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Published on: April 6, 2017
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.
Abstract:
The prevalence of occlusive stroke is inversely correlated with potassium intake. We explored the hypothesis that a high potassium intake attenuates platelet reactivity, as expressed in ADP-evoked platelet aggregation. We studied healthy men (n=31) and women (n=42), blacks (n=33) and whites (n=40). In this cohort, we supplemented the habitual intake of 17 men and 21 women with 60 mmol KCl/70 kg body weight per day for 3 days and maintained 14 men and 21 women on their habitual intake. We then compared the change in ADP concentration causing 50% of the maximal initial rate (EC50) of platelet aggregation in the potassium-supplemented versus control groups. Potassium supplementation attenuated platelet reactivity, expressed by an increase in EC50 of platelet aggregation (P=0.0005), which was primarily attributable to an increase in EC50 in whites (P=0.0004). Urinary potassium excretion was significantly lower in blacks than in whites under basal conditions and after potassium supplementation. We conclude that potassium supplementation diminishes platelet reactivity, a phenomenon that provides a link between platelet biology and occlusive stroke.
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