PMID- 32679712 OWN - NLM STAT- MEDLINE DCOM- 20210219 LR - 20210219 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 14 DP - 2020 Jul 15 TI - Association between High On-Aspirin Platelet Reactivity and Reduced Superoxide Dismutase Activity in Patients Affected by Type 2 Diabetes Mellitus or Primary Hypercholesterolemia. LID - 10.3390/ijms21144983 [doi] LID - 4983 AB - Platelet hyperactivation is involved in the established prothrombotic condition of metabolic diseases such as Type 2 Diabetes Mellitus (T2DM) and familial hypercholesterolemia (HC), justifying the therapy with aspirin, a suppressor of thromboxane synthesis through the irreversible inhibition of cyclooxygenase-1 (COX-1), to prevent cardiovascular diseases. However, some patients on aspirin show a higher than expected platelet reactivity due, at least in part, to a pro-oxidant milieu. The aim of this study was to investigate platelet reactivity in T2DM (n = 103) or HC (n = 61) patients (aspirin, 100 mg/day) and its correlation with biomarkers of redox function including the superoxide anion scavenger superoxide dismutase (SOD) and the in vivo marker of oxidative stress urinary 8-iso-prostaglandin F(2alpha). As results, in T2DM and HC subjects the prevalence of high on-aspirin platelet reactivity was comparable when both non-COX-1-dependent and COX-1-dependent assays were performed, and platelet reactivity is associated with a lower SOD activity that in a stepwise linear regression appears as the only predictor of platelet reactivity. To conclude, in T2DM and HC, similarly, the impairment of redox equilibrium associated with a decrease of SOD activity could contribute to a suboptimal response to aspirin. FAU - Barale, Cristina AU - Barale C AD - Department of Clinical and Biological Sciences of Turin University, 10043 Orbassano, Turin, Italy. FAU - Cavalot, Franco AU - Cavalot F AD - Metabolic Disease and Diabetes Unit, San Luigi Gonzaga Hospital, 10043 Orbassano, Turin, Italy. FAU - Frascaroli, Chiara AU - Frascaroli C AD - Metabolic Disease and Diabetes Unit, San Luigi Gonzaga Hospital, 10043 Orbassano, Turin, Italy. FAU - Bonomo, Katia AU - Bonomo K AD - Metabolic Disease and Diabetes Unit, San Luigi Gonzaga Hospital, 10043 Orbassano, Turin, Italy. FAU - Morotti, Alessandro AU - Morotti A AUID- ORCID: 0000-0002-8407-2903 AD - Department of Clinical and Biological Sciences of Turin University, 10043 Orbassano, Turin, Italy. FAU - Guerrasio, Angelo AU - Guerrasio A AD - Department of Clinical and Biological Sciences of Turin University, 10043 Orbassano, Turin, Italy. FAU - Russo, Isabella AU - Russo I AUID- ORCID: 0000-0002-2921-1763 AD - Department of Clinical and Biological Sciences of Turin University, 10043 Orbassano, Turin, Italy. LA - eng PT - Journal Article DEP - 20200715 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Cyclooxygenase Inhibitors) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Thromboxanes) RN - EC 1.15.1.1 (Superoxide Dismutase) RN - R16CO5Y76E (Aspirin) SB - IM MH - Aged MH - Aspirin/administration & dosage/*therapeutic use MH - Blood Platelets/drug effects MH - Cyclooxygenase Inhibitors/administration & dosage/therapeutic use MH - Diabetes Mellitus, Type 2/*complications/metabolism MH - Female MH - Humans MH - Hypercholesterolemia/*complications/metabolism MH - Male MH - Middle Aged MH - Oxidative Stress/drug effects MH - Platelet Aggregation Inhibitors/administration & dosage/*therapeutic use MH - Superoxide Dismutase/*metabolism MH - Thrombosis/etiology/metabolism/*prevention & control MH - Thromboxanes/metabolism PMC - PMC7404318 OTO - NOTNLM OT - aspirin OT - oxidative stress OT - platelet function analyzer-100 OT - platelets OT - superoxide dismutase OT - thromboxane COIS- The authors declare no conflict of interest. EDAT- 2020/07/19 06:00 MHDA- 2021/02/20 06:00 PMCR- 2020/07/01 CRDT- 2020/07/19 06:00 PHST- 2020/06/05 00:00 [received] PHST- 2020/07/11 00:00 [revised] PHST- 2020/07/13 00:00 [accepted] PHST- 2020/07/19 06:00 [entrez] PHST- 2020/07/19 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2020/07/01 00:00 [pmc-release] AID - ijms21144983 [pii] AID - ijms-21-04983 [pii] AID - 10.3390/ijms21144983 [doi] PST - epublish SO - Int J Mol Sci. 2020 Jul 15;21(14):4983. doi: 10.3390/ijms21144983.