No effect of high-dose atorvastatin on leukotriene B₄ formation from neutrophils in patients treated with coronary bypass surgery: a randomized placebo-controlled double-blinded trial with a crossover design

Inflammation plays a pivotal role in the pathophysiology of cardiovascular disease, (CVD) and leukotrienes may play a role in atherogenesis. Statins reduce mortality from CVD by reducing LDL cholesterol and potentially by other (pleiotropic) mechanisms. The aim of this study was to investigate if at...

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Veröffentlicht in:Prostaglandins, leukotrienes and essential fatty acids leukotrienes and essential fatty acids, 2012-12, Vol.87 (6), p.185-188
Hauptverfasser: Lysgaard, C, Nielsen, M S, Christensen, J H, Lundbye-Christensen, S, Riahi, S, Schmidt, E B
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container_end_page 188
container_issue 6
container_start_page 185
container_title Prostaglandins, leukotrienes and essential fatty acids
container_volume 87
creator Lysgaard, C
Nielsen, M S
Christensen, J H
Lundbye-Christensen, S
Riahi, S
Schmidt, E B
description Inflammation plays a pivotal role in the pathophysiology of cardiovascular disease, (CVD) and leukotrienes may play a role in atherogenesis. Statins reduce mortality from CVD by reducing LDL cholesterol and potentially by other (pleiotropic) mechanisms. The aim of this study was to investigate if atorvastatin exerts an anti-inflammatory effect by reducing leukotriene B₄ (LTB₄) formation from stimulated neutrophils in patients treated with coronary artery bypass grafting. The study was a randomized, placebo-controlled, double-blinded crossover study. Patients (n=80) were allocated to 80 mg atorvastatin or placebo for 6 weeks before crossing over to the opposite treatment for another 6 weeks. There was no significant correlation between baseline LDL cholesterol levels on formation of LTB₄, and atorvastatin had no effect on LTB₄ formation. Hence, this study does not support any effect of atorvastatin on LTB₄ formation as part of the explanation for its beneficial effect on CVD.
doi_str_mv 10.1016/j.plefa.2012.09.004
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identifier ISSN: 0952-3278
ispartof Prostaglandins, leukotrienes and essential fatty acids, 2012-12, Vol.87 (6), p.185-188
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subjects Aged
Anti-Inflammatory Agents, Non-Steroidal - administration & dosage
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Atherogenesis
Atorvastatin
Atorvastatin Calcium
Calcimycin - pharmacology
Calcium Ionophores - pharmacology
Cardiovascular diseases
Cholesterol
Cholesterol, LDL - blood
Clinical trials
Combined Modality Therapy
coronary artery
Coronary Artery Bypass
Coronary Disease - drug therapy
Coronary Disease - immunology
Coronary Disease - metabolism
Coronary Disease - surgery
Cross-Over Studies
Double-Blind Method
Fatty acids
Female
Grafting
Heptanoic Acids - administration & dosage
Heptanoic Acids - therapeutic use
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Hypercholesterolemia - etiology
Hypercholesterolemia - prevention & control
Inflammation
Leukocytes (neutrophilic)
Leukotriene B4
Leukotriene B4 - metabolism
Lipoproteins (low density)
Male
Middle Aged
Mortality
Neutrophil Activation - drug effects
Neutrophils - drug effects
Neutrophils - immunology
Neutrophils - metabolism
Prostaglandins
Pyrroles - administration & dosage
Pyrroles - therapeutic use
statins
Surgery
title No effect of high-dose atorvastatin on leukotriene B₄ formation from neutrophils in patients treated with coronary bypass surgery: a randomized placebo-controlled double-blinded trial with a crossover design
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