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PLATELET AGGREGATION

Author

Ronald F. Unzelman, MD

Demrow H S et al Administration of wine and grape juiceinhibits in vivo plateletactivity and thrombosis in stenosed canine coronary arteries. CIRCULATION  1995;91:1182-8.

The Folts model of mechanically stenosed coronary arteries in dogs was utilized to study periodic acute platelet-mediated thrombus formation which cause cyclic flow reductions in coronary blood  flow. Cyclic flow reductions (indirect measure of effect on platelet activity) in canine coronary blood flow were eliminated by:

  1. Dilute intravenous red wine and grape juice.
  2. Intragastric red wine and grape juice.

White wine did not significantly eliminate the cyclic flow reductions either intravenous or intragastric.

This University of Wisconsin-Madison research group had previously demonstrated that pure intravenous dilute ethanol inhibited platelets in this in vivo bioassay model but a blood alcohol concentration of 0.24 g/dL was required. Average blood alcohol concentration after elimination of the cyclic flow reductions by the intravenous red wine-saline solution was 0.028 g/dL.

The authors suggest that these results indicate antithrombotic compounds are present in red wine and grape juice that are not present (or in a lower concentration) in white wine. Since the red wine and grape juice were also effective platelet inhibitors when administered intragastrically, the active ingredients must be absorbed into the circulation.

 

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