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J Am Coll Cardiol, 1999; 34:1208-1215
© 1999 by the American College of Cardiology Foundation
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EXPERIMENTAL STUDIES

Differential effects of {alpha}- and {gamma}-tocopherol on low-density lipoprotein oxidation, superoxide activity, platelet aggregation and arterial thrombogenesis

Tom Saldeen, MD, PhD, FACC{dagger}, Dayuan Li, MD* and Jawahar L. Mehta, MD, PhD, FACC*

* Department of Medicine, University of Florida, and VA Medical Center, Gainesville, Florida, USA
{dagger} Department of Forensic Medicine, University of Uppsala, Uppsala, Sweden

Manuscript received October 6, 1998; revised manuscript received May 12, 1999, accepted June 25, 1999.

Reprint requests and correspondence: Dr. J.L. Mehta, Department of Medicine, University of Florida College of Medicine, 1600 Archer Road, P.O. Box 100277, JHMHC, Gainesville, Florida 32610.USA
mehta{at}medmac.ufl.edu

OBJECTIVES

This study was designed to examine the differential effects of {alpha}- and {gamma}-tocopherol on parameters of oxidation-antioxidation and thrombogenesis.

BACKGROUND

Experimental studies have shown that antioxidants, such as vitamin E ({alpha}-tocopherol), improve atherosclerotic plaque stability and vasomotor function, and decrease platelet aggregation and tendency to thrombus formation.

METHODS

Sprague Dawley rats were fed chow mixed with {alpha}- or {gamma}-tocopherol (100 mg/kg/day) for 10 days. A filter soaked in 29% FeCl3 was applied around the abdominal aorta to study the patterns of arterial thrombosis. The aortic blood flow was observed and continuously recorded using an ultrasonic Doppler flow probe. ADP-induced platelet aggregation, low-density lipoprotein oxidation induced by phorbol 12-myristate 13-acetate (PMA)-stimulated leukocytes, superoxide anion generation and superoxide dismutase (SOD) activity were also measured.

RESULTS

Both {alpha}- and {gamma}-tocopherol decreased platelet aggregation and delayed time to occlusive thrombus (all p < 0.05 vs. control). Both {alpha}- and {gamma}-tocopherol decreased arterial superoxide anion generation, lipid peroxidation and LDL oxidation (all p < 0.05 vs. control), and increased endogenous SOD activity (p < 0.05). The effects of {gamma}-tocopherol were more potent than those of {alpha}-tocopherol (p < 0.05).

CONCLUSIONS

This study indicates that both {alpha}- and {gamma}-tocopherol decrease platelet aggregation and delay intraarterial thrombus formation, perhaps by an increase in endogenous antioxidant activity. {gamma}-Tocopherol is significantly more potent than {alpha}-tocopherol in these effects.

Abbreviations and Acronyms
  ANOVA = analysis of variance
  CAD = coronary artery disease
  cNOS = constitutive nitric oxide synthase
  LDL = low density lipoprotein
  MDA = malondialdehyde
  NO = nitric oxide
  SOD = superoxide dismutase
  t-PA = tissue plasminogen activator




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