Evidence map›Paper›PMID 32615977›Full record

Observational studyBMC complementary medicine and therapies2020

Synergistic platelet inhibition between Omega-3 and acetylsalicylic acid dose titration; an observational study.

Harald Bagger, Mattias Hansson, Thomas Kander, Ulf Schött

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Harald BaggerInstitution of Clinical Science, Medical Faculty, Lund University, S-22185, Lund, Sweden.
Mattias HanssonInstitution of Clinical Science, Medical Faculty, Lund University, S-22185, Lund, Sweden.
Thomas KanderInstitution of Clinical Science, Medical Faculty, Lund University, S-22185, Lund, Sweden.
Ulf SchöttInstitution of Clinical Science, Medical Faculty, Lund University, S-22185, Lund, Sweden. ulf.schott@skane.se.ORCID http://orcid.org/0000-0002-4190-5856
Lund University · SE

Funding

Medicinska Fakulteten, Lunds Universitet ISEX-ALF for T5 students
6 · The paper itself

Abstract

backgroundOmega-3 and acetylsalicylic acid (ASA) are two widely used "over-the-counter" drugs. Previous research has shown multiple electrode aggregometry (MEA) can detect ASA and varying Omega-3 platelet inhibiting effects. Synergistic platelet inhibiting effects of ASA and Omega-3 have been found using other methods than MEA. The aim of this study was to investigate the antiplatelet effects of Omega-3, and ASA synergism with MEA.

methodsTen healthy male volunteers ingested Omega-3 (1260 mg/day) for 5 days. MEA was used to analyse platelet function before and after Omega-3 intake. Aggregation was initiated using three different agonists and measured as area under the curve (AUC): adenosine diphosphate (ADP), thrombin receptor activating peptide (TRAP) and arachidonic acid (ASPI). Two concentrations of ASA were dose titrated ex vivo to 2 out of 3 ASPI test cells in order to measure synergism between Omega-3 and ASA.

resultsFollowing 5 days Omega-3 intake, ADP, TRAP and ASPI AUC did not change significantly. In vitro ASA before Omega-3 intake, reduced ASPI AUC < 30 U, indicating a strong platelet inhibiting effect. Below this AUC level, the 5 days Omega-3 intake increased ASPI-AUC with the ex vivo added low dose ASA (P = 0.02) and high dose ASA (P = 0.04).

conclusionsNo synergism between ASA and Omega-3 was found using the MEA ASPI test. The surprising increase in ASPI-AUC following Omega-3 intake and ex vivo ASA suggest that there are methodological issuses with the MEA ASPI test.

trial registrationTrial registration ISRCTN78027929 . Registered 19 May 2015.

Indexed as

Adenosine DiphosphateAdultArachidonic AcidAspirinDrug SynergismDrug Therapy, CombinationFatty Acids, Omega-3HumansMalePeptide FragmentsPlatelet AggregationPlatelet Aggregation InhibitorsYoung AdultAdenosine DiphosphateArachidonic AcidAspirinFatty Acids, Omega-3Peptide FragmentsPlatelet Aggregation Inhibitorsthrombin receptor peptide SFLLRNPAcetylsalicylic acidCoagulationOmega-3

Identifiers

PMID32615977
PMCPMC7331184
OpenAlexW3039194404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.