Potassium chloride supplementation diminishes platelet reactivity in humans

Masayuki Kimura1, Xiaobin Lu, Joan Skurnick

  • 1Hypertension Research Center, Cardiovascular Research Institute, University of Medicine and Dentistry of New Jersey, Newark 07103, USA.

Insights

High potassium intake reduces platelet aggregation, a key factor in blood clots. This study found that potassium supplementation decreased platelet reactivity, potentially lowering the risk of occlusive stroke.

Area of Science:

  • Cardiovascular Science
  • Hematology
  • Nutritional Science

Background:

  • Occlusive stroke prevalence is inversely linked to dietary potassium.
  • Platelet reactivity plays a critical role in thrombus formation and stroke pathogenesis.
  • Understanding modifiable dietary factors influencing platelet function is crucial for stroke prevention.

Purpose of the Study:

  • To investigate the effect of potassium supplementation on adenosine diphosphate (ADP)-evoked platelet aggregation in healthy adults.
  • To determine if increased potassium intake attenuates platelet reactivity.
  • To explore potential differences in response based on race and sex.

Main Methods:

  • A randomized controlled trial design was used with healthy men and women of black and white ethnicity.
  • Participants were supplemented with 60 mmol KCl/70 kg body weight daily for 3 days or maintained habitual intake.
  • Adenosine diphosphate (ADP)-evoked platelet aggregation was measured, and the concentration of ADP causing 50% of the maximal initial rate (EC50) was compared between groups.

Main Results:

  • Potassium supplementation significantly attenuated platelet reactivity, indicated by an increase in the EC50 of platelet aggregation (P=0.0005).
  • This effect was primarily observed in white participants, with a significant increase in EC50 (P=0.0004).
  • Black participants exhibited lower urinary potassium excretion under basal conditions and post-supplementation compared to white participants.

Conclusions:

  • Potassium supplementation effectively diminishes platelet reactivity.
  • This finding establishes a potential link between platelet biology, potassium intake, and the pathophysiology of occlusive stroke.
  • Dietary potassium may represent a modifiable factor for reducing stroke risk through its effects on platelet function.

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