Moderate consumption of alcoholic beverages is associated with a reduced ri
sk of coronary heart disease (CHD). Some evidence suggests that red wine is
particularly beneficial in this regard and may account in part for the Fre
nch paradox, although the mechanism of this effect is unknown. We assessed
the effects of red wine, ethanol, and quercetin, a major flavonoid constitu
ent of red wine, in coronary resistance vessels (80-150 mum, i.d.) and cond
uctance vessels (300-525 mum, i.d.) of the rabbit. Vessel wall tension was
measured in isolated segments maintained in a wire-type myograph (37 degree
sC) and preconstricted with 30 mM K+. At an alcohol concentration (14 mM) e
quivalent to moderate consumption, red wine evoked a small, transient const
rictor effect in resistance and conductance vessels (9 +/- 4%, n = 5; 8 +/-
1%, n = 7, respectively; p < 0.05). Ethanol alone at this concentration wa
s without effect. Quercetin (5.6, 8, and 30 <mu>M) significantly relaxed re
sistance (-32 +/- 4%, n = 10; -47 +/- 2%, n = 7; -82 +/- 6%, n = 8, respect
ively) and conductance (-20 +/- 3%, n = 8; -32 +/- 4%, n = 8; -72 +/- 7%, n
= 8, respectively) coronary arteries. Vasorelaxation by quercetin was endo
thelium-independent and was significantly greater in resistance than in con
ductance vessels. These data suggest that red wine and ethanol do not evoke
relaxation in small coronary arteries at concentrations associated with mo
derate consumption. Quercetin elicits marked coronary vasorelaxation that i
s endothelium-independent. However, the concentrations of quercetin necessa
ry to achieve this action are not attained with moderate red wine consumpti
on.