Ethanol, Wine, and Experimental Cardioprotection in Ischemia/Reperfusion: Role of the Prooxidant/Antioxidant Balance

Title
Ethanol, Wine, and Experimental Cardioprotection in Ischemia/Reperfusion: Role of the Prooxidant/Antioxidant Balance
Publication type
Journal Article
Year of Publication
2004
Journal
Antioxidants and Redox Signaling
Volume
6
Issue
2
Pagination
431 - 438
Date published
2004
ISBN
15230864 (ISSN)
Abstract

It is now well established that oxidative stress resulting from reactive oxygen species (ROS) that are generated in cardiac myocytes subjected to ischemia/reperfusion plays a causative role in the development of heart failure and may contribute to promote cell death. During the last decade, several groups have reported that, in animal models of myocardial ischemia/reperfusion, certain nutrients, including ethanol and nonethanolic components of wine, may have a specific protective effect on the myocardium, independent of the classical risk factors implicated in vascular atherosclerosis and thrombosis. Mechanisms through which the consumption of alcoholic beverages protects against ischemia-induced cardiac injury are still unknown. One major open question is whether ethanol and nonethanolic components of wine are cardioprotective, at least in part, by interfering with the myocardial prooxidant/antioxidant balance. Important concepts, such as cardiac preconditioning, are now entering the field of nutrition, and recent experimental evidence suggests that ethanol and/or nonethanolic components of wine might exert preconditioning effects in animal models of myocardial ischemia/reperfusion. There is no doubt that such an observation, if confirmed in human subjects, might open new perspectives in the prevention and treatment of ischemic coronary heart disease.