Simvastatin inhibits tissue factor and plasminogen activator inhibitor-1 expression of glomerular mesangial cells in
Jiali Wei1, Chunyang Ma, Xiaomeng Wang
1Department of Nephrology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, PR China.
Insights
Simvastatin reduces kidney tissue factor (TF) and plasminogen activator inhibitor-1 (PAI-1) in hypercholesterolemia. This suggests simvastatin may protect against kidney microthrombus formation and obesity-related glomerulopathy.
Area of Science:
- Nephrology
- Cardiovascular Research
- Pharmacology
Background:
- Hypercholesterolemia elevates tissue factor (TF) and plasminogen activator inhibitor-1 (PAI-1).
- The impact of statins on TF and PAI-1 in glomerular mesangial cells during hypercholesterolemia is not well understood.
- Glomerular mesangial cells play a role in kidney function and disease.
Purpose of the Study:
- To investigate the effect of simvastatin on TF and PAI-1 expression in glomerular mesangial cells of hypercholesterolemic rabbits.
- To determine if simvastatin can mitigate hypercholesterolemia-induced pro-thrombotic changes in the kidney.
Main Methods:
- Rabbits were fed a high-cholesterol diet for 8 weeks, followed by simvastatin or starch treatment for 4 weeks.
- TF and PAI-1 mRNA levels in glomerular mesangial cells were quantified using RT-PCR.
- Plasma TF and PAI-1 activities were measured using ELISA and chromogenic assays.
Main Results:
- High-cholesterol diet significantly increased serum total cholesterol and triglyceride levels.
- Hypercholesterolemia led to increased TF and PAI-1 mRNA in mesangial cells and plasma.
- Simvastatin treatment significantly reduced mesangial TF and PAI-1 mRNA and plasma TF and PAI-1 activities.
Conclusions:
- Simvastatin effectively downregulates TF and PAI-1 expression and activity in hypercholesterolemic rabbits.
- Simvastatin may offer kidney protection against microthrombus formation in hypercholesterolemic states.
- These findings suggest a potential role for simvastatin in managing obesity-related glomerulopathy.
Abstract:
Tissue factor (TF) and plasminogen activator inhibitor-1 (PAI-1) activity and/or expression are upregulated in hypercholesterolemia. Despite extensive research on anti-thrombotic effect of statins, little is known about their effects on TF and PAI-1 expression in glomerular mesangial cells under hypercholesterolemic condition. Male rabbits were fed on either normal or high-cholesterol diet for 8 weeks. Then cholesterol-fed rabbits were randomly assigned to simvastatin or starch. At the end of 12 weeks, glomerular mesangial cells were collected. The concentrations of TF and PAI-1 mRNA were detected by RT-PCR. The plasma activities of TF and PAI-1 were determined with enzyme linked immunosorbent assay (ELISA) and chromogenic substrate method, respectively. The atherogenic diet caused a consistent increase in serum concentrations of total cholesterol (TC) and serum triglyceride (TG) (p < 0.05), increased TF and PAI-1 mRNA expression in glomerular mesangial cells and plasma activities as compared to the normal diet (p < 0.01). Four-week simvastatin treatment resulted in significant decrease of mesangial TF and PAI-1 mRNA (p < 0.01), and also of the plasma activities of TF (p < 0.05) and PAI-1 (p < 0.01). These results suggest that simvastatin might protect kidney from the formation of microthrombus under hypercholesterolemic condition and might be a possible pathogenesis of obesity-related glomerulopathy.
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