While active smoking is known to enhance platelet thromboxane producti
on, no data on passive smoking is available yet. The influence of sing
le and repeated exposure to passive smoke for 60 minutes in a 18 m(3)
room was assessed in non-smokers as compared to sex and age matched sm
okers. All the evaluated measures (malondialdehyde, plasma thromboxane
B-2, 11-dehydro-thromboxane B-2, serum thromboxane B-2 conversion of
exogenous arachidonic acid to thromboxane B-2 and to hydroxy-5, 8,10-h
eptadecatrienoic acid) were higher in smokers than non-smokers at base
line, immediately and 6 hours after passive exposure to cigarette smok
e. Repeated exposure of non-smokers rendered their platelets more acti
vated becoming close to the behaviour of smokers. These results indica
te that passive smoking may activate thromboxane A(2) release from the
platelets, contributing to the development of hemostatic imbalance.