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© 2005 The American Society for Nutritional Sciences J. Nutr. 135:172-178, February 2005


Biochemical and Molecular Actions of Nutrients

The Flavonoid Phloretin Suppresses Stimulated Expression of Endothelial Adhesion Molecules and Reduces Activation of Human Platelets

Verena Stangl*,1, Mario Lorenz*, Antje Ludwig*, Nicole Grimbo*, Carola Guether*, Wasiem Sanad*, Sabine Ziemer{dagger}, Peter Martus**, Gert Baumann* and Karl Stangl*

* Medizinische Klinik und Poliklinik, Schwerpunkt Kardiologie, Angiologie, Pneumologie; {dagger} Institut für Laboratoriumsmedizin und Pathobiochemie; and ** Institut für Medizinische Informatik, Biometrie und Epidemiologie, Charité der Humboldt-Universität, Campus Mitte, Berlin, Germany

1To whom correspondence should be addressed. E-mail: verena.stangl{at}charite.de.

Atherosclerosis is a chronic inflammatory disease accompanied by the expression of endothelial adhesion molecules. Phloretin is a plant-derived phytochemical that is mainly present in apples. Because phloretin is reported to promote antioxidative activities, we investigated the effects of phloretin on cytokine-induced expression of intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), and endothelial leukocyte adhesion molecule-1 (E-selectin) in human umbilical vein endothelial cells (HUVECs). Phloretin prevented TNF-{alpha}-stimulated upregulation of VCAM-1, ICAM-1, and E-selectin expression in a concentration-dependent manner. To the same extent as for TNF-{alpha}, phloretin also inhibited IL-1ß-induced upregulation in expression of all 3 adhesion molecules. Inhibition of cytokine-induced adhesion molecule expression for VCAM-1, ICAM-1, and E-selectin was detected already at the level of mRNA. Preincubation with phloretin dose-dependently attenuated TNF-{alpha}-stimulated adhesion of monocytic THP-1 cells to HUVECs and human aortic endothelial cells. Phloretin did not affect TNF-{alpha}-stimulated activation of nuclear factor {kappa}B (NF-{kappa}B) but inhibited activation of interferon regulatory factor 1, a transcription factor involved in the regulation of endothelial cell adhesion molecule expression. In human platelets, phloretin diminished adenosine diphosphate (ADP) and thrombin receptor-activating peptide–stimulated expression of the activated form of the GPIIb/IIIa complex and reduced platelet aggregation stimulated by ADP. Thus phloretin may have beneficial effects in the onset and progression of cardiovascular diseases.


KEY WORDS: • phloretin • adhesion molecules • platelets • cytokines • atherosclerosis




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