Sahraei, R. , Abassi, S. , Kaviyan, H. , Khezeli, T. . "Solubility of citric, malonic, and malic acids in different solvent from 303.2 to 333.2K"
Fluid Phase Equilibria 313, 11-15, 2011. Retrieved from:
http://doi: 10.1016/j.fluid.2011.09.033
22. Fritsma, G.A. . Laboratory evaluation of hemostasis. Rodak’s hematology: Clinical principles and applications (5th ed.) Singapore: Elsevier, 2016. 760-809.
23. Fritsma, M.G. , Fritsma, G.A. . Normal hemostasis and coagulation. Rodak’s hematology: Clinical principles and applications (5th ed.) Singapore: Elsevier, 2016. 642-666.
24. Gattuso, G. , Barreca, D. , Gargiulli, C. , Leuzzi, U. , Caristi, C. . "Flavonoid composition of citrus juices"
Molecules 12(8): 1641- 1673, 2007. Retrieved from:
http://doi: 10.3390/12081641
25. Hackett, E. , LePage, R. . "The clotting of the blood of an amphibian, Bufo Marinus Linn. 1. Prothrombin-Thrombin and Fibrinogen-Fibrin stages"
Australian Journal of Experimental Biology and Medical Science 39, 57-65, 1961. Retrieved from:
http://doi: 10.1038/icb.1961.6
38. Mollison, P.L. . "The introduction of citrate as an anticoagulant for transfusion and of glucose as a red cell preservative"
British Journal of Haematology 108(1): 13-18, 2000. Retrieved from:
http://doi: 10.1046/j.1365- 2141.2000.01827.x
40. Panche, A. N. , Diwan, A. D. , Chandra, S. R. . "Flavonoids: An overview"
Journal of Nutritional Science 5(57): 1-15, 2016. Retrieved from:
http://doi: 10.1017/jns.2016.41
42. Riaz, A. , Khan, R. A. , Mirza, T. , Mustansir, T. , Ahmed, M. . "In vitro/in vivo effect of Citrus limon (L. Burm. f.). juice on blood parameters, coagulation and anticoagulation factors in rabbits"
Pakistan Journal of Pharmaceutical Sciences 27(4): 907-915, 2014. Retrieved from:
http://https://www.researchgate.net/publication/263863107_In_vitroin_vivo_effect_of_Citrus_limon_L_Burm_f_juice_on_blood_parameters_coagulation_and_anticoagulation_factors_in_rabbits
44. Tariq, V. N. , Stefani, L. A. J. , Butcher, A. C. . "Citric acid production: A practical introduction to biotechnology for first-year undergraduate students"
Biochemical Education 23(3): 145-148, 1995. Retrieved from:
http://doi: 10.1016/0307-4412(95)00039-6
45. Turgeon, M.L. . Clinical hematology: Theory and procedures (5th ed.) Philadelphia: Lippincott Williams & Wilkins, 2012.
46. Tyagi, S. , Sahay, S. , Imran, M. , Rashmi, K. , Mahesh, S. S. . "Pre-harvest factors influencing the postharvest quality of fruits: A review"
Current Journal of Applied Science and Technology 23(4): 1-12., 2017. Retrieved from:
http://doi: 10.9734/BJAST/2017/32909
47. Vandenberghe, L.P.S. , Soccol, C. R. , Pandey, A. , Lebeault, J. M. . "Microbial production of citric acid"
Brazilian Archives of Biology and Technology 42(3): 1999. Retrieved from:
http://doi: 10.1590/S1516-89131999000300001