Obesity is associated with impaired responsiveness to once-daily low-dose aspirin and in vivo platelet activation.


Journal

Journal of thrombosis and haemostasis : JTH
ISSN: 1538-7836
Titre abrégé: J Thromb Haemost
Pays: England
ID NLM: 101170508

Informations de publication

Date de publication:
06 2019
Historique:
received: 20 02 2019
accepted: 28 03 2019
pubmed: 2 4 2019
medline: 1 7 2020
entrez: 2 4 2019
Statut: ppublish

Résumé

The prevalence and degree of obesity is rising worldwide, increases cardiovascular risk, modifies body composition and organ function, and potentially affects the pharmacokinetics and/or pharmacodynamics of drugs. To investigate the pharmacodynamics of once-daily low-dose aspirin in healthy obese subjects, and to assess whether body weight (BW) and body mass index (BMI) affect the pharmacology of aspirin. Otherwise healthy, obese (BMI > 30 kg/m In 16 obese subjects (aged 47 ± 11 years; BMI of 39.4 ± 5.1 kg/m Obesity is associated with impaired aspirin responsiveness, largely because of body size. Impaired inhibition of platelet activation by conventional low-dose aspirin may affect antithrombotic efficacy.

Sections du résumé

BACKGROUND
The prevalence and degree of obesity is rising worldwide, increases cardiovascular risk, modifies body composition and organ function, and potentially affects the pharmacokinetics and/or pharmacodynamics of drugs.
OBJECTIVES
To investigate the pharmacodynamics of once-daily low-dose aspirin in healthy obese subjects, and to assess whether body weight (BW) and body mass index (BMI) affect the pharmacology of aspirin.
PATIENTS/METHODS
Otherwise healthy, obese (BMI > 30 kg/m
RESULTS
In 16 obese subjects (aged 47 ± 11 years; BMI of 39.4 ± 5.1 kg/m
CONCLUSIONS
Obesity is associated with impaired aspirin responsiveness, largely because of body size. Impaired inhibition of platelet activation by conventional low-dose aspirin may affect antithrombotic efficacy.

Identifiants

pubmed: 30933424
doi: 10.1111/jth.14445
pii: S1538-7836(22)04444-0
doi:

Substances chimiques

Biomarkers 0
Thromboxane B2 54397-85-2
Thromboxane A2 57576-52-0
Aspirin R16CO5Y76E

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

885-895

Informations de copyright

© 2019 International Society on Thrombosis and Haemostasis.

Auteurs

Giovanna Petrucci (G)

Istituto di Farmacologia, Università Cattolica, Rome, Italy.
Fondazione Policlinico Universitario IRCCS, A. Gemelli, Rome, Italy.

Francesco Zaccardi (F)

Leicester Diabetes Centre, Leicester General Hospital, Leicester, UK.

Alberto Giaretta (A)

Department of Information Engineering, University of Padova, Padova, Italy.

Viviana Cavalca (V)

Centro Cardiologico Monzino, IRCCS, Milano, Italy.

Esmeralda Capristo (E)

Fondazione Policlinico Universitario IRCCS, A. Gemelli, Rome, Italy.
Internal Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Carmine Cardillo (C)

Fondazione Policlinico Universitario IRCCS, A. Gemelli, Rome, Italy.
Istituto di Patologia Medica, Università Cattolica del Sacro Cuore, Rome, Italy.

Dario Pitocco (D)

Fondazione Policlinico Universitario IRCCS, A. Gemelli, Rome, Italy.
Diabetology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Benedetta Porro (B)

Centro Cardiologico Monzino, IRCCS, Milano, Italy.

Francesca Schinzari (F)

Istituto di Patologia Medica, Università Cattolica del Sacro Cuore, Rome, Italy.

Gianna Toffolo (G)

Department of Information Engineering, University of Padova, Padova, Italy.

Elena Tremoli (E)

Centro Cardiologico Monzino, IRCCS, Milano, Italy.

Bianca Rocca (B)

Istituto di Farmacologia, Università Cattolica, Rome, Italy.
Fondazione Policlinico Universitario IRCCS, A. Gemelli, Rome, Italy.

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Classifications MeSH