Evidence map›Paper›PMID 23224687›Full record

Trial reportCardiovascular drugs and therapy2013

Grape resveratrol increases serum adiponectin and downregulates inflammatory genes in peripheral blood mononuclear cells: a triple-blind, placebo-controlled, one-year clinical trial in patients with stable coronary artery disease.

João Tomé-Carneiro, Manuel Gonzálvez, Mar Larrosa, María J Yáñez-Gascón, Francisco J García-Almagro, José A Ruiz-Ros, Francisco A Tomás-Barberán, María T García-Conesa, Juan Carlos Espín

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular drugs and therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 7 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 7 syntheses or guidelines pooled it, 236 citations in OpenAlex.

  1. Pooled it
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  3. Effect of alcohol on blood pressure.The Cochrane database of systematic reviews · 2020
    Pooled it
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  8. Effects of resveratrol supplementation on cardiac remodeling in hypertensive patients: a randomized controlled clinical trial.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
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  12. Review
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  17. Stilbenes from Vine Extracts: Therapeutic Potential and Mechanisms.International journal of molecular sciences · 2025
    Review
  18. Energy metabolism in health and diseases.Signal transduction and targeted therapy · 2025
    Review
  19. Article
  20. Review

35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

João Tomé-CarneiroResearch Group on Quality, Safety and Bioactivity of Plant Foods, CEBAS-CSIC, 30100 Campus de Espinardo, Murcia, Spain.
Manuel Gonzálvez
Mar Larrosa
María J Yáñez-Gascón
Francisco J García-Almagro
José A Ruiz-Ros
Francisco A Tomás-Barberán
María T García-Conesa
Juan Carlos Espín
Consejo Superior de Investigaciones Científicas · ESHospital General Universitario Morales Meseguer · ESCentro de Edafología y Biología Aplicada del Segura · ES

Funding

NIEHS NIH HHS ES 2177465
6 · The paper itself

Abstract

purposeThe grape and wine polyphenol resveratrol exerts cardiovascular benefits but evidence from randomized human clinical trials is very limited. We investigated dose-depending effects of a resveratrol-containing grape supplement on stable patients with coronary artery disease (CAD) treated according to currently accepted guidelines for secondary prevention of cardiovascular disease.

methodsIn a triple-blind, randomized, placebo-controlled, one-year follow-up, 3-arm pilot clinical trial, 75 stable-CAD patients received 350 mg/day of placebo, resveratrol-containing grape extract (grape phenolics plus 8 mg resveratrol) or conventional grape extract lacking resveratrol during 6 months, and a double dose for the following 6 months. Changes in circulating inflammatory and fibrinolytic biomarkers were analyzed. Moreover, the transcriptional profiling of inflammatory genes in peripheral blood mononuclear cells (PBMCs) was explored using microarrays and functional gene expression analysis.

resultsAfter 1 year, in contrast to the placebo and conventional grape extract groups, the resveratrol-containing grape extract group showed an increase of the anti-inflammatory serum adiponectin (9.6 %, p = 0.01) and a decrease of the thrombogenic plasminogen activator inhibitor type 1 (PAI-1) (-18.6 %, p = 0.05). In addition, 6 key inflammation-related transcription factors were predicted to be significantly activated or inhibited, with 27 extracellular-space acting genes involved in inflammation, cell migration and T-cell interaction signals presenting downregulation (p < 0.05) in PBMCs. No adverse effects were detected in relation to the study products.

conclusionsChronic daily consumption of a resveratrol-containing grape nutraceutical could exert cardiovascular benefits in stable-CAD patients treated according to current evidence-based standards, by increasing serum adiponectin, preventing PAI-1 increase and inhibiting atherothrombotic signals in PBMCs.

Indexed as

AdiponectinAnti-Inflammatory AgentsCoronary Artery DiseaseDietary SupplementsDown-RegulationFemaleHumansLeukocytes, MononuclearMaleMiddle AgedPlant ExtractsResearch DesignResveratrolStilbenesTranscription FactorsTreatment OutcomeAdiponectinAnti-Inflammatory AgentsPlant ExtractsResveratrolStilbenesTranscription Factors

Identifiers

PMID23224687
PMCPMC3555235
OpenAlexW1974269714

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.