Logo image
Effect of Resveratrol on Endothelial Function in Patients with CKD and Diabetes: A Randomized Controlled Trial
Journal article   Peer reviewed

Effect of Resveratrol on Endothelial Function in Patients with CKD and Diabetes: A Randomized Controlled Trial

Colin J. Gimblet, Nicholas T. Kruse, Katharine Geasland, Jeni Michelson, Mingyao Sun, Safur Rehman Mandukhail, Linder H. Wendt, Patrick Ten Eyck, Gary L. Pierce and Diana I. Jalal
Clinical journal of the American Society of Nephrology, Vol.19(2), pp.161-168
02/2024
DOI: 10.2215/CJN.0000000000000337
PMCID: PMC10861109
PMID: 37843843

View Online

Abstract

Background: Patients with chronic kidney disease (CKD) and diabetes are at higher risk of developing cardiovascular disease, in part, because of impaired endothelial function. Cardioprotective compounds such as resveratrol could improve endothelial function and attenuate the cardiovascular burden in patients with CKD and diabetes. We hypothesized that resveratrol supplementation would improve endothelial function in patients with CKD and diabetes. Methods: 28 adults aged 68±7 years (84% men) with stage 3 CKD and diabetes were enrolled in a randomized, double-blind, placebo-controlled, crossover study to investigate the effects of 6-week resveratrol supplementation (400 mg/day) on endothelial function. Endothelial function was determined via brachial artery flow-mediated dilation. Results: Mean values for estimated glomerular filtration rate (eGFR)and HbA 1c were 40±9 ml/min/1.73m 2 and 7.36±0.72%, respectively. Compared to placebo, resveratrol supplementation increased flow-mediated dilation (ratio of geometric mean changes and 95% C.I. for between group comparisons= 1.43 (1.15,1.77); p value= 0.001). eGFR, HbA 1c , blood pressure, and nitroglycerin-mediated dilation were unchanged with resveratrol or placebo (P= 0.15), suggesting the observed change in flow-mediated dilation was likely independent of changes in traditional cardiovascular risk factors. Conclusions: Resveratrol supplementation improved endothelial function in patients with CKD and diabetes.

Details

Logo image