Cardiovascular Diseases, Vesicle
Conditions
Keywords
circulating extracellular vesicles, aspirin
Brief summary
Extracellular vesicles (EVs) are small vesicles deriving from all cell types during cell activation, involved in transcellular communication, and regarded as predictors of vascular damage and of cardiovascular events. The investigators will test the hypothesis that, in patients on chronic low-dose aspirin treatment for cardiovascular prevention, aspirin may affect the release of EVs within the 24 hours interval.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients on low-dose aspirin treatment for cardiovascular prevention for at least 1 month * arterial hypertension if well controlled with stable drug therapy * hypercholesterolemia if well controlled with stable drug therapy
Exclusion criteria
* cigarette smoking insufficiency * clinically significant hepatic insufficiency * clinically significant renal insufficiency * clinically significant cardiac insufficiency * clinically significant pulmonary insufficiency * history of malignant neoplasms (diagnosed and treated within the past 5 years) * pregnancy or lactation * history of malabsorption * regular (daily) alcohol consumption * regular (i.e., more than 3 days per week) non steroidal anti-inflammatory drug intake * type 1 diabetes excluded by islet autoantibodies evaluation (anti-glutamic acid decarboxylase, islet cell cytoplasmic, and IA-2 antibodies), family history of type 1 diabetes, age lower than 40 years, lean phenotype, early requirement for insulin therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinetics of circulating extracellular vesicles after low-dose aspirin administration | 1st - 12th month | In patients receiving low-dose aspirin for cardiovascular prevention, evaluate the potential effects of chronic aspirin treatment on circulating extracellular vesicles levels over the 24-hour interval |
| Aspirin response and circulating extracellular vesicles over the 24-hour | 13th - 24th month | In patients receiving low-dose aspirin for cardiovascular prevention, evaluate the role of circulating extracellular vesicles as a potential determinant of interindividual variability in the aspirin response |