Research Article Volume 14 Issue 1 - 2026

Age-Related Platelet and Coagulation Dysfunction: Vitamin E and Zinc Modulation via Antioxidant Mechanism

Osah Martins Onwuka1*, Paulina Aribogha1, Adaobi Linda Okerulu1, Nkechi Clara Nwosu2 and Godson Chukwuemeka Ajuzie1

1Department of Human Physiology, Gregory University Uturu, Abia, Nigeria

2Department of Human Anatomy, Gregory University Uturu, Abia, Nigeria

*Corresponding Author: Osah Martins Onwuka, Department of Human Physiology, Gregory University Uturu, Abia, Nigeria.
Received: August 29, 2025; Published: January 07, 2026



Background: Age-related changes in platelet function, coagulation, and oxidative balance impair hemostasis, contributing to delayed wound healing and other age-associated disorders. Micronutrients such as Vitamin E and Zinc, with established antioxidant and modulatory properties, may counteract these effects. This study investigated the impact of Vitamin E, Zinc, and their combination on platelet function, coagulation, and oxidative stress in young and older Wistar rats.

Methods: Sixty-four male rats were assigned to young (28-day) and older (90-day) groups, each subdivided into four subgroups: control, Vitamin E (200 mg/kg/day), Zinc (10 mg/kg/day), and Vitamin E + Zinc (200 mg/kg + 10 mg/kg/day). Supplements were administered orally for 28 days. Platelet indices, aggregation, prothrombin time, bleeding time, fibrinogen, and oxidative stress markers (MDA, SOD, CAT, GPx) were assessed.

Results: Older rats exhibited reduced platelet counts and plateletcrit, but elevated MPV, PDW, platelet aggregation, prothrombin time, bleeding time, fibrinogen, and MDA, alongside decreased SOD, CAT, and GPx (p < 0.05), consistent with age-related hemostatic and oxidative alterations. Vitamin E, Zinc, and particularly their combination, significantly improved platelet indices, reduced aggregation, bleeding time, fibrinogen, and MDA, while enhancing antioxidant enzyme activities (p < 0.05). The combined supplementation produced the strongest effects, indicating synergistic antioxidant mechanisms.

Conclusion: Vitamin E and Zinc supplementation, especially in combination, mitigates age-related platelet and coagulation dysfunction via antioxidant modulations. These findings highlight their potential as adjunct pharmacological agents for maintaining hemostatic balance and reducing complications associated with aging.

 Keywords: Aging Physiology; Platelet Function; Coagulation; Vitamin E; Zinc; Antioxidant Mechanism

  1. Lancellotti S., et al. “Aging and coagulation: Physiological changes and pathological risk”. International Journal of Molecular Sciences 7 (2022): 3719.
  2. Ferroni P., et al. “Aging, inflammation and hemostasis”. Seminars in Thrombosis and Hemostasis 6 (2019): 626-632.
  3. Onwuka O., et al. “Sex and age-related occurrences of hypotension and pre-diabetes”. International Archives of Medical Research3 (2024): 1-7.
  4. Nagata Y., et al. “Platelet hyperactivity in aging and age-related diseases: Molecular mechanisms and clinical implications”. International Journal of Molecular Sciences17 (2021): 9320.
  5. Pastori D., et al. “Oxidative stress and platelet activation in cardiovascular disease: A molecular overview”. Biomolecules11 (2020): 1748.
  6. Violi F., et al. “Antioxidants for prevention of cardiovascular disease: Lessons from randomized clinical trials”. Cardiovascular Research 12 (2020): 2056-2067.
  7. Prasad AS. “Zinc in human health: Effect of zinc on immune cells”. Molecular Medicine 5-6 (2008): 353-357.
  8. Traber MG. “Vitamin E function and metabolism in humans”. Free Radical Biology and Medicine 176 (2021): 241-255.
  9. Roohani N., et al. “Zinc and its importance for human health: An integrative review”. Journal of Research in Medical Sciences 2 (2019): 144-157.
  10. Olechnowicz J., et al. “Zinc status is associated with inflammation, oxidative stress, lipid, and glucose metabolism”. Journal of Physiology and Biochemistry 1 (2018): 19-31.
  11. Onwuka OM., et al. “Zinc supplement alleviates redox alterations mediated by doxorubicin-induced testicular oxidative stress”. Journal of Bacteriology & Mycology: Open Access 2 (2023): 100-102.
  12. Molavi Vasei F., et al. “The impact of vitamin E supplementation on oxidative stress, cognitive functions, and aging‐related gene expression in aged mice”. Food Science and Nutrition11 (2024): 9834-9845.
  13. Martins OO., et al. “Administration of chemically ripened banana (Musa acuminate) juice to male Wistar rats depletes blood cells via impaired hematopoiesis”. Journal of Biological Research and Biotechnology2 (2022): 1552-1559.
  14. Onwuka OM., et al. “Leukocyte and thrombocyte deteriorating effect of calcium carbide exposed fruit on rats”. International Journal of Research (IJR)10 (2021): 206-215.
  15. Onwuka OM., et al. “Modulatory efficiency of vitamin C (Ascorbic acid) on collagen-induced platelet aggregation and dysfunction”. Biology, Medicine, and Natural Product Chemistry2 (2024): 609-615.
  16. Onwuka OM., et al. “Post-unilateral nephrectomy administration of alcohol escalates kidney oxidative stress of male Wistar rats”. Journal of Applied Sciences and Environmental Management11 (2023): 2575-2580.
  17. Dorsey ER., et al. “Oxidative stress-dependent changes enhance platelet hyperactivity and thrombus formation during aging”. Antioxidants (Basel)5 (2022): 995.
  18. Ercu M., et al. “Platelet biology in aging: mechanisms and translational implications”. Frontiers in Cardiovascular Medicine 6 (2019): 109.
  19. Arauna D., et al. “Understanding the role of oxidative stress in platelet alterations and thrombosis risk among frail older adults”. Biomedicines9 (2024): 2004.
  20. Wang Q and Zennadi R. “Oxidative stress and thrombosis during aging: the roles of oxidative stress in RBCs in venous thrombosis”. International Journal of Molecular Sciences 12 (2020): 4259.
  21. Dayal S., et al. “Hydrogen peroxide promotes aging-related platelet hyperactivation and thrombosis”. Circulation 12 (2013): 1308-1316.
  22. Leshchinskaya I., et al. “Effects of vitamin E on the aggregation and lipid peroxidation of platelets exposed to hydrogen peroxide”. Tohoku Journal of Experimental Medicine 3 (1974): 271-278.
  23. Smith JR., et al. “Inhibition of platelet aggregation by α-tocopherol via scavenging of hydrogen peroxide: mechanistic insights”. Arteriosclerosis, Thrombosis, and Vascular Biology 8 (2019): 1456-1465.
  24. Ward NC., et al. “α-Tocopherol-mediated modulation of thrombin-induced platelet aggregation and thrombus formation”. Journal of Thrombosis and Haemostasis 4 (2021): 912-923.
  25. Brzóska MM., et al. “Enhanced zinc intake protects against oxidative stress and its consequences in the brain: An in vivo rat model of cadmium exposure”. Nutrients2 (2021): 478.

Osah Martins Onwuka., et al. “Age-Related Platelet and Coagulation Dysfunction: Vitamin E and Zinc Modulation via Antioxidant Mechanism”. EC Pharmacology and Toxicology  14.1 (2026): 01-10.