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Intensive treatment with atorvastatin reduces inflammation in mononuclear cells and human atherosclerotic lesions in one month

To investigate the effect of short-term high-dose atorvastatin on blood and plaque inflammation in patients with carotid stenosis. Twenty patients undergoing carotid endarterectomy without previous statin treatment were randomized to receive either atorvastatin 80 mg/d (n=11) or no statins (n=9) for...

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Published in:Stroke (1970) 2005-08, Vol.36 (8), p.1796-1800
Main Authors: MARTFN-VENTURA, Jose Luis, BLANCO-COLIO, Luis Miguel, GOMEZ-HERNANDEZ, Almudena, MUNOZ-GARCIA, Begona, VEGA, Melina, SERRANO, Javier, ORTEGA, Luis, HERNANDEZ, Gonzalo, TUNON, José, EGIDO, Jesus
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cited_by cdi_FETCH-LOGICAL-c435t-bcabac40d259b60e698d9a7766c4b72fa05e295301a2a9aa0dfd0314d452ebb93
cites cdi_FETCH-LOGICAL-c435t-bcabac40d259b60e698d9a7766c4b72fa05e295301a2a9aa0dfd0314d452ebb93
container_end_page 1800
container_issue 8
container_start_page 1796
container_title Stroke (1970)
container_volume 36
creator MARTFN-VENTURA, Jose Luis
BLANCO-COLIO, Luis Miguel
GOMEZ-HERNANDEZ, Almudena
MUNOZ-GARCIA, Begona
VEGA, Melina
SERRANO, Javier
ORTEGA, Luis
HERNANDEZ, Gonzalo
TUNON, José
EGIDO, Jesus
description To investigate the effect of short-term high-dose atorvastatin on blood and plaque inflammation in patients with carotid stenosis. Twenty patients undergoing carotid endarterectomy without previous statin treatment were randomized to receive either atorvastatin 80 mg/d (n=11) or no statins (n=9) for 1 month. We studied inflammatory mediators in plasma (enzyme-linked immunosorbent assay), peripheral blood mononuclear cells (PBMCs; quantitative RT-PCR and EMSA) and plaques (immunohistochemistry and Southwestern histochemistry). Atorvastatin significantly decreased total and low-density lipoprotein cholesterol and prostaglandin E2 plasma levels. PBMCs from treated patients showed impaired NF-kappaB activation and MCP-1 and COX-2 mRNA expression. Carotid atherosclerotic plaques demonstrated a significant reduction in macrophage infiltration, activated NF-kappaB, and COX-2 and MCP-1 expression. Intensive treatment with atorvastatin decreases inflammatory activity of PBMCs and carotid atherosclerotic plaques in 1 month. These data strongly suggest that the antiinflammatory effect of high doses of statins in humans can be seen very early.
doi_str_mv 10.1161/01.STR.0000174289.34110.b0
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Twenty patients undergoing carotid endarterectomy without previous statin treatment were randomized to receive either atorvastatin 80 mg/d (n=11) or no statins (n=9) for 1 month. We studied inflammatory mediators in plasma (enzyme-linked immunosorbent assay), peripheral blood mononuclear cells (PBMCs; quantitative RT-PCR and EMSA) and plaques (immunohistochemistry and Southwestern histochemistry). Atorvastatin significantly decreased total and low-density lipoprotein cholesterol and prostaglandin E2 plasma levels. PBMCs from treated patients showed impaired NF-kappaB activation and MCP-1 and COX-2 mRNA expression. Carotid atherosclerotic plaques demonstrated a significant reduction in macrophage infiltration, activated NF-kappaB, and COX-2 and MCP-1 expression. Intensive treatment with atorvastatin decreases inflammatory activity of PBMCs and carotid atherosclerotic plaques in 1 month. 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Twenty patients undergoing carotid endarterectomy without previous statin treatment were randomized to receive either atorvastatin 80 mg/d (n=11) or no statins (n=9) for 1 month. We studied inflammatory mediators in plasma (enzyme-linked immunosorbent assay), peripheral blood mononuclear cells (PBMCs; quantitative RT-PCR and EMSA) and plaques (immunohistochemistry and Southwestern histochemistry). Atorvastatin significantly decreased total and low-density lipoprotein cholesterol and prostaglandin E2 plasma levels. PBMCs from treated patients showed impaired NF-kappaB activation and MCP-1 and COX-2 mRNA expression. Carotid atherosclerotic plaques demonstrated a significant reduction in macrophage infiltration, activated NF-kappaB, and COX-2 and MCP-1 expression. Intensive treatment with atorvastatin decreases inflammatory activity of PBMCs and carotid atherosclerotic plaques in 1 month. These data strongly suggest that the antiinflammatory effect of high doses of statins in humans can be seen very early.</description><subject>Aged</subject><subject>Anti-Inflammatory Agents - pharmacology</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Atherosclerosis - drug therapy</subject><subject>Atorvastatin Calcium</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blotting, Southern</subject><subject>Blotting, Western</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Carotid Arteries - pathology</subject><subject>Chemokine CCL2 - metabolism</subject><subject>Cyclooxygenase 2 - metabolism</subject><subject>Dinoprostone - blood</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Heptanoic Acids - therapeutic use</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</subject><subject>Image Processing, Computer-Assisted</subject><subject>Immunohistochemistry</subject><subject>Inflammation - drug therapy</subject><subject>Leukocytes, Mononuclear - cytology</subject><subject>Leukocytes, Mononuclear - metabolism</subject><subject>Lipids</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>NF-kappa B - metabolism</subject><subject>Pharmacology. Drug treatments</subject><subject>Pyrroles - therapeutic use</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA, Messenger - metabolism</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vasodilator agents. 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Vascular system</topic><topic>Cardiovascular system</topic><topic>Carotid Arteries - pathology</topic><topic>Chemokine CCL2 - metabolism</topic><topic>Cyclooxygenase 2 - metabolism</topic><topic>Dinoprostone - blood</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Heptanoic Acids - therapeutic use</topic><topic>Humans</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use</topic><topic>Image Processing, Computer-Assisted</topic><topic>Immunohistochemistry</topic><topic>Inflammation - drug therapy</topic><topic>Leukocytes, Mononuclear - cytology</topic><topic>Leukocytes, Mononuclear - metabolism</topic><topic>Lipids</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>NF-kappa B - metabolism</topic><topic>Pharmacology. 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subjects Aged
Anti-Inflammatory Agents - pharmacology
Atherosclerosis (general aspects, experimental research)
Atherosclerosis - drug therapy
Atorvastatin Calcium
Biological and medical sciences
Blood and lymphatic vessels
Blotting, Southern
Blotting, Western
Cardiology. Vascular system
Cardiovascular system
Carotid Arteries - pathology
Chemokine CCL2 - metabolism
Cyclooxygenase 2 - metabolism
Dinoprostone - blood
Enzyme-Linked Immunosorbent Assay
Female
Heptanoic Acids - therapeutic use
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Image Processing, Computer-Assisted
Immunohistochemistry
Inflammation - drug therapy
Leukocytes, Mononuclear - cytology
Leukocytes, Mononuclear - metabolism
Lipids
Male
Medical sciences
Middle Aged
Neurology
NF-kappa B - metabolism
Pharmacology. Drug treatments
Pyrroles - therapeutic use
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - metabolism
Vascular diseases and vascular malformations of the nervous system
Vasodilator agents. Cerebral vasodilators
title Intensive treatment with atorvastatin reduces inflammation in mononuclear cells and human atherosclerotic lesions in one month
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