В обзорной статье представлены сведения о кардиопротективной роли вина, особенно красного. Установлено, что его воздействие обусловлено наличием в вине особой группы полифенолов, главным из которых является ресвератрол. Он увеличивает уровень холестерина липопротеидов высокой плотности и тем самым оказывает антиатерогенный эффект. Кроме того, ресвератрол подавляет оксидативный стресс, асептическое воспаление, улучшает эндотелиальную функцию.
The review presents information on the cardioprotective role of vine, red vine in particular.
Its effect has been ascertained to be due to that vine contains a special group of polyphenol, the major flavonoid of which is resveratrol. It increases the level of high-density lipoprotein cholesterol and thus exerts an antiatherogenic effect. Moreover, resveratrol inhibits oxidative stress and aseptic inflammation and improves endothelial function.
1. Kannel WB, Ellison RC. Alcohol and coronary heart disease: the evidence for a protective effect. Clin Chim Acta 1996; 246: 59–76.
2. Rimm EB, Giovannucci EL, Willet WC et al. Protective study of alcohol consumption and risk of coronary disease in men. Lancet 1991; 338: 464–8.
3. Rimm EB, Klatsky A, Grobbee D, Stampfer MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine or spirits. Br Med J 1996; 312: 731–6.
4. Gronbaek M, Tjonneland A, Johansen D et al. Type of alcohol and drinking pattern in 56 970 Danish men and women. Eur J Clin Nutr 2000; 54: 174–6.
5. Renaud S, de Lorgeril M. Wine, alcohol, platelets and the French paradox for coronary heart disease. Lancet 1992; 339 (8808): 1523–6.
6. Vidavalur R, Otani H et al. Significance of wine and reservation in cardiovascular disease: French paradox revisited. Exp Clin Cardiol 2006; 11 (3): 217–25.
7. Petrovskiy G, Narasimman G, Dipak KD. Resveratrol in cardiovascular health and disease. Ann NY Acad Scl 1215 (2011) 22–23/NY Academy of Sciences.
8. Lakshman R, Mamatha G, Moakai G et al. Is alcohol beneficial or harmful for cardioprotection? Genes Nutr 2010; 5 (2): 111–20.
9. Walle T, Hsieh F, Delegge M et al. High absorption but very low bioavailability of oral resveratrol in humans. DMD 2004; 32 (12): 1377–82.
10. Krekt P, Jarvinen R, Reunanen A, Maatela J. Flavonoid intake and coronary mortality in Finland: a cohort study. BMJ 1996; 24; 312 (7029): 478–81.
11. Robich MP, Pobert M, Osipov MD et al. Resveratrol improves myocardial perfusion in a Swine model of hypercholesterolemia and chronic myocardial ischemia. Circulation 2010; 122: 142–9.
12. Stef G, Csiszar A, Lerea K et al. Resveratrol inhibition of platelets from high-risk cardiac patients with aspirin resistance. J Cardiovascular Pharmacol 2006; 48 (2): 1–5.
13. Fujitaka K, Otani H, Jo F et al. Modified resveratrol Longevinex improves endothelial function in adults with metabolic syndrome receiving standard treatment. Nutr Res 2011; 31 (11): 842–7.
14. Wong DH, Villanueva JA et al. Resveratrol inhibits the mevalonate pathway and potentiates the antiproliferative effects of simvastatin in rat theca-interstitial. Fertil Steril 2011; 96 (5): 1252-8. EPUB 2011 Sep. 9.
15. Oak M-H, Jasser RL, Bedoui MS et al. Red wine polyphenolic compounds strongly inhibit pro-matrix metalloproteinase-2 expression and its activation in response to thrombin via direct inhibition of membrane type 1-matrix metalloproteinase in vascular smooth muscle cells. Circulation 2004; 110: 1861–7.
16. Ruf JC. Alcohol wine and platelet function. Biol Res 2004; 37: 209–15.
17. Rimm EB, Williams P, Fosher K et al. Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. BMJ 1999; 319: 1523–8.
18. Pendurthi U, Vijaya L, Rao M. Resveratrol suppresses agonist-induce monocyte adhesion to cultured human endothelial cells. Trombosis Research 2002; 106: 243–8.
19. Pendurthi U, Vijaya L, Rao M. Effect of wine phenolics and stilbene analogues on tissue factor expression in endothelial cells. Trombosis Research 2002; 106: 205–11.
20. Malinowska J, Olas B. Response of blood platelets to resveratrol during a model of hyperhomocysteinemia. Platelets 2011; 22 (4): 277–83.
21. Перова Н.В., Бубнова М.Г., Озерова И.Н. и др. Как влияет ежедневное употребление малых доз алкоголя на систему транспорта холестерина. Рос. кардиол. журн. 2000; 5: 23–8.
22. Сердюк А.П., Метельская В.А., Озерова И.Н. и др. Влияние алкоголя на основные этапы обратного транспорта холестерина. Биохимия. 2000; 65 (11): 1551–7.
23. Boocock DJ, Faust GE, Patel KR et al. Phase l dose escalation pharmacokinetic study in healthy volunteers of resveratrol, a potential cancer chemopreventive agent. Cancer Epidemiol Biomarkers Prev 2007; 16 (6): 1246–52.
24. Mukherjee S, Dudley JL, Das DK. Dose-dependency of resveratrol in providing health benefits. Dose Response 2010; 8 (4): 478–500.
25. Johnson WD, Morrissey RL, Usborne AL et al. Subchronic oral toxicity and cardiovascular safety pharmacology studies of resveratrol, a naturally occurring polyphenol with cancer preventive activity. Food Chem Toxicol 2011; 49 (12): 3319–27.
26. Almeida L, Vaz-da-Silva M, Falcaol A et al. Pharmacokinetic and safety profile of trans-resveratrol in a rising doze study in healthy volunteers. Mol Nutr Food Res 2009; 53: s7–15.
Авторы
Д.М.Аронов
ФГБУ ГНИЦ профилактической медицины Минздравсоцразвития РФ aronovdm@mail.ru
________________________________________________
D.M.Aronov
State Research Center of Preventive Medicine, Ministry of Health and Social Development of the Russian Federation aronovdm@mail.ru