Effect of simvastatin in apolipoprotein E deficient mice with surgically induced chronic renal failure

Ognen Ivanovski1, Dorota Szumilak, Thao Nguyen-Khoa

  • 1Institut National en Santé et Recherche Médicale Unit 845, Paris, France.

The Journal of Urology
|February 26, 2008
PubMed
Abstract

Insights

Simvastatin reduced vascular calcification in mice with chronic kidney disease, independent of cholesterol levels. This suggests statins may combat calcification by decreasing oxidative stress.

Area of Science:

  • Cardiovascular Research
  • Nephrology
  • Pharmacology

Background:

  • Patients with reduced renal mass face high risks of renal failure and cardiovascular complications.
  • Atherosclerosis and vascular calcification are accelerated in chronic kidney disease (CKD).
  • Apolipoprotein E-deficient (apoE(-/-)) mice are a model for studying atherosclerosis and CKD.

Purpose of the Study:

  • To investigate the effects of simvastatin on atherosclerosis and vascular calcification in apoE(-/-) mice with and without CKD.
  • To determine if simvastatin impacts uremia-enhanced vascular disease.
  • To explore potential cholesterol-independent mechanisms of statin action.

Main Methods:

  • Randomly assigned apoE(-/-) mice into four groups: normal renal function (simvastatin vs. control) and surgically created CKD (simvastatin vs. control).
  • Administered simvastatin (100 mg/kg) daily via oral gavage for four weeks.
  • Assessed atherosclerosis progression, vascular calcification, nitrotyrosine staining, and serum biomarkers.

Main Results:

  • Simvastatin did not prevent atherosclerosis progression in CKD or non-CKD mice.
  • Simvastatin significantly reduced aortic calcification in CKD mice (p <0.03).
  • Simvastatin prevented increased aortic nitrotyrosine staining in CKD mice (p <0.02), indicating reduced oxidative stress.

Conclusions:

  • Simvastatin demonstrated a beneficial effect on vascular calcification in CKD mice, independent of atherosclerosis progression or cholesterol levels.
  • The findings suggest a potential cholesterol-independent mechanism for statins in reducing vascular calcification.
  • This action may be mediated by a decrease in oxidative stress, offering new therapeutic insights.