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Published on: September 25, 2017
Simvastatin prevents cardiac hypertrophy in vitro and in vivo via JAK/STAT pathway
1Institute for Nautical Medicine, Nantong University, Nantong, Jiangsu Province 226001, People's Republic of China.
Insights
Simvastatin (SIM) effectively treats cardiac hypertrophy by reducing cardiomyocyte size and improving heart function. This HMG-CoA reductase inhibitor works by influencing the JAK/STAT pathway and angiotensin pathways.
Area of Science:
- Cardiology
- Pharmacology
- Molecular Biology
Background:
- Simvastatin (SIM), a HMG-CoA reductase inhibitor, exhibits therapeutic effects beyond cholesterol reduction.
- Cardiac hypertrophy is a significant risk factor for heart failure and cardiovascular events.
- Cardiotrophin-1 (CT-1) is a cytokine implicated in cardiac cell growth and survival, and its dysregulation can contribute to hypertrophy.
Purpose of the Study:
- To investigate the effects of SIM on CT-1-induced cardiomyocyte hypertrophy in vitro.
- To evaluate the efficacy of SIM in attenuating cardiac hypertrophy in a rat model of pressure overload.
- To elucidate the molecular mechanisms underlying SIM's inhibitory effects on cardiac hypertrophy.
Main Methods:
- In vitro studies using cultured rat cardiomyocytes exposed to CT-1 and SIM.
- In vivo studies involving rats with abdominal aortic constriction to induce pressure overload.
- Measurements included cell surface area, protein content, systolic blood pressure, heart/body weight ratios, and left ventricular/body weight ratios.
- Western blot analysis to assess JAK/STAT pathway activation.
- RT-PCR analysis to evaluate angiotensinogen (AGT) mRNA expression.
Main Results:
- SIM ameliorated CT-1-induced cardiomyocyte hypertrophy in vitro, reducing cell surface area and protein content.
- SIM attenuated cardiac hypertrophy in vivo, as evidenced by improved hemodynamic parameters and reduced cardiac remodeling.
- Western blot analysis revealed that the Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway is involved in SIM's effects.
- RT-PCR analysis indicated that SIM's ameliorative effect may involve altered angiotensinogen (AGT) mRNA expression and subsequent changes in angiotensin II (Ang II) levels.
Conclusions:
- Simvastatin effectively inhibits both in vitro and in vivo cardiac hypertrophy.
- The JAK/STAT signaling pathway and the renin-angiotensin system are implicated in the cardioprotective mechanisms of SIM.
- SIM represents a promising therapeutic agent for the prevention and treatment of cardiac hypertrophy.
Abstract:
Simvastatin (SIM), a HMG-CoA reductase inhibitor, has therapeutic effects that are not limited to cholesterol reduction. In this study, we investigated the change in the cell surface area and protein content of cultured rat cardiomyocytes on exposure to cardiotrophin-1 (CT-1), a cytokine involved in the growth and survival of cardiac cells, plus SIM, and thus confirmed that SIM ameliorated cardiomyocyte hypertrophy induced by CT-1. We also showed that SIM attenuated cardiac hypertrophy in rats with pressure overload due to abdominal aortic constriction by measuring such parameters as systolic blood pressure, ratio of heart weight to body weight and ratio of left ventricular weight to body weight in rats as well as cross-sectional area of cardiomyocytes. Western blot analysis indicated that the Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway was involved in the mechanisms underlying the in vitro and in vivo inhibitory effects of SIM on cardiac hypertrophy. Moreover, the effect of SIM amelioration on CT-1-induced cultured cardiomyocyte hypertrophy might be related to the change in angiotensinogen (AGT) mRNA expression, as evidenced by RT-PCR analysis, and the subsequent alteration in angiotensin II (Ang II) levels. The results of our study provide further evidence that SIM, like other HMG-CoA reductase inhibitors, is a promising drug for prevention and treatment of cardiac hypertrophy.
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