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他汀类药物对血管紧张素 II 诱导的动脉粥样硬化有不同的作用,但对腹主动脉瘤没有益处。

Statins exert differential effects on angiotensin II-induced atherosclerosis, but no benefit for abdominal aortic aneurysms.

机构信息

Key Laboratory for Diagnosis and Treatment of Cardiovascular Disease of Zhejiang Province, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang 310009, PR China.

出版信息

Atherosclerosis. 2011 Jul;217(1):90-6. doi: 10.1016/j.atherosclerosis.2011.03.005. Epub 2011 Mar 10.

DOI:10.1016/j.atherosclerosis.2011.03.005
PMID:21481872
Abstract

OBJECTIVE

Statins reduce atherosclerosis, but it is controversial whether they suppress abdominal aortic aneurysm (AAA) expansion. We hypothesized that statins (rosuvastatin and atorvastatin) would attenuate angiotensin II (AngII)-induced atherosclerosis and AAA.

METHODS AND RESULTS

Sixty apoE-/- male mice fed a normal diet were administered with either rosuvastatin (10mg/kg/day) or atorvastatin (20mg/kg/day) through drinking water for 1 week prior to initiating 28-day AngII infusion (1000 ng/kg/min). Statins administration led to therapeutic serum concentrations of drugs. Administration of either rosuvastatin or atorvastatin exerted no significant effect on AngII-induced expansion of suprarenal diameter or area. However, atorvastatin significantly reduced AngII-augmented atherosclerotic lesion areas in intimas of both aortic arches and cross-sections of aortic roots (P<0.001). Atherosclerosis was attenuated independent of reductions in serum total cholesterol concentrations. Although serum MCP-1 and MIF concentrations were not changed by either statins, atorvastatin administration increased PPAR-α and -γ mRNA abundances and decreased NF-κB p50, p65, MCP-1 and TNF-α mRNA abundances in atherosclerotic lesions.

CONCLUSIONS

This study demonstrated both statins failed to suppress AngII-induced AAA. In contrast, atorvastatin reduced AngII-induced atherosclerosis associated with no change in serum inflammatory markers but a shift to upregulation of anti-inflammatory status in lesions.

摘要

目的

他汀类药物可减少动脉粥样硬化,但它们是否抑制腹主动脉瘤(AAA)的扩张仍存在争议。我们假设他汀类药物(瑞舒伐他汀和阿托伐他汀)会减弱血管紧张素 II(AngII)诱导的动脉粥样硬化和 AAA。

方法和结果

60 只雄性 apoE-/- 小鼠在开始 AngII 输注(1000ng/kg/min)前一周,通过饮用水给予瑞舒伐他汀(10mg/kg/天)或阿托伐他汀(20mg/kg/天),以接受正常饮食。他汀类药物的给药导致药物的治疗血清浓度。瑞舒伐他汀或阿托伐他汀的给药对 AngII 诱导的肾上直径或面积的扩张没有显著影响。然而,阿托伐他汀显著降低了 AngII 增强的主动脉弓内膜和主动脉根部横截面的动脉粥样硬化病变面积(P<0.001)。动脉粥样硬化的减轻与血清总胆固醇浓度的降低无关。尽管他汀类药物均未改变血清 MCP-1 和 MIF 浓度,但阿托伐他汀给药增加了动脉粥样硬化病变中 PPAR-α 和 -γ mRNA 的丰度,并降低了 NF-κB p50、p65、MCP-1 和 TNF-α mRNA 的丰度。

结论

本研究表明,两种他汀类药物均未能抑制 AngII 诱导的 AAA。相比之下,阿托伐他汀降低了 AngII 诱导的动脉粥样硬化,同时血清炎症标志物没有变化,但病变中抗炎状态的上调。

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