Kratak sadr`aj: Mnoga epidemiolo{ka istra`ivanja su poka zala da umereno konzumiranje alkohola produ`ava o~e -kivani `ivotni vek tako {to smanjuje rizik od izvesnih bolesti. Pomenuti smanjeni rizik najva`niji je kod koronarne sr~ane bolesti i ishemijskog mo`danog udara, koje izaziva ate rosklerotska vaskularna bolest. Postoje tvrdnje da takvi efekti zavise od vrste pi}a, kao i da crno vino ima najmo } nije dejstvo. Ovaj pregled ispita}e relativni doprinos etanola i polifenolskih antioksidanata iz crnog vina, razmatraju}i njihov potencijal da inhibiraju aterogenezu i njene meha nizme. Postoji valjani dokazi, kako in vitro tako i in vivo, da etanol pove}ava produkciju i cirkuli{u}e nivoe HDL-holeste rola i smanjuje formiranje ugru{aka tako {to blokira aktiv nost trombina i inhibiciju fibrinolize. Na taj na~in spreava migraciju glatkih mi{i}nih }elija u intimalni sloj arterija i sni`ava incidencu dijabetes melitusa tipa 2, kao va`nog faktora rizika za aterosklerotsku bolest. Crno vino pored etanola sadr`i mnoge polifenolske antioksidante tako|e prisutne u vo}u i povr}u (npr. katehin i kvercetin), kao i rezveratrol koji se gotovo isklju~ivo nalazi u gro`|u i crnom vinu. U in vitro eksperimentima pokazano je da ti polifenoli, naro~ito rezveratrol, iskazuju mo}na svojstva koja omogu}avaju spre~avanje ateroskleroze. Pored toga {to smanjuju formiranje ugru{aka, oni ubla`avaju inflamatorne reakcije regulisanjem produkcije eikozanoida i citokina, spre~avaju oksidaciju LDL, smanjuju ekspresiju molekula }elijske adhezije i pove}avaju produkciju NO. Me|utim, istra`ivanja nà ivotinjama i ljudima dala su protivre~ne rezultate. Taj paradoks mogu objasniti studije koje pokazuju da te polifenole, uzete oralno, mukoza tankog creva brzo konjuguje sa glukuronidom i sulfatom pre apsorpcije, posle ~ega bubrezi Summary: Moderate alcohol consumption has been shown in many epidemiological investigations to prolong overall life expectancy by reducing the risk of certain diseases. Those that account most for this reduction are coronary heart disease and ischemic stroke, both of which are caused by atherosclerotic vascular disease. It has been claimed that these effects are beverage-specific, with red wine being the most potent. This review examines the relative contributions of ethanol and the polyphenolic antioxidants of red wine by considering their potential to inhibit atherogenesis and the mechanisms involved. There is good evidence, both in vitro and in vivo, that ethanol increases production and circulating levels of HDL-Cholesterol, and reduces clot formation by blocking thrombin activity as well as by inhibition of fibrinolysis. It also prevents migration of smooth-muscle cells to the intimal layer of arteries and reduces the incidence of Type II Diabetes Mellitus, a major risk factor for atherosclerotic disease. Red wine, in addition to ethanol, contains many polyphenolic antioxidants that are also present in fruit and vegetables (such as catechin and quercetin), as well as resveratrol that is almost restricted to grapes and red w...