1999
DOI: 10.1055/s-2007-978818
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High Dose Supplementation of RRR-α-Tocopherol Decreases Cellular Hemostasis but Accelerates Plasmatic Coagulation in Type 2 Diabetes Mellitus

Abstract: The antioxidant protection from the increased vitamin E was accompanied by a decreased expression of constitutive and function-dependent platelet adhesion molecules. However, increases in platelet-leukocyte coaggregates and a shortened INR time suggest extrinsic coagulation activation, possibly by induction of a leukocyte tissue factor dependent mechanism. High dose supplements of alpha-tocopherol may override the available redox balance in well controlled type 2 diabetes. However, intrinsic effects of alpha-t… Show more

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Cited by 10 publications
(3 citation statements)
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“…In fact, Devaraj et al have reported that IL-1b and TNF-a are elevated in diabetic patients with macroangiopathy, and that the adminis- Original Basic tration of a-tocopherol decreased the levels of these cytokines, suggesting that a-tocopherol supplementation in diabetic patients could result in a reduction in diabetic macroangiopathy [22]. Ferber et al have reported that the supplementation of atocopherol decreases the LDL oxidation and the expression of platelet adhesion molecules in diabetic patients [23]. However, there is little evidence to show the effect of a-tocopherol on the production of pro-inflammatory cytokines in endothelial cells.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, Devaraj et al have reported that IL-1b and TNF-a are elevated in diabetic patients with macroangiopathy, and that the adminis- Original Basic tration of a-tocopherol decreased the levels of these cytokines, suggesting that a-tocopherol supplementation in diabetic patients could result in a reduction in diabetic macroangiopathy [22]. Ferber et al have reported that the supplementation of atocopherol decreases the LDL oxidation and the expression of platelet adhesion molecules in diabetic patients [23]. However, there is little evidence to show the effect of a-tocopherol on the production of pro-inflammatory cytokines in endothelial cells.…”
Section: Discussionmentioning
confidence: 99%
“…Adhesion of platelet and leukocytes into the vascular endothelial cell by the increased expression of intercellular adhesion molecule-1 (ICAM-1) is a crucial step in thrombosis/atherogenesis [ 12 ]. Suppressed expression of ICAM-1 was associated with reduced adherence of monocytes, lymphocytes and platelets to oxidized LDL stimulated endothelial cells [ 13 , 12 ]. The defense of vascular endothelium against the damage caused by ROS and dyslipidemia is probably an important factor for reduction of thrombotic and atherosclerotic attack [ 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…By implication this would diminish thrombus formation (17). For instance, with thrombocytes vitamin E treatment resulted in reduced expression of PECAM and ICAM (18), although it remains uncertain whether reduced expression of adhesion molecules alone would prevent aggregation in diseased regions of the blood vessel. Further, there is speculation for vitamin E to reduce thrombocyte aggregation through diminished insult of the blood vessel by ROS and thus would improve NO availability (19,20).…”
Section: Discussionmentioning
confidence: 99%