Unraveling the Interaction of Aspirin, Ticagrelor, and Rosuvastatin on the Progression of Atherosclerosis and Inflammation in Diabetic Mice

Purpose We explored the effects of rosuvastatin, aspirin, ticagrelor, and clopidogrel, alone or in combinations on the progression of atherosclerosis and inflammasome activation in diabetic mice. Statins and ticagrelor increase the production of 15-epi-lipoxin A 4 via cyclooxygenase-2. Aspirin alone...

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Veröffentlicht in:Cardiovascular drugs and therapy 2017-12, Vol.31 (5-6), p.489-500
Hauptverfasser: Ye, Yumei, Nylander, Sven, Birnbaum, Yochai
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Nylander, Sven
Birnbaum, Yochai
description Purpose We explored the effects of rosuvastatin, aspirin, ticagrelor, and clopidogrel, alone or in combinations on the progression of atherosclerosis and inflammasome activation in diabetic mice. Statins and ticagrelor increase the production of 15-epi-lipoxin A 4 via cyclooxygenase-2. Aspirin alone increases 15-epi-lipoxin A 4 , but when combined with statins, cyclooxygenase-2 is completely blocked. Methods ApoE −/− /db + /db + double-knockout mice received rosuvastatin (5 mg/kg/day), aspirin (25 mg/kg/day), ticagrelor (300 mg/kg/day), clopidogrel (75 mg/kg/day), or their combination for 14 weeks. Serum 15-epi-lipoxin A 4 levels and aortic wall cholesterol content, IL-1β, IL-6, and TNF-α levels, and plaque area were assessed. Results Aspirin, ticagrelor, and rosuvastatin increased 15-epi-lipoxin A 4 levels. The combination of rosuvastatin + ticagrelor provided an additive effect. Aspirin attenuated the effect of both ticagrelor and rosuvastatin. Aspirin, ticagrelor, and rosuvastatin reduced the area of the atherosclerotic plaque. The combination of ticagrelor + rosuvastatin provided additive effects. There was a negative interaction when aspirin was combined with ticagrelor or rosuvastatin. Aspirin, ticagrelor, and rosuvastatin decreased serum IL-1β and IL-6 levels. There was no interaction between aspirin and ticagrelor or aspirin and rosuvastatin, whereas combining rosuvastatin and ticagrelor provided an additive effect. Aspirin, ticagrelor, and rosuvastatin all decreased TNF-α levels. Aspirin attenuated the effect of both ticagrelor and rosuvastatin, and there was no additive effect of combining ticagrelor + rosuvastatin. Conclusions We found an intricate interaction between aspirin, ticagrelor, and rosuvastatin, as aspirin reduced both ticagrelor and rosuvastatin ability to ameliorate inflammation and atherosclerosis. In contrast, we found additive effects when ticagrelor and rosuvastatin were combined.
doi_str_mv 10.1007/s10557-017-6763-9
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Statins and ticagrelor increase the production of 15-epi-lipoxin A 4 via cyclooxygenase-2. Aspirin alone increases 15-epi-lipoxin A 4 , but when combined with statins, cyclooxygenase-2 is completely blocked. Methods ApoE −/− /db + /db + double-knockout mice received rosuvastatin (5 mg/kg/day), aspirin (25 mg/kg/day), ticagrelor (300 mg/kg/day), clopidogrel (75 mg/kg/day), or their combination for 14 weeks. Serum 15-epi-lipoxin A 4 levels and aortic wall cholesterol content, IL-1β, IL-6, and TNF-α levels, and plaque area were assessed. Results Aspirin, ticagrelor, and rosuvastatin increased 15-epi-lipoxin A 4 levels. The combination of rosuvastatin + ticagrelor provided an additive effect. Aspirin attenuated the effect of both ticagrelor and rosuvastatin. Aspirin, ticagrelor, and rosuvastatin reduced the area of the atherosclerotic plaque. The combination of ticagrelor + rosuvastatin provided additive effects. There was a negative interaction when aspirin was combined with ticagrelor or rosuvastatin. Aspirin, ticagrelor, and rosuvastatin decreased serum IL-1β and IL-6 levels. There was no interaction between aspirin and ticagrelor or aspirin and rosuvastatin, whereas combining rosuvastatin and ticagrelor provided an additive effect. Aspirin, ticagrelor, and rosuvastatin all decreased TNF-α levels. Aspirin attenuated the effect of both ticagrelor and rosuvastatin, and there was no additive effect of combining ticagrelor + rosuvastatin. Conclusions We found an intricate interaction between aspirin, ticagrelor, and rosuvastatin, as aspirin reduced both ticagrelor and rosuvastatin ability to ameliorate inflammation and atherosclerosis. In contrast, we found additive effects when ticagrelor and rosuvastatin were combined.</description><identifier>ISSN: 0920-3206</identifier><identifier>EISSN: 1573-7241</identifier><identifier>DOI: 10.1007/s10557-017-6763-9</identifier><identifier>PMID: 29185103</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Adenosine - administration & dosage ; Adenosine - analogs & derivatives ; Adenosine - therapeutic use ; Animals ; Aorta ; Apolipoprotein E ; Apolipoproteins E - genetics ; Arteriosclerosis ; Aspirin ; Aspirin - administration & dosage ; Aspirin - therapeutic use ; Atherosclerosis ; Atherosclerosis - immunology ; Atherosclerosis - prevention & control ; Cardiology ; Cholesterol ; Clopidogrel ; Cyclooxygenase-2 ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Experimental - drug therapy ; Diabetes Mellitus, Experimental - immunology ; Disease Progression ; Drug Interactions ; Inflammasomes ; Interleukin 6 ; Lipoxin A4 ; Medicine ; Medicine & Public Health ; Mice ; Mice, Knockout ; Original Article ; Rodents ; Rosuvastatin Calcium - administration & dosage ; Rosuvastatin Calcium - therapeutic use ; Statins ; Tumor necrosis factor-α]]></subject><ispartof>Cardiovascular drugs and therapy, 2017-12, Vol.31 (5-6), p.489-500</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2017</rights><rights>Cardiovascular Drugs and Therapy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-fe5a2d3cbb268d7e572c65e6c2ed0cb9bea48ccf06f8f4a7719769f5aff41a873</citedby><cites>FETCH-LOGICAL-c438t-fe5a2d3cbb268d7e572c65e6c2ed0cb9bea48ccf06f8f4a7719769f5aff41a873</cites><orcidid>0000-0001-7653-6328</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10557-017-6763-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10557-017-6763-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29185103$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ye, Yumei</creatorcontrib><creatorcontrib>Nylander, Sven</creatorcontrib><creatorcontrib>Birnbaum, Yochai</creatorcontrib><title>Unraveling the Interaction of Aspirin, Ticagrelor, and Rosuvastatin on the Progression of Atherosclerosis and Inflammation in Diabetic Mice</title><title>Cardiovascular drugs and therapy</title><addtitle>Cardiovasc Drugs Ther</addtitle><addtitle>Cardiovasc Drugs Ther</addtitle><description>Purpose We explored the effects of rosuvastatin, aspirin, ticagrelor, and clopidogrel, alone or in combinations on the progression of atherosclerosis and inflammasome activation in diabetic mice. Statins and ticagrelor increase the production of 15-epi-lipoxin A 4 via cyclooxygenase-2. Aspirin alone increases 15-epi-lipoxin A 4 , but when combined with statins, cyclooxygenase-2 is completely blocked. Methods ApoE −/− /db + /db + double-knockout mice received rosuvastatin (5 mg/kg/day), aspirin (25 mg/kg/day), ticagrelor (300 mg/kg/day), clopidogrel (75 mg/kg/day), or their combination for 14 weeks. Serum 15-epi-lipoxin A 4 levels and aortic wall cholesterol content, IL-1β, IL-6, and TNF-α levels, and plaque area were assessed. Results Aspirin, ticagrelor, and rosuvastatin increased 15-epi-lipoxin A 4 levels. The combination of rosuvastatin + ticagrelor provided an additive effect. Aspirin attenuated the effect of both ticagrelor and rosuvastatin. Aspirin, ticagrelor, and rosuvastatin reduced the area of the atherosclerotic plaque. The combination of ticagrelor + rosuvastatin provided additive effects. There was a negative interaction when aspirin was combined with ticagrelor or rosuvastatin. Aspirin, ticagrelor, and rosuvastatin decreased serum IL-1β and IL-6 levels. There was no interaction between aspirin and ticagrelor or aspirin and rosuvastatin, whereas combining rosuvastatin and ticagrelor provided an additive effect. Aspirin, ticagrelor, and rosuvastatin all decreased TNF-α levels. Aspirin attenuated the effect of both ticagrelor and rosuvastatin, and there was no additive effect of combining ticagrelor + rosuvastatin. Conclusions We found an intricate interaction between aspirin, ticagrelor, and rosuvastatin, as aspirin reduced both ticagrelor and rosuvastatin ability to ameliorate inflammation and atherosclerosis. In contrast, we found additive effects when ticagrelor and rosuvastatin were combined.</description><subject>Adenosine - administration &amp; dosage</subject><subject>Adenosine - analogs &amp; derivatives</subject><subject>Adenosine - therapeutic use</subject><subject>Animals</subject><subject>Aorta</subject><subject>Apolipoprotein E</subject><subject>Apolipoproteins E - genetics</subject><subject>Arteriosclerosis</subject><subject>Aspirin</subject><subject>Aspirin - administration &amp; dosage</subject><subject>Aspirin - therapeutic use</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - immunology</subject><subject>Atherosclerosis - prevention &amp; control</subject><subject>Cardiology</subject><subject>Cholesterol</subject><subject>Clopidogrel</subject><subject>Cyclooxygenase-2</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Experimental - drug therapy</subject><subject>Diabetes Mellitus, Experimental - immunology</subject><subject>Disease Progression</subject><subject>Drug Interactions</subject><subject>Inflammasomes</subject><subject>Interleukin 6</subject><subject>Lipoxin A4</subject><subject>Medicine</subject><subject>Medicine &amp; 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Nylander, Sven ; Birnbaum, Yochai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-fe5a2d3cbb268d7e572c65e6c2ed0cb9bea48ccf06f8f4a7719769f5aff41a873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adenosine - administration &amp; dosage</topic><topic>Adenosine - analogs &amp; derivatives</topic><topic>Adenosine - therapeutic use</topic><topic>Animals</topic><topic>Aorta</topic><topic>Apolipoprotein E</topic><topic>Apolipoproteins E - genetics</topic><topic>Arteriosclerosis</topic><topic>Aspirin</topic><topic>Aspirin - administration &amp; dosage</topic><topic>Aspirin - therapeutic use</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis - immunology</topic><topic>Atherosclerosis - prevention &amp; control</topic><topic>Cardiology</topic><topic>Cholesterol</topic><topic>Clopidogrel</topic><topic>Cyclooxygenase-2</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Experimental - drug therapy</topic><topic>Diabetes Mellitus, Experimental - immunology</topic><topic>Disease Progression</topic><topic>Drug Interactions</topic><topic>Inflammasomes</topic><topic>Interleukin 6</topic><topic>Lipoxin A4</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mice</topic><topic>Mice, Knockout</topic><topic>Original Article</topic><topic>Rodents</topic><topic>Rosuvastatin Calcium - administration &amp; dosage</topic><topic>Rosuvastatin Calcium - therapeutic use</topic><topic>Statins</topic><topic>Tumor necrosis factor-α</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, Yumei</creatorcontrib><creatorcontrib>Nylander, Sven</creatorcontrib><creatorcontrib>Birnbaum, Yochai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health &amp; Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health &amp; Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular drugs and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, Yumei</au><au>Nylander, Sven</au><au>Birnbaum, Yochai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unraveling the Interaction of Aspirin, Ticagrelor, and Rosuvastatin on the Progression of Atherosclerosis and Inflammation in Diabetic Mice</atitle><jtitle>Cardiovascular drugs and therapy</jtitle><stitle>Cardiovasc Drugs Ther</stitle><addtitle>Cardiovasc Drugs Ther</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>31</volume><issue>5-6</issue><spage>489</spage><epage>500</epage><pages>489-500</pages><issn>0920-3206</issn><eissn>1573-7241</eissn><abstract>Purpose We explored the effects of rosuvastatin, aspirin, ticagrelor, and clopidogrel, alone or in combinations on the progression of atherosclerosis and inflammasome activation in diabetic mice. Statins and ticagrelor increase the production of 15-epi-lipoxin A 4 via cyclooxygenase-2. Aspirin alone increases 15-epi-lipoxin A 4 , but when combined with statins, cyclooxygenase-2 is completely blocked. Methods ApoE −/− /db + /db + double-knockout mice received rosuvastatin (5 mg/kg/day), aspirin (25 mg/kg/day), ticagrelor (300 mg/kg/day), clopidogrel (75 mg/kg/day), or their combination for 14 weeks. Serum 15-epi-lipoxin A 4 levels and aortic wall cholesterol content, IL-1β, IL-6, and TNF-α levels, and plaque area were assessed. Results Aspirin, ticagrelor, and rosuvastatin increased 15-epi-lipoxin A 4 levels. The combination of rosuvastatin + ticagrelor provided an additive effect. Aspirin attenuated the effect of both ticagrelor and rosuvastatin. Aspirin, ticagrelor, and rosuvastatin reduced the area of the atherosclerotic plaque. The combination of ticagrelor + rosuvastatin provided additive effects. There was a negative interaction when aspirin was combined with ticagrelor or rosuvastatin. Aspirin, ticagrelor, and rosuvastatin decreased serum IL-1β and IL-6 levels. There was no interaction between aspirin and ticagrelor or aspirin and rosuvastatin, whereas combining rosuvastatin and ticagrelor provided an additive effect. Aspirin, ticagrelor, and rosuvastatin all decreased TNF-α levels. Aspirin attenuated the effect of both ticagrelor and rosuvastatin, and there was no additive effect of combining ticagrelor + rosuvastatin. Conclusions We found an intricate interaction between aspirin, ticagrelor, and rosuvastatin, as aspirin reduced both ticagrelor and rosuvastatin ability to ameliorate inflammation and atherosclerosis. In contrast, we found additive effects when ticagrelor and rosuvastatin were combined.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29185103</pmid><doi>10.1007/s10557-017-6763-9</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7653-6328</orcidid></addata></record>
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subjects Adenosine - administration & dosage
Adenosine - analogs & derivatives
Adenosine - therapeutic use
Animals
Aorta
Apolipoprotein E
Apolipoproteins E - genetics
Arteriosclerosis
Aspirin
Aspirin - administration & dosage
Aspirin - therapeutic use
Atherosclerosis
Atherosclerosis - immunology
Atherosclerosis - prevention & control
Cardiology
Cholesterol
Clopidogrel
Cyclooxygenase-2
Diabetes
Diabetes mellitus
Diabetes Mellitus, Experimental - drug therapy
Diabetes Mellitus, Experimental - immunology
Disease Progression
Drug Interactions
Inflammasomes
Interleukin 6
Lipoxin A4
Medicine
Medicine & Public Health
Mice
Mice, Knockout
Original Article
Rodents
Rosuvastatin Calcium - administration & dosage
Rosuvastatin Calcium - therapeutic use
Statins
Tumor necrosis factor-α
title Unraveling the Interaction of Aspirin, Ticagrelor, and Rosuvastatin on the Progression of Atherosclerosis and Inflammation in Diabetic Mice
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