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Increased platelet activation in young Zucker rats with impaired glucose tolerance is improved by acarbose.

Abstract
Patients with diabetes display increased platelet activation. Recent data show a markedly increased risk for cardiovascular events already in pre-diabetic individuals with impaired glucose tolerance (IGT). We investigated whether IGT is associated with platelet activation. Blood samples were collected from young lean (control) and obese Zucker rats, an established model of IGT, after single oral application of sucrose (4 g.kg-1). Platelet-bound fibrinogen and platelet surface-expression of P-selectin were assessed as indices of platelet activation using flow cytometry. In lean Zucker rats, acute sucrose application induced fibrinogen-binding and P-selectin surface-expression, which was prevented by co-administration of acarbose (10 mg.kg-1). In obese Zucker rats, platelet activation was already maximally increased under baseline conditions with no significant increase after sucrose application. Chronic treatment with acarbose (15 mg.kg-1.day-1) significantly reduced platelet activation in these animals. Acute ingestion of sucrose induces platelet activation which is prevented by acarbose. IGT is associated with marked platelet activation that can be reduced by chronic administration of acarbose. The positive modulation of platelet activation by acarbose may contribute to the reduction of cardiovascular events in patients with IGT.
AuthorsAndreas Schäfer, Julian Widder, Martin Eigenthaler, Hilmar Bischoff, Georg Ertl, Johann Bauersachs
JournalThrombosis and haemostasis (Thromb Haemost) Vol. 92 Issue 1 Pg. 97-103 (Jul 2004) ISSN: 0340-6245 [Print] Germany
PMID15213850 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Hypoglycemic Agents
  • Sucrose
  • Acarbose
Topics
  • Acarbose (administration & dosage, pharmacology)
  • Animals
  • Glucose Intolerance (blood, drug therapy, etiology)
  • Humans
  • Hypoglycemic Agents (pharmacology)
  • Obesity (blood, complications)
  • Platelet Activation (drug effects)
  • Rats
  • Rats, Zucker
  • Sucrose (administration & dosage)

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