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The effects of atorvastatin on antioxidant/antiinflammatory properties of HDLs in hypercholesterolemics
Insights
Atorvastatin treatment improved endothelial function and reduced oxidative stress in hypercholesterolemic patients. The study highlights atorvastatin
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Hypercholesterolemia impacts lipid profiles, nitric oxide pathways, and oxidative stress.
- High-density lipoprotein (HDL) function in hypercholesterolemia treated with atorvastatin requires further elucidation.
Purpose of the Study:
- To assess atorvastatin's effects on HDL functionality in hypercholesterolemic individuals.
- To evaluate changes in oxidative stress and endothelial function markers post-atorvastatin treatment.
Main Methods:
- Thirty hypercholesterolemic patients (40-60 years) received 10 mg/day atorvastatin for 3 months.
- Endothelial function markers (ADMA, homocysteine, NO) and oxidative stress markers (MDA, AOP, PON1, arylesterase) were measured.
- Lipid profiles and HDL antioxidant/anti-inflammatory levels were assessed pre- and post-treatment.
Main Results:
- Atorvastatin decreased ADMA and homocysteine, increasing nitric oxide levels.
- Malondialdehyde levels decreased, while antioxidant potential, PON1, arylesterase, and anti-inflammatory HDL characteristics increased.
- Significant improvements in patient lipid profiles were observed.
Conclusions:
- Hypercholesterolemia is linked to oxidative stress, endothelial dysfunction, and pro-inflammatory HDL.
- Atorvastatin effectively modulates HDL anti-inflammatory properties, endothelial function, and oxidative status.
- Findings suggest pleiotropic benefits of atorvastatin in mitigating atherosclerosis progression.
Background/Aim:
Hypercholesterolemia is characterized by changes in lipid profile, nitric oxide pathway, and oxidative stress markers, but functions of high-density lipoprotein (HDL) were not well established in hypercholesterolemic subjects treated with atorvastatin. In this study, we aimed to evaluate effects of atorvastatin treatment on functionality of HDL, oxidative stress, and endothelial functions in hypercholesterolemic subjects.
Materials And Methods:
Thirty patients (20 females, 10 males) aged from 40 to 60 years and diagnosed as hypercholesterolemic were included. Patients were treated with 10 mg/day atorvastatin for 3 months. Markers of endothelial functions, namely asymmetric dimethylarginine (ADMA), homocysteine, and nitric oxide (NO), and markers of oxidative status, namely malondialdehyde (MDA), antioxidant potential (AOP), paraoxonase 1 (PON1), and arylesterase, were measured. Before and after atorvastatin treatment, glucose, lipid parameters, and antioxidant/antiinflammatory HDL levels were also measured.
Results:
ADMA and homocysteine levels were decreased whereas NO levels were increased with atorvastatin therapy. MDA levels were decreased but AOP, PON1, and arylesterase levels and antinflammatory characteristics of HDLs were increased. Furthermore, lipid profiles of the patients improved with atorvastatin therapy.
Conclusion:
Hypercholesterolemia is a cause of oxidative stress, endothelial dysfunction, and proinflammatory HDL levels. Atorvastatin is a beneficial pharmacological modulator of impaired antiinflammatory HDL-C levels, endothelial functions, and oxidative status against atherosclerosis indicating pleiotropic effects of statins.
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