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他汀类药物可抑制血管平滑肌细胞和巨噬细胞分泌基质金属蛋白酶-1、-2、-3和-9。

Statins inhibit secretion of metalloproteinases-1, -2, -3, and -9 from vascular smooth muscle cells and macrophages.

作者信息

Luan Zhaoxia, Chase Alex J, Newby Andrew C

机构信息

Bristol Heart Institute, Bristol Royal Infirmary, Bristol BS2 8HW, UK.

出版信息

Arterioscler Thromb Vasc Biol. 2003 May 1;23(5):769-75. doi: 10.1161/01.ATV.0000068646.76823.AE. Epub 2003 Mar 27.

Abstract

OBJECTIVE

Production of several metalloproteinases (MMPs) from smooth muscle cells (SMCs) and macrophages causes matrix destruction and atherosclerotic plaque instability. Statins, which inhibit HMG-CoA reductase and hence cholesterol and isoprenoid synthesis, stabilize plaques. We investigated whether statins inhibit MMP secretion from SMCs and macrophages.

METHODS AND RESULTS

We used human saphenous vein and rabbit aortic SMC and foamy macrophages from cholesterol-fed rabbits. Cerivastatin (50 nmol/L) inhibited inducible MMP-1, -3, and -9 secretion from human SMC by 52+/-19%, 71+/-18%, and 73+/-17%, respectively (P<0.01, n=3). Similar dose-related effects of cerivastatin (50 to 500 nmol/L), simvastatin (1 to 20 micromol/L), and lovastatin (5 to 20 micromol/L) were consistent with their relative potencies against HMG-CoA reductase. Statins also inhibited inducible MMP-1, -3, and -9 and constitutive MMP-2 secretion but not TIMP-1 or -2 secretion from rabbit SMC. Statins also dose-dependently inhibited MMP-1, -3, and -9 secretion from rabbit foam cells; cerivastatin (50 nmol/L) inhibited by 68+/-18%, 74+/-14%, and 74+/-14%, respectively (P<0.01, n=4). Statins similarly decreased collagenolytic, caseinolytic, and gelatinolytic activity. Mevalonate and geranylgeranylpyrophosphate but not squalene reversed the effects, showing dependence on isoprenoid, not cholesterol depletion. Statins did not affect MMP mRNA levels.

CONCLUSIONS

Statins inhibit secretion of a several MMPs from both SMCs and macrophages, which could therefore contribute to their plaque-stabilizing effects.

摘要

目的

平滑肌细胞(SMC)和巨噬细胞产生的多种金属蛋白酶(MMP)可导致基质破坏和动脉粥样硬化斑块不稳定。他汀类药物可抑制3-羟基-3-甲基戊二酰辅酶A(HMG-CoA)还原酶,从而抑制胆固醇和类异戊二烯的合成,进而稳定斑块。我们研究了他汀类药物是否能抑制SMC和巨噬细胞分泌MMP。

方法与结果

我们使用了人隐静脉、兔主动脉SMC以及胆固醇喂养兔的泡沫巨噬细胞。西立伐他汀(50 nmol/L)分别抑制人SMC诱导型MMP-1、-3和-9的分泌达52±19%、71±18%和73±17%(P<0.01,n=3)。西立伐他汀(50至500 nmol/L)、辛伐他汀(1至20 μmol/L)和洛伐他汀(5至20 μmol/L)的类似剂量相关效应与其对HMG-CoA还原酶的相对效力一致。他汀类药物还抑制兔SMC诱导型MMP-1、-3和-9以及组成型MMP-2的分泌,但不抑制组织金属蛋白酶抑制因子-1(TIMP-1)或-2的分泌。他汀类药物还剂量依赖性地抑制兔泡沫细胞中MMP-1、-3和-9的分泌;西立伐他汀(50 nmol/L)分别抑制68±18%、74±14%和74±14%(P<0.01,n=4)。他汀类药物同样降低了胶原酶活性、酪蛋白酶活性和明胶酶活性。甲羟戊酸和香叶基香叶基焦磷酸而非鲨烯可逆转这些效应,表明其作用依赖于类异戊二烯而非胆固醇耗竭。他汀类药物不影响MMP mRNA水平。

结论

他汀类药物可抑制SMC和巨噬细胞分泌多种MMP,这可能是其稳定斑块作用的原因之一。

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