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Updated: May 3, 2026

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Published on: October 3, 2017
Atorvastatin suppresses Toll-like receptor 4 expression and NF-κB activation in rabbit atherosclerotic plaques
1Department of Gastroenterology Medicine, Shanghai Eighth People's Hospital, Shanghai, China. quanzheq@hotmail.com
Background:
Toll-like receptor 4 (TLR4) plays an essential role in the pathogenesis and progression of atherosclerosis, which overexpresses in atherosclerotic lesions and mediates the production of inflammatory factors. The aim of this study was to investigate the effects of atorvastatin on TLR4 protein and mRNA expression and its downstream factor NF-κB activation in rabbit atherosclerotic plaques.
Materials And Methods:
Rabbits continuously fed with high-fat diet for 24 weeks were randomly divided into two groups, the drug-treated group orally administrated with atorvastatin (2 mg/kg/day) three weeks after high-fat diet feeding and the model group with no treatment. The expression of TLR4 protein and mRNA, the level of activated NF-κB (p65) were respectively detected by western blotting, quantitative RT-PCR, and ELISA.
Results:
The results showed that atorvastatin treatment reduced the expression of TLR4 protein and mRNA by 24.1% (p < 0.05) and 46.9% (p < 0.01), respectively, and also inhibited NF-κB activation by 76.0% (p < 0.001) in the atherosclerotic plaques.
Conclusions:
Thus, it was suggested that atorvastatin could exert an anti-atherosclerotic activity besides inhibiting cholesterol biosynthesis.
Insights
Atorvastatin significantly reduces Toll-like receptor 4 (TLR4) expression and NF-κB activation in atherosclerotic plaques. This cholesterol-lowering drug demonstrates anti-atherosclerotic effects beyond lipid reduction.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Immunology
Background:
- Toll-like receptor 4 (TLR4) is implicated in atherosclerosis pathogenesis and inflammation.
- TLR4 is overexpressed in atherosclerotic lesions, driving inflammatory factor production.
Purpose of the Study:
- To evaluate atorvastatin's impact on TLR4 expression and NF-κB activation in rabbit atherosclerotic plaques.
- To explore atorvastatin's anti-atherosclerotic mechanisms beyond cholesterol reduction.
Main Methods:
- Atherosclerosis was induced in rabbits via a high-fat diet for 24 weeks.
- Atorvastatin treatment (2 mg/kg/day) was administered to a drug-treated group.
- TLR4 protein/mRNA and activated NF-κB (p65) levels were measured using Western blotting, qRT-PCR, and ELISA.
Main Results:
- Atorvastatin reduced TLR4 protein expression by 24.1% (p < 0.05) and mRNA by 46.9% (p < 0.01).
- NF-κB activation was significantly inhibited by 76.0% (p < 0.001) following atorvastatin treatment.
- These findings indicate a potent anti-inflammatory effect of atorvastatin in atherosclerotic plaques.
Conclusions:
- Atorvastatin exhibits anti-atherosclerotic activity by downregulating TLR4 and inhibiting NF-κB.
- The study suggests atorvastatin's therapeutic benefits extend beyond its lipid-lowering effects.
- These findings highlight TLR4 as a potential therapeutic target in atherosclerosis treatment.
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