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Published on: September 26, 2018
Pitavastatin Reduces Inflammation in Atherosclerotic Plaques in Apolipoprotein E-Deficient Mice with Late Stage Renal
Manabu Shibasaki1, Jian-Guo Wang1, Jose-Luiz Figueiredo1
1Center for Interdisciplinary Cardiovascular Sciences (CICS), Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, 02115, United States of America.
Insights
Pitavastatin significantly reduced arterial inflammation and stenosis in mice with chronic renal disease (CRD). While it lowered macrophage accumulation and osteopontin levels, pitavastatin did not significantly reduce arterial calcification in CRD mice.
Area of Science:
- Cardiovascular Research
- Nephrology
- Pharmacology
Background:
- Chronic renal disease (CRD) accelerates atherosclerosis and cardiovascular calcification.
- Statins are used to lower cholesterol, but their cardiovascular benefits in CRD patients are not fully understood.
- Pitavastatin is a novel statin with potential therapeutic effects.
Purpose of the Study:
- To investigate the effects of pitavastatin on arterial inflammation and calcification in a mouse model of CRD.
- To assess pitavastatin's impact on macrophage accumulation and key molecular markers in atherosclerosis.
Main Methods:
- CRD was induced in apolipoprotein E-deficient mice via 5/6 nephrectomy.
- Mice were divided into control, CRD, and pitavastatin-treated CRD groups.
- Ultrasonography, near-infrared molecular imaging, Mac3 immunostaining, and histology were used to evaluate arterial changes.
Main Results:
- Pitavastatin significantly reduced brachiocephalic artery stenosis and macrophage accumulation in CRD mice.
- Osteopontin levels in plasma and atherosclerotic lesions were reduced by pitavastatin.
- Pitavastatin did not significantly reduce calcification in atherosclerotic plaques, and plasma phosphate levels remained unchanged.
Conclusions:
- Pitavastatin demonstrates in vivo efficacy in reducing inflammation within atherosclerotic lesions in CRD mice.
- The findings suggest pitavastatin may have anti-inflammatory benefits in the context of CRD-associated atherosclerosis.
Objectives:
Chronic renal disease (CRD) accelerates atherosclerosis and cardiovascular calcification. Statins reduce low-density lipoprotein-cholesterol levels in patients with CRD, however, the benefits of statins on cardiovascular disease in CRD remain unclear. This study has determined the effects of pitavastatin, the newest statin, on arterial inflammation and calcification in atherogenic mice with CRD.
Methods And Results:
CRD was induced by 5/6 nephrectomy in cholesterol-fed apolipoprotein E-deficient mice. Mice were randomized into three groups: control mice, CRD mice, and CRD mice treated with pitavastatin. Ultrasonography showed that pitavastatin treatment significantly attenuated luminal stenosis in brachiocephalic arteries of CRD mice. Near-infrared molecular imaging and correlative Mac3 immunostaining demonstrated a significant reduction in macrophage accumulation in pitavastatin-treated CRD mice. Pitavastatin treatment reduced levels of osteopontin in plasma and atherosclerotic lesions in CRD mice, but did not produce a significant reduction in calcification in atherosclerotic plaques as assesses by histology. CRD mice had significantly higher levels of phosphate in plasma than did control mice, which did not change by pitavastatin. In vitro, pitavastatin suppressed the expression of osteopontin in peritoneal macrophages stimulated with phosphate or calcium/phosphate in concentrations similar to those found in human patients with CRD.
Conclusion:
Our study provides in vivo evidence that pitavastatin reduces inflammation within atherosclerotic lesions in CRD mice.
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