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Atorvastatin exerts its anti-atherosclerotic effects by targeting the receptor for advanced glycation end products
1Department of Endocrinology, The Affiliated East Hospital, Tongji University, Shanghai, PR China. fengbo@medmail.com.cn
Abstract:
Recent studies demonstrated the beneficial role of atorvastatin in reducing the risk of cardiovascular morbidity and mortality in patients with diabetes mellitus and/or metabolic syndrome. To investigate the mechanisms underlying the anti-atheroscleroic action of atorvastatin, we examined the expression of the receptor for advanced glycation end products (RAGE) and its downstream target gene, monocyte chemoattractant protein-1 (MCP-1) using real-time PCR. In in vitro studies, exposure to high glucose or AGE induced oxidative stress and activation of the AGE/RAGE system in human umbilical vein endothelial cells. Treatment of the cells with atorvastatin significantly released the oxidative stress by restoring the levels of glutathione and inhibited the RAGE upregulation. In diabetic Goto Kakisaki (GK) rats fed with a high-fat diet for 12weeks, RAGE and MCP-1 were upregulated in the aortas, and there was a significant correlation between RAGE and MCP-1 mRNA abundance (r=0.482, P=0.031). Treatment with atorvastatin (20mg/kg qd) significantly downregulated the expression of RAGE and MCP-1. These data thus demonstrate a novel "pleiotropic" activity of atorvastatin in reducing the risk of cardiovascular diseases by targeting RAGE expression.
Insights
Atorvastatin reduces cardiovascular risk by targeting the receptor for advanced glycation end products (RAGE). This study shows atorvastatin inhibits RAGE and monocyte chemoattractant protein-1 (MCP-1) expression, offering a novel mechanism for its cardioprotective effects.
Area of Science:
- Cardiovascular Pharmacology
- Molecular Biology
- Endocrinology
Background:
- Diabetes mellitus and metabolic syndrome increase cardiovascular disease risk.
- Atorvastatin is known to reduce cardiovascular morbidity and mortality.
- The precise mechanisms of atorvastatin's anti-atherosclerotic effects require further elucidation.
Purpose of the Study:
- To investigate the anti-atherosclerotic mechanisms of atorvastatin.
- To examine the role of the receptor for advanced glycation end products (RAGE) and monocyte chemoattractant protein-1 (MCP-1) in atorvastatin's action.
- To determine if atorvastatin modulates the AGE/RAGE system.
Main Methods:
- Real-time PCR was used to measure RAGE and MCP-1 gene expression.
- In vitro studies exposed human umbilical vein endothelial cells to high glucose or AGEs.
- In vivo studies used diabetic Goto Kakisaki rats fed a high-fat diet, treated with atorvastatin.
Main Results:
- High glucose/AGEs induced oxidative stress and RAGE activation in endothelial cells.
- Atorvastatin treatment restored glutathione levels and inhibited RAGE upregulation in vitro.
- In diabetic rats, atorvastatin significantly downregulated aortic RAGE and MCP-1 expression, with a positive correlation between them.
Conclusions:
- Atorvastatin exhibits a novel pleiotropic activity by targeting RAGE expression.
- The study demonstrates atorvastatin's ability to inhibit the AGE/RAGE pathway.
- These findings support atorvastatin's role in reducing cardiovascular disease risk through modulation of RAGE.
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