In this work, coumarin compounds were extracted by ultrasonic-microwave synergistic extraction from the leaves of Heracleum vicinum Boiss.. The five furanocoumarins—pimpinellin, isopimpinellin, bergapten, xanthotoxin, and imperatorin—that were isolated from the leaves of Heracleum vicinum Boiss. were quantified using HPLC and GC, and their quantities in the aboveground sections was determined. The antioxidant activities of five furanocoumarins were assessed with ABTS radicals and DPPH radicals, with the best scavenging effects of xanthotoxin and bergapten, with half maximal inhibitory concentration (IC50) of xanthotoxin for ABTS radicals and DPPH radicals of 1.85 mg/mL and 3.95 mg/mL, respectively, and bergapten for ABTS radicals and DPPH radicals IC50 of 1.68 mg/mL and 4.61 mg/mL, respectively. The antifungal activities of five furanocoumarins against trichophyton rubrum were evaluated. The minimum inhibitory concentration (MIC) of xanthotoxin (200 μg/mL) and imperatorin (12.5 μg/mL) showed the highest inhibitory effects against trichophyton rubrum. The inhibitory mechanism of xanthotoxin was discussed. When trichophyton rubrum was treated with 200 μg/mL of xanthotoxin, the spore germination rate was 34.92%, the nucleic acid leakage was 52.22%, the inhibition of radial growth of mycelium could reach 87.87%, and the content of ergosterol was reduced by 37.37%. It indicates that xanthotoxin was found to be able to damage mycelium shape, prevent spore germination and mycelium growth, kill mycelium cells and release intracellular materials, and obstruct the production of ergosterol. These results indicate that furanocoumarin is a potent active component that has an important role in Heracleum vicinum Boiss. leaves.
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