Ye Ping, Sheng Li, Zhang Cheng, Liu Yongxue
Department of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China.
J Pharm Pharm Sci. 2006;9(3):365-75.
To investigate whether the role of atorvastatin in suppression of cardiac hypertrophy is potentially associated with the change of peroxisome proliferator-activated receptor gamma (PPARgamma) expression, and the anti-inflammatory effect in vitro and in vivo.
Cardiac hypertrophy was established by angiotensin II in neonatal cardiac myocytes in vitro and incomplete ligation of abdominal aorta of SD rats in vivo. PPARgamma and cytokines mRNA expression was evaluated by RT-PCR, and the rate of protein synthesis in cardiac myocytes by 3H-leucine incorporation.
Atorvastatin attenuated downregulation of PPARgamma mRNA and inhibited brain natriuretic peptide (BNP), interleukin-1beta (IL-1beta) and matrix metalloproteinase 9 (MMP9) mRNA expression, as well as 3H-leucine incorporation in a dose-dependent manner in vitro. Furthermore, atorvastatin reduced the mRNA expression of BNP, IL-1beta and MMP9, and enhanced PPARgamma mRNA expression, and diminished the pressure overload-induced increase in the ratio of heart weight to body weight, left ventricular wall thickness and myocyte diameter of rats in vivo.
Atorvastatin prevents cardiac hypertrophy of rats, probably associated with the modulation of PPARgamma and the inhibition of myocardial inflammation. Atorvastatin may play a role in prevention and treatment of cardiovascular diseases characterized by cardiac hypertrophy.
探讨阿托伐他汀抑制心肌肥厚的作用是否可能与过氧化物酶体增殖物激活受体γ(PPARγ)表达的变化有关,以及其在体内外的抗炎作用。
体外通过血管紧张素II诱导新生心肌细胞建立心肌肥厚模型,体内通过不完全结扎SD大鼠腹主动脉建立心肌肥厚模型。采用逆转录聚合酶链反应(RT-PCR)评估PPARγ和细胞因子mRNA的表达,通过3H-亮氨酸掺入法检测心肌细胞中的蛋白质合成速率。
体外实验中,阿托伐他汀以剂量依赖的方式减轻PPARγ mRNA的下调,抑制脑钠肽(BNP)、白细胞介素-1β(IL-1β)和基质金属蛋白酶9(MMP9)mRNA的表达,以及3H-亮氨酸掺入。此外,在体内实验中,阿托伐他汀降低了BNP、IL-1β和MMP9的mRNA表达,增强了PPARγ mRNA的表达,并减轻了压力超负荷诱导的大鼠心脏重量与体重之比、左心室壁厚度和心肌细胞直径的增加。
阿托伐他汀可预防大鼠心肌肥厚,可能与调节PPARγ和抑制心肌炎症有关。阿托伐他汀可能在以心肌肥厚为特征的心血管疾病的预防和治疗中发挥作用。