Lipid-lowering-independent effects of simvastatin on the kidney in experimental hypercholesterolaemia

Stephanie H Wilson1, Alejandro R Chade, Ariel Feldstein

  • 1Division of Hypertension, Mayo Clinic, Rochester, MN 55905, USA.

Insights

Simvastatin treatment improved kidney blood flow and reduced inflammation and oxidative stress in pigs with high cholesterol. These findings suggest statins offer novel kidney protection beyond cholesterol lowering in hypercholesterolemia.

Area of Science:

  • Nephrology
  • Cardiovascular Research
  • Pharmacology

Background:

  • Hypercholesterolemia (HC) is a significant risk factor for kidney injury, linked to oxidized LDL, oxidative stress, and renal inflammation.
  • The impact of HMG-CoA-reductase inhibitors (statins) on renal hemodynamics and function in HC remains unclear.

Purpose of the Study:

  • To investigate the effects of simvastatin on renal hemodynamics and function in a pig model of diet-induced hypercholesterolemia.

Main Methods:

  • Pigs were fed a normal diet, a high-cholesterol (HC) diet, or an HC diet with simvastatin for 12 weeks.
  • Renal hemodynamics and function were assessed using electron-beam computed tomography (EBCT).
  • Renal tissue was analyzed via immunohistochemistry.

Main Results:

  • Simvastatin treatment increased endothelial nitric-oxide-synthase (eNOS) expression and decreased LOX-1 receptor expression.
  • Reduced markers of oxidative stress and inflammation (inducible-NOS, nitrotyrosine, NF-κB) were observed in simvastatin-treated pigs.
  • Cortical and medullary renal perfusion significantly increased in the simvastatin group compared to HC and normal groups.

Conclusions:

  • Simvastatin mitigated renal inflammation, oxidative stress, and fibrosis in hypercholesterolemic pigs.
  • These renoprotective effects occurred alongside enhanced renal perfusion, independent of cholesterol-lowering effects.
  • Statins may offer novel renoprotective benefits in hypercholesterolemia and atherosclerosis settings.
Abstract

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