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Updated: Jun 2, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Statins exert differential effects on angiotensin II-induced atherosclerosis, but no benefit for abdominal aortic
Jian-an Wang1, Wen-ai Chen, Yifan Wang
1Key Laboratory for Diagnosis and Treatment of Cardiovascular Disease of Zhejiang Province, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang 310009, PR China.
Insights
Statins did not prevent abdominal aortic aneurysm expansion in mice. Atorvastatin, however, reduced atherosclerosis by altering inflammatory gene expression within lesions.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Atherosclerosis and Aneurysm Research
Background:
- Statins are known to reduce atherosclerosis progression.
- Their effect on abdominal aortic aneurysm (AAA) expansion remains controversial.
- This study investigated statins' impact on angiotensin II (AngII)-induced AAA and atherosclerosis.
Purpose of the Study:
- To determine if rosuvastatin and atorvastatin could attenuate AngII-induced atherosclerosis and AAA expansion.
- To explore the molecular mechanisms underlying statin effects on AAA and atherosclerosis.
Main Methods:
- ApoE-/- mice were treated with rosuvastatin or atorvastatin before and during AngII infusion.
- AAA expansion, atherosclerotic lesion areas, and gene expression in aortic tissues were analyzed.
- Serum lipid and inflammatory markers were measured.
Main Results:
- Neither rosuvastatin nor atorvastatin significantly inhibited AngII-induced AAA expansion.
- Atorvastatin significantly reduced atherosclerotic lesion areas in the aorta and aortic roots.
- Atorvastatin modulated inflammatory gene expression in lesions, increasing PPARs and decreasing NF-κB pathway components, independent of cholesterol levels.
Conclusions:
- Statins failed to suppress AngII-induced AAA expansion in this mouse model.
- Atorvastatin demonstrated an anti-atherosclerotic effect by shifting the inflammatory balance within lesions.
- The findings suggest distinct mechanisms for statin effects on AAA versus atherosclerosis.
Objective:
Statins reduce atherosclerosis, but it is controversial whether they suppress abdominal aortic aneurysm (AAA) expansion. We hypothesized that statins (rosuvastatin and atorvastatin) would attenuate angiotensin II (AngII)-induced atherosclerosis and AAA.
Methods And Results:
Sixty apoE-/- male mice fed a normal diet were administered with either rosuvastatin (10mg/kg/day) or atorvastatin (20mg/kg/day) through drinking water for 1 week prior to initiating 28-day AngII infusion (1000 ng/kg/min). Statins administration led to therapeutic serum concentrations of drugs. Administration of either rosuvastatin or atorvastatin exerted no significant effect on AngII-induced expansion of suprarenal diameter or area. However, atorvastatin significantly reduced AngII-augmented atherosclerotic lesion areas in intimas of both aortic arches and cross-sections of aortic roots (P<0.001). Atherosclerosis was attenuated independent of reductions in serum total cholesterol concentrations. Although serum MCP-1 and MIF concentrations were not changed by either statins, atorvastatin administration increased PPAR-α and -γ mRNA abundances and decreased NF-κB p50, p65, MCP-1 and TNF-α mRNA abundances in atherosclerotic lesions.
Conclusions:
This study demonstrated both statins failed to suppress AngII-induced AAA. In contrast, atorvastatin reduced AngII-induced atherosclerosis associated with no change in serum inflammatory markers but a shift to upregulation of anti-inflammatory status in lesions.
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