Statins Augment Collateral Growth in Response to Ischemia but They Do Not Promote Cancer and Atherosclerosis

3-Hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors, or statins, are widely prescribed to lower cholesterol. Recent reports suggest that statins may promote angiogenesis in ischemic tissues. It remains to be elucidated whether statins potentially enhance unfavorable angiogenesis associated wi...

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Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2004-06, Vol.43 (6), p.1214-1220
Hauptverfasser: Sata, Masataka, Nishimatsu, Hiroaki, Osuga, Jun-ichi, Tanaka, Kimie, Ishizaka, Nobukazu, Ishibashi, Shun, Hirata, Yasunobu, Nagai, Ryozo
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container_issue 6
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container_title Hypertension (Dallas, Tex. 1979)
container_volume 43
creator Sata, Masataka
Nishimatsu, Hiroaki
Osuga, Jun-ichi
Tanaka, Kimie
Ishizaka, Nobukazu
Ishibashi, Shun
Hirata, Yasunobu
Nagai, Ryozo
description 3-Hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors, or statins, are widely prescribed to lower cholesterol. Recent reports suggest that statins may promote angiogenesis in ischemic tissues. It remains to be elucidated whether statins potentially enhance unfavorable angiogenesis associated with tumor and atherosclerosis. Here, we induced hind limb ischemia in wild-type mice by resecting the right femoral artery and subsequently inoculated cancer cells in the same animal. Cerivastatin enhanced blood flow recovery in the ischemic hind limb as determined by laser Doppler imaging, whereas tumor growth was significantly retarded. Cerivastatin did not affect capillary density in tumors. Cerivastatin, pitavastatin, and fluvastatin inhibited atherosclerotic lesion progression in apolipoprotein E-deficient mice, whereas they augmented blood flow recovery and capillary formation in ischemic hind limb. Low-dose statins were more effective than high-dose statins in both augmentation of collateral flow recovery and inhibition of atherosclerosis. These results suggest that statins may not promote the development of cancer and atherosclerosis at the doses that augment collateral flow growth in ischemic tissues.
doi_str_mv 10.1161/01.HYP.0000126186.29571.41
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Recent reports suggest that statins may promote angiogenesis in ischemic tissues. It remains to be elucidated whether statins potentially enhance unfavorable angiogenesis associated with tumor and atherosclerosis. Here, we induced hind limb ischemia in wild-type mice by resecting the right femoral artery and subsequently inoculated cancer cells in the same animal. Cerivastatin enhanced blood flow recovery in the ischemic hind limb as determined by laser Doppler imaging, whereas tumor growth was significantly retarded. Cerivastatin did not affect capillary density in tumors. Cerivastatin, pitavastatin, and fluvastatin inhibited atherosclerotic lesion progression in apolipoprotein E-deficient mice, whereas they augmented blood flow recovery and capillary formation in ischemic hind limb. Low-dose statins were more effective than high-dose statins in both augmentation of collateral flow recovery and inhibition of atherosclerosis. 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subjects Animals
Apolipoproteins E - deficiency
Apolipoproteins E - genetics
Arteriosclerosis - chemically induced
Arteriosclerosis - etiology
Arteriosclerosis - genetics
Fatty Acids, Monounsaturated - administration & dosage
Fatty Acids, Monounsaturated - pharmacology
Fatty Acids, Monounsaturated - therapeutic use
Femoral Artery - surgery
Hindlimb - blood supply
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Hydroxymethylglutaryl-CoA Reductase Inhibitors - toxicity
Hypercholesterolemia - complications
Hypercholesterolemia - genetics
Indoles - administration & dosage
Indoles - pharmacology
Indoles - therapeutic use
Ischemia - drug therapy
Ischemia - physiopathology
Male
Mice
Mice, Inbred C57BL
Mice, Knockout
Neovascularization, Pathologic - chemically induced
Neovascularization, Physiologic - drug effects
Nitric Oxide Synthase - metabolism
Nitric Oxide Synthase Type II
Nitric Oxide Synthase Type III
Pyridines - administration & dosage
Pyridines - pharmacology
Pyridines - therapeutic use
Pyridines - toxicity
Quinolines - administration & dosage
Quinolines - pharmacology
Quinolines - therapeutic use
title Statins Augment Collateral Growth in Response to Ischemia but They Do Not Promote Cancer and Atherosclerosis
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