Aspirin
may protect coronary arteries from dysfunction caused by inflammation
Aspirin can protect arteries, including the coronary arteries, from
dysfunction caused by even mild inflammation, according to a report
in the May 14th rapid access issue of Circulation.
Arteries affected by atherosclerosis
become inflexible and inflamed. In the current study, the researchers
had hypothesized that aspirin might protect against such inflammation.
"Aspirin is widely used
to prevent heart attacks and strokes, but it is assumed that its
effects are solely attributable to its blood-thinning actions. But
our research turns the clock back on aspirin, and suggests that
some of aspirin's effects really are due to its anti-inflammatory
properties, which people have known about for 100 years or more,"
says Patrick J. T. Vallance, M.D., study author.
The British researchers used typhoid vaccine to cause inflammation
in 17 healthy volunteers to determine if aspirin would prevent changes
in arterial function. Of the 17 volunteers, 12 subjects randomly
received either 1.2 grams of aspirin or placebo two hours before
vaccination. The remaining 5 patients received aspirin after the
vaccination.
The researchers measured Interluekin-1
to determine level of inflammation. In the placebo group, the interleukin
level peaked at three hours and remained elevated until 8 hours
after vaccination, corresponding with a 30-fold increase in baseline
values. In the group treated with a single oral dose of aspirin
before the vaccine, the concentration of Interleukin-1 did not change
from baseline.
In a second test, researchers
measured endothelial function by infusing drugs that affect the
endothelium into the artery of one arm and measuring blood flow
in that arm. The 6 participants who received placebo had decreased
forearm blood flow eight hours after vaccination compared with baseline
value, indicating temporary stiffening. However, the 6 subjects
who received aspirin before vaccination showed an increase in forearm
blood flow eight hours after vaccination, indicating a protective
effect from aspirin.
"There is an exciting
opportunity to rethink how we use aspirin and whether there are
situations in which we should be giving aspirin to reduce cardiovascular
risk," Vallance says.
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