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 Mechanism of cardioprotection by resveratrol, a phenolic antioxidant present in  red wine (Review) Wu JM; Wang ZR; Hsieh TC; Bruder JL; Zou JG; Huang YZInt J Mol Med  2001[Jul]; 8 (1): 3-17Coronary heart disease (CHD) has been and remains a major contributor to  morbidity and mortality in developed countries. The most common form of CHD in  the western world is atherosclerosis (AS), especially of the major coronary  arteries. Failure to maintain an intact endothelium, as a result of episodic  and/or persistent injury and perturbation of the vascular endothelium, promotes  formation of fatty streaks which are considered initiation events of AS. Cellular  constituents contributing to endothelial injury include endothelial cells,  monocytes, platelets, and smooth muscle cells. Individuals diagnosed with AS face  complex, enduring clinical complications and enormous medical costs. Simple and  easily compliant prevention and treatment measures are therefore strategic  considerations in the management of this vascular disease. Based on known risk  factors for CHD, priorities in AS prevention should include smoking cessation,  blood pressure control, and diet modification. In recent years, the possible  benefits of low to moderate consumption of alcoholic beverages, particularly of  red wine, in the prevention of heart disease has received increasing attention  and debate in the popular media as well as in the scientific community. Such  attention has been prompted by research findings supporting a relationship  between red wine consumption and the French paradox. This phenomenon refers to  people residing in certain parts of France where red wine is customarily consumed  during meals having a low CHD mortality, despite living a lifestyle considered to  have comparably high CHD risks, as those in the US and many other developed  countries. Studies have reported that the cardioprotective effects of red wine  are greater than those attributed solely to ethanol and other types of alcoholic  beverages. The mechanism(s) underlying the greater CHD protective benefits of red  wine have not been elucidated. Recently the polyphenol resveratrol  (3,5,4'-trihydroxy-trans-stilbene), known to be abundantly present in red wine,  compared to white wine, beer, or spirits, has been demonstrated to elicit a broad  spectrum of biological responses in in vitro and in animal studies, including  effects that are compatible with the cardioprotective roles proposed for red  wine. These recently described effects of resveratrol will be reviewed in this  article. We will first summarize published data showing an inverse association  between consumption of alcoholic beverages/red wine and risk of CHD. A review of  biosynthesis of resveratrol and its presence in food groups and wines will  follow. Recent studies relating exposure to wine/resveratrol with reduction in  myocardial damage during ischemia-reperfusion, modulation of vascular cell  functions, inhibition of LDL oxidation, and suppression of platelet aggregation  will be presented. The last section of this review will focus on a discussion of  mechanism(s) by which resveratrol acts as a potential cardioprotective agent.|*Wine[MESH]|Animals[MESH]|Antioxidants/*therapeutic use[MESH]|Coronary Disease/*prevention & control[MESH]|Humans[MESH]|Resveratrol[MESH]|Stilbenes/*therapeutic use[MESH]
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