2nd Department of Cardiology, Collegium Medicum, Jagiellonian University, Kopernika 17, PL 31-501 Kraków, Poland.
Pharmacol Rep. 2010 Nov-Dec;62(6):1250-4. doi: 10.1016/s1734-1140(10)70390-x.
The aim of our study was to assess the effect of atorvastatin (20 mg) on inflammatory biomarkers in patients with aortic sclerosis or mild aortic stenosis. Additionally, the anti-inflammatory effect of statin therapy was compared between hypercholesterolemic and non-hypercholesterolemic patients. We enrolled 33 patients with aortic sclerosis or mild aortic stenosis (AS) (18 males and 15 females, mean age 70 ± 8 years). Plasma levels of the following biomarkers were measured: C-reactive protein (CRP), interleukin (IL-6) and monocyte chemoattractant protein-1 (MCP-1). Atorvastatin (20 mg) was used for four weeks. All three biomarkers of inflammation significantly decreased after atorvastatin: CRP from 4.08 ± 3.72 to 2.97 ± 3.26 μg/ml (p < 0.05), IL-6 from 20.66 ± 20.05 to 13.36 ± 11.21 pg/ml (p < 0.05) and MCP-1 from 271.08 ± 85.72 to 213.24 ± 115.09 pg/ml (p < 0.05). No differences in the levels of these biomarkers were shown in a comparison between 17 patients with hypercholesterolemia and 16 patients without hypercholesterolemia. In patients in the early stages of aortic valve disease (with aortic sclerosis or mild AS), atorvastatin at a dose of 20 mg reduced the biomarkers of inflammation.
我们的研究目的是评估阿托伐他汀(20mg)对主动脉瓣硬化或轻度主动脉瓣狭窄患者的炎症生物标志物的影响。此外,我们比较了高胆固醇血症和非高胆固醇血症患者他汀类药物治疗的抗炎作用。我们共纳入了 33 例主动脉瓣硬化或轻度主动脉瓣狭窄患者(18 名男性,15 名女性,平均年龄 70±8 岁)。测量了以下三种炎症生物标志物的血浆水平:C 反应蛋白(CRP)、白细胞介素(IL)-6 和单核细胞趋化蛋白-1(MCP-1)。阿托伐他汀(20mg)使用四周。三种炎症标志物在使用阿托伐他汀后均显著降低:CRP 从 4.08±3.72μg/ml 降至 2.97±3.26μg/ml(p<0.05),IL-6 从 20.66±20.05pg/ml 降至 13.36±11.21pg/ml(p<0.05),MCP-1 从 271.08±85.72pg/ml 降至 213.24±115.09pg/ml(p<0.05)。在比较 17 例高胆固醇血症患者和 16 例非高胆固醇血症患者时,这些生物标志物的水平没有差异。在主动脉瓣疾病早期阶段的患者(主动脉瓣硬化或轻度主动脉瓣狭窄)中,阿托伐他汀 20mg 剂量可降低炎症生物标志物。