Nutritional and therapeutic approaches to modulate NADPH oxidase-derived ROS signaling in platelets

Francesco Violi1, Daniele Pastori, Roberto Carnevale

  • 1I ClinicaMedica, Sapienza University Rome, Viale del Policlinico 155, Roma 00161, Italy. francesco.violi@uniroma1.it.

Insights

Reactive oxidant species (ROS) contribute to thrombosis. Nutrients like olive oil and cocoa, plus drugs like statins, may inhibit platelet ROS formation, offering potential antiplatelet therapies.

Area of Science:

  • Cardiovascular Research
  • Biochemistry
  • Nutritional Science

Background:

  • Intra-platelet reactive oxidant species (ROS) formation is linked to thrombosis.
  • Enhanced ROS production in platelets is associated with severe thrombotic events and mortality.
  • Nutritional and pharmacological strategies are being explored to manage ROS-mediated thrombus formation.

Purpose of the Study:

  • To review evidence on polyphenol-rich nutrients (olive oil, cocoa) and statins as antiplatelet agents.
  • To examine their interference with Nicotinamide Adenine Dinucleotide Phosphate (NADPH) Oxidase signaling.
  • To highlight the role of platelet NADPH oxidase-derived ROS in antiplatelet activity.

Main Methods:

  • Literature review of experimental and clinical studies.
  • Analysis of data on antioxidant-rich foods and drug effects on oxidative stress.
  • Investigation of mechanisms involving platelet NADPH oxidase and ROS signaling pathways.

Main Results:

  • Polyphenol-rich foods and statins demonstrate potential to modulate ROS formation.
  • Antiplatelet effects appear linked to inhibition of platelet NADPH oxidase-derived ROS.
  • This inhibition leads to reduced pro-aggregating isoprostanes and increased platelet-inhibiting nitric oxide.

Conclusions:

  • Nutrients and statins show promise as antiplatelet agents by targeting platelet ROS.
  • Modulating platelet NADPH oxidase-derived ROS is a key mechanism for their antiplatelet activity.
  • Further research into these agents could lead to novel therapeutic strategies for thrombosis.

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