The Mediterranean diet as popularized by the Cretan cohort in the seve
n country study, is associated with low cardiovascular mortality. The
benefits might be due to either high intake of fruits and vegetables r
ich in antioxidants or consumption of olive oil rich in oleic acid and
phenolic compounds. If the effects of vitamins C, E and beta-carotene
have been extensively investigated, little is known about minor compo
unds of olive tree, namely dihydroxyphenylethanol and oleuropein. We s
tudied their in vitro effects on platelet aggregation, red cell deform
ability and peroxidation susceptibility of red cell membrane fatty aci
ds. Incubation of platelets with dihydroxyphenylethanol caused a signi
ficant decrease in platelet aggregation induced by collagen in conditi
on of oxidative stress (from 43.4 +/- 17.5 to 27.6 +/- 16.8). Expositi
on of erythrocytes to oleuropein or dihydroxyphenylethanol improved re
d cell deformability: the mean transit lime of erythrocytes crossing f
ilter pores was significantly decreased (1.27 +/- 0.08 ms vs 1.15 +/-
0.11 ms). Peroxidation susceptibility measured by total volatile perox
idation products (ethane and pentane) or by polyunsaturated fatty acid
(PUFA) loss was also reduced after preincubation with phenolic produc
ts (ethane : 3.71 +/- 0.31 vs 0.38 +/- 0.02 nmol/g Hb, pentane: 7.87 /- 0.45 vs 0.48 +/- 0.03 nmol/g Hb). PUFA : (26.7 +/- 4.5 at baseline,
19.9 +/- 1.4 after peroxidative stress, and 31.8 +/- 3.3 % for protec
ted erythrocytes). Polyphenols from olive tree, like those from red wi
ne, may therefore contribute to reduce atherogenesis and thrombosis by
blocking hyperaggregability of platelets, enhancing red cell deformab
ility and by reducing the oxidation susceptibility of PUFA.