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Published on: January 28, 2020
[Immunoinflammatory factors in unstable angina. Possibility of influence of atorvastatin]
Insights
Atorvastatin improves immune status in patients with unstable angina and hypercholesterolemia. This cholesterol-lowering drug reduces inflammatory markers like tumor necrosis factor-alpha and C-reactive protein.
Area of Science:
- Cardiology
- Immunology
- Pharmacology
Background:
- Ischemic heart disease, particularly unstable angina with hypercholesterolemia, is associated with immune system dysregulation.
- Elevated C-reactive protein (CRP) and specific cytokines indicate an inflammatory state in these patients.
Purpose of the Study:
- To investigate the impact of atorvastatin on immune status in patients with unstable angina and hypercholesterolemia.
- To evaluate changes in cytokine levels and immune cell function during atorvastatin therapy.
Main Methods:
- A study involving 101 patients with unstable angina and hypercholesterolemia, divided into standard therapy and atorvastatin groups.
- Monitoring of immune status, including levels of tumor necrosis factor-alpha (TNFalpha), C-reactive protein (CRP), interleukin-4, and interferon gamma, before and after 6 months of atorvastatin treatment.
Main Results:
- Patients with unstable angina and hypercholesterolemia exhibited elevated CRP, TNFalpha, interleukin-4, and interferon gamma, alongside reduced immune cell function.
- Atorvastatin treatment demonstrated a significant hypolipidemic effect.
- Atorvastatin administration led to a reduction in the observed immunoinflammatory shifts.
Conclusions:
- Atorvastatin effectively lowers lipids in patients with acute coronary pathology.
- Atorvastatin possesses the capability to mitigate immunoinflammatory imbalances associated with unstable angina and hypercholesterolemia.
Abstract:
In 101 patients with ischemic heart disease (unstable angina class I and II-III) with hypercholesterolemia at the background of standard therapy (51 patients) and after administration of atorvastatin (50 persons) prescribed from first day of hospitalization in mean dose 10.8 +/- 0.1 mg/day immune status was studied in accordance with 3 stage scheme of examination. In dynamics (before onset of treatment and after 6 months of therapy) a concentrations of a row of cytokines was studied: alpha-factor of tumor necrosis (TNFalpha) and C-reactive protein (CRP). At correlation analysis of parameters of plasma lipid composition and immune profile it has been established that in patients with unstable angina (in the presence of hypercholesterolemia) together with elevation of CRP level substantial signs of dysbalance in immune system are observed. These signs appear as elevation of levels of TNFalpha, interleukin-4, and especially interferon gamma with simultaneous depression of cells of immune defense. In has been demonstrated that atorvastatin not only exerts good hypolipidemic effect, but is capable to diminish immunoinflammatory shifts in patients with acute coronary pathology.
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