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Type: Journal article
Title: Dietary flavanols and procyanidin oligomers from cocoa (Theobroma cacao) inhibit platelet function
Author: Murphy, K.
Chronopoulos, A.
Singh, I.
Francis, M.
Moriarty, H.
Pike, M.
Turner, A.
Mann, N.
Sinclair, A.
Citation: American Journal of Clinical Nutrition, 2003; 77(6):1466-1473
Publisher: Amer Soc Clinical Nutrition
Issue Date: 2003
ISSN: 0002-9165
Statement of
Karen J. Murphy, Andriana K. Chronopoulos, Indu Singh, Maureen A. Francis, Helen Moriarty, Marilyn J. Pike, Alan H. Turner, Neil J. Mann, and Andrew J. Sinclair
Abstract: Background: Flavonoids may be partly responsible for some health benefits, including antiinflammatory action and a decreased tendency for the blood to clot. An acute dose of flavanols and oligomeric procyanidins from cocoa powder inhibits platelet activation and function over 6 h in humans. Objective: This study sought to evaluate whether 28 d of supplementation with cocoa flavanols and related procyanidin oligomers would modulate human platelet reactivity and primary hemostasis and reduce oxidative markers in vivo. Design: Thirty-two healthy subjects were assigned to consume active (234 mg cocoa flavanols and procyanidins/d) or placebo (≤ 6 mg cocoa flavanols and procyanidins/d) tablets in a blinded parallel-designed study. Platelet function was determined by measuring platelet aggregation, ATP release, and expression of activation-dependent platelet antigens by using flow cytometry. Plasma was analyzed for oxidation markers and antioxidant status. Results: Plasma concentrations of epicatechin and catechin in the active group increased by 81% and 28%, respectively, during the intervention period. The active group had significantly lower P selectin expression and significantly lower ADP-induced aggregation and collagen-induced aggregation than did the placebo group. Plasma ascorbic acid concentrations were significantly higher in the active than in the placebo group (P < 0.05), whereas plasma oxidation markers and antioxidant status did not change in either group. Conclusions: Cocoa flavanol and procyanidin supplementation for 28 d significantly increased plasma epicatechin and catechin concentrations and significantly decreased platelet function. These data support the results of acute studies that used higher doses of cocoa flavanols and procyanidins.
Keywords: Blood Platelets; Humans; Cacao; Catechin; Flavonoids; Biflavonoids; Proanthocyanidins; Platelet Aggregation Inhibitors; Diet; Time Factors; Adult; Middle Aged; Female; Male
Description: © 2003 American Society for Clinical Nutrition
RMID: 0020091813
DOI: 10.1093/ajcn/77.6.1466
Published version:
Appears in Collections:Molecular and Biomedical Science publications

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