The aim of this study was to examine the effects of procyanidins derived fr
om cocoa on vascular smooth muscle. Two hypotheses were tested: 1) extracts
of cocoa, which are rich in procyanidins, cause endothelium-dependent rela
xation (EDR), and 2) extracts of cocoa activate endothelial nitric oxide sy
nthase (NOS), The experiments were carried out on aortic rings obtained fro
m New Zealand White rabbits. The polymeric procyanidins (tetramer through d
ecamer of catechin) caused an EDR. In addition, the Ca2+-dependent NOS acti
vity, measured by the L-arginine to L-citrulline conversion assay, was sign
ificantly increased in aortic endothelial cells exposed to polymeric procya
nidins, whereas monomeric compounds had no such effect. These findings demo
nstrate that polymeric procyanidins cause an EDR that is mediated by activa
tion of NOS.