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Published on: September 26, 2018
Effect of atorvastatin on atherosclerotic plaque formation and platelet activation in hypercholesterolemic rats
Ayse Yesim Gocmen1, Guzide Ayse Ocak, Gulay Ozbilim
1Department of Biochemistry, Faculty of Medicine, Bozok University, 66200 Yozgat, Turkey.
Insights
Atorvastatin treatment reduced atherosclerosis progression in hypercholesterolemic rats by influencing the CD40-CD40L pathway. This statin therapy decreased lipid levels and platelet activation, correlating with reduced fatty streaks.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Immunology
Background:
- Atherosclerosis is a chronic inflammatory disease.
- The CD40-CD40L pathway plays a role in atherogenesis.
- Statins are widely used for cholesterol management.
Purpose of the Study:
- To investigate the effect of atorvastatin on the CD40-CD40L pathway in a rat model of atherosclerosis.
- To determine if atorvastatin influences platelet activation and atherosclerotic plaque formation.
Main Methods:
- Wistar rats were divided into control, statin, high cholesterol, and statin-treated hypercholesterolemic groups.
- Serum lipids, soluble CD40L, platelet activation markers, and interleukin-6 were measured.
- Flow cytometry assessed platelet surface markers; aortas were examined for fatty streaks.
Main Results:
- High cholesterol diet increased serum lipids and platelet activation.
- Atorvastatin treatment in hypercholesterolemic rats significantly decreased lipid levels and platelet activation markers (P-selectin, CD40, CD40L).
- Reduced fatty streak formation in aortas was observed in statin-treated hypercholesterolemic rats, with CD40L identified as a predictor of atherosclerosis.
Conclusions:
- Atorvastatin treatment may modulate the CD40-CD40L pathway in hypercholesterolemic rats.
- This modulation is associated with suppressed progression of atherosclerotic plaque formation.
- The CD40-CD40L dyad is a potential therapeutic target in statin-treated atherosclerosis.
Abstract:
We aimed to investigate whether atorvastatin influenced the CD40-CD40L pathway in atherosclerosis formation in rats fed a high cholesterol diet. Thirty-six male Wistar rats were divided among 4 groups as follows: control (C), statin (S), 5% cholesterol fed (HC), and statin-administered hypercholesterolemic (HCS). Serum levels of lipids, soluble CD40L, platelet factor 4, and interleukin-6 were assayed with commercial kits. The number of platelets expressing surface P-selectin, CD40, and CD40L were determined by flow cytometry. Aortas were examined for fatty streaks. In the HC group, we observed a significant increase in serum lipid levels and platelet activation markers compared with the control group. Rats in the HCS group had a significant decrease in lipid levels and downregulation in the number of platelets expressing surface P-selectin, CD40, and CD40L compared with the HC group. We observed decreased fatty streak formations in aortas in HCS rats. A positive correlation was found for platelet activation markers and atherosclerotic fatty streak formations. Regression analysis revealed that the predictor of atherosclerosis was CD40L. Our study suggests that in a rat hypercholesterolemic model, statin treatment may influence the CD40-CD40L dyad, and that this effect is parallelled by a suppression of progression of atherosclerotic plaque formation.
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