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Provinols™, a Polyphenolic Extract of Red Wine, Inhibits In-Stent Neointimal Growth in Cholesterol-Fed Rabbit.

Meyer Elbaz1, Gérald Roul2, Ramaroson Andriantsitohaina3

  • 1Department of Cardiology, Institute CARDIOMET, University Hospital of Toulouse, 31059 Toulouse, France.

Pharmaceutics
|October 26, 2024
PubMed
Summary

Red wine polyphenols (Provinols™) reduced neointimal hyperplasia and lipid deposition in hypercholesterolemic rabbits after stenting. This suggests potential benefits for preventing restenosis and cardiovascular disorders.

Keywords:
polyphenols supplementationrestenosisstent

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Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Nutraceuticals

Background:

  • Epidemiological studies suggest polyphenols may reduce cardiovascular disease risk.
  • Neointimal hyperplasia is a key factor in restenosis after angioplasty.

Purpose of the Study:

  • To investigate the efficacy of a red wine polyphenol extract (Provinols™) in reducing neointimal hyperplasia.
  • To evaluate Provinols™ in a hypercholesterolemic rabbit model post-angioplasty and stenting.

Main Methods:

  • Hypercholesterolemic rabbits underwent iliac balloon injury and stenting.
  • Rabbits received oral Provinols™ (20 mg/kg/day) or placebo for four weeks.
  • Histological analysis assessed neointimal hyperplasia, lipid deposition, and inflammation.

Main Results:

  • Provinols™ did not significantly alter blood pressure or plasma cholesterol.
  • A notable reduction in neointimal growth, thickness, and surface area was observed.
  • Reduced arterial fat accumulation and inflammatory response were associated with Provinols™ treatment.

Conclusions:

  • Oral Provinols™ shows potential in reducing in-stent neointimal hyperplasia and lipid deposition.
  • Anti-inflammatory properties likely contribute to the observed effects in hypercholesterolemic rabbit iliac arteries.
  • Findings support the therapeutic potential of plant-derived polyphenols for preventing restenosis after stent placement.