Effects of atorvastatin on endothelial function and the expression of proinflammatory cytokines and adhesion molecules in young subjects with successfully repaired coarctation of aorta

ObjectiveTo investigate the effects of atorvastatin on endothelial function and low-grade systemic inflammation in subjects with successful surgery for aortic coarctation repair (SCR).DesignOpen-label study.SettingOutpatients visiting the adult congenital heart disease department of our hospital.Pat...

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Veröffentlicht in:Heart (British Cardiac Society) 2012-02, Vol.98 (4), p.325-329
Hauptverfasser: Brili, S, Tousoulis, D, Antonopoulos, A S, Antoniades, C, Hatzis, G, Bakogiannis, C, Papageorgiou, N, Stefanadis, C
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container_end_page 329
container_issue 4
container_start_page 325
container_title Heart (British Cardiac Society)
container_volume 98
creator Brili, S
Tousoulis, D
Antonopoulos, A S
Antoniades, C
Hatzis, G
Bakogiannis, C
Papageorgiou, N
Stefanadis, C
description ObjectiveTo investigate the effects of atorvastatin on endothelial function and low-grade systemic inflammation in subjects with successful surgery for aortic coarctation repair (SCR).DesignOpen-label study.SettingOutpatients visiting the adult congenital heart disease department of our hospital.Patients34 young people with SCR.InterventionsPatients with SCR received atorvastatin 10 mg/day (n=17) or no treatment (n=17) for 4 weeks. At baseline and at 4 weeks, endothelial function was assessed by flow-mediated dilatation (FMD) of the right brachial artery, and blood samples were obtained. Serum levels of interleukin (IL) 1b, IL-6 and soluble vascular cell adhesion molecule-1 (sVCAM-1) were determined by ELISA.Main outcome measuresEffects of treatment on FMD and serum levels of IL-1b, IL-6 and sVCAM-1.ResultsFMD in the atorvastatin group was significantly improved after 4 weeks (from 6.46±0.95% to 11.24±1.38%, p
doi_str_mv 10.1136/heartjnl-2011-300287
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At baseline and at 4 weeks, endothelial function was assessed by flow-mediated dilatation (FMD) of the right brachial artery, and blood samples were obtained. Serum levels of interleukin (IL) 1b, IL-6 and soluble vascular cell adhesion molecule-1 (sVCAM-1) were determined by ELISA.Main outcome measuresEffects of treatment on FMD and serum levels of IL-1b, IL-6 and sVCAM-1.ResultsFMD in the atorvastatin group was significantly improved after 4 weeks (from 6.46±0.95% to 11.24±1.38%, p&lt;0.01), while remaining unchanged in the control group (from 6.74±0.58% to 6.95±0.53%, p=NS). Even though atorvastatin had no effect on serum IL-6 levels (0.62 (0.37–0.88) pg/ml to 0.53 (0.28–0.73) pg/ml, p=NS), it significantly reduced circulating levels of IL-1b (from 1.17 (0.92–1.77) pg/ml to 1.02 (0.75–1.55) pg/ml, p&lt;0.05) and sVCAM-1 (from 883.4 (660.3–1093.1) ng/ml to 801.4 (566.7–1030.2) ng/ml, p&lt;0.05). No changes were seen in serum levels of IL-6, IL-1b and sVCAM-1 in the control group after 4 weeks compared with baseline (p=NS for all).ConclusionsAtorvastatin treatment for 4 weeks in subjects with SCR significantly improved endothelial function and suppressed systemic inflammatory status by decreasing circulating levels of IL-1b and sVCAM-1.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/heartjnl-2011-300287</identifier><identifier>PMID: 22076019</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>acute ischaemic syndromes ; Adult ; Aortic Coarctation - blood ; Aortic Coarctation - drug therapy ; Aortic Coarctation - physiopathology ; atherosclerosis ; Atorvastatin Calcium ; Biological and medical sciences ; Biomarkers - blood ; Cardiology. Vascular system ; Cell Adhesion Molecules - biosynthesis ; Cell Adhesion Molecules - drug effects ; Coarctation ; congenital heart disease ; coronary artery disease ; coronary physiology ; Cytokines - biosynthesis ; Cytokines - drug effects ; Disease Progression ; EBM ; endothelial function ; endothelium ; Endothelium, Vascular - drug effects ; Endothelium, Vascular - physiopathology ; Female ; Follow-Up Studies ; Heart attacks ; Heptanoic Acids - administration &amp; dosage ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration &amp; dosage ; inflammation ; interventional cardiology ; Male ; Medical sciences ; Nitric oxide ; oxidative stress ; pharmacology ; platelet activation ; Postoperative Period ; Prognosis ; Prospective Studies ; Pyrroles - administration &amp; dosage ; renal disease ; stable angina ; Statins ; Studies ; Time Factors ; valvular disease ; valvuloplasty ; Vascular Surgical Procedures</subject><ispartof>Heart (British Cardiac Society), 2012-02, Vol.98 (4), p.325-329</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b442t-1bd32c31b1b598e51c0e1fade583ba0b0342879e13b7c766c589913f44403e743</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://heart.bmj.com/content/98/4/325.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://heart.bmj.com/content/98/4/325.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25433883$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22076019$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brili, S</creatorcontrib><creatorcontrib>Tousoulis, D</creatorcontrib><creatorcontrib>Antonopoulos, A S</creatorcontrib><creatorcontrib>Antoniades, C</creatorcontrib><creatorcontrib>Hatzis, G</creatorcontrib><creatorcontrib>Bakogiannis, C</creatorcontrib><creatorcontrib>Papageorgiou, N</creatorcontrib><creatorcontrib>Stefanadis, C</creatorcontrib><title>Effects of atorvastatin on endothelial function and the expression of proinflammatory cytokines and adhesion molecules in young subjects with successfully repaired coarctation of aorta</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>ObjectiveTo investigate the effects of atorvastatin on endothelial function and low-grade systemic inflammation in subjects with successful surgery for aortic coarctation repair (SCR).DesignOpen-label study.SettingOutpatients visiting the adult congenital heart disease department of our hospital.Patients34 young people with SCR.InterventionsPatients with SCR received atorvastatin 10 mg/day (n=17) or no treatment (n=17) for 4 weeks. At baseline and at 4 weeks, endothelial function was assessed by flow-mediated dilatation (FMD) of the right brachial artery, and blood samples were obtained. Serum levels of interleukin (IL) 1b, IL-6 and soluble vascular cell adhesion molecule-1 (sVCAM-1) were determined by ELISA.Main outcome measuresEffects of treatment on FMD and serum levels of IL-1b, IL-6 and sVCAM-1.ResultsFMD in the atorvastatin group was significantly improved after 4 weeks (from 6.46±0.95% to 11.24±1.38%, p&lt;0.01), while remaining unchanged in the control group (from 6.74±0.58% to 6.95±0.53%, p=NS). Even though atorvastatin had no effect on serum IL-6 levels (0.62 (0.37–0.88) pg/ml to 0.53 (0.28–0.73) pg/ml, p=NS), it significantly reduced circulating levels of IL-1b (from 1.17 (0.92–1.77) pg/ml to 1.02 (0.75–1.55) pg/ml, p&lt;0.05) and sVCAM-1 (from 883.4 (660.3–1093.1) ng/ml to 801.4 (566.7–1030.2) ng/ml, p&lt;0.05). No changes were seen in serum levels of IL-6, IL-1b and sVCAM-1 in the control group after 4 weeks compared with baseline (p=NS for all).ConclusionsAtorvastatin treatment for 4 weeks in subjects with SCR significantly improved endothelial function and suppressed systemic inflammatory status by decreasing circulating levels of IL-1b and sVCAM-1.</description><subject>acute ischaemic syndromes</subject><subject>Adult</subject><subject>Aortic Coarctation - blood</subject><subject>Aortic Coarctation - drug therapy</subject><subject>Aortic Coarctation - physiopathology</subject><subject>atherosclerosis</subject><subject>Atorvastatin Calcium</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Cardiology. Vascular system</subject><subject>Cell Adhesion Molecules - biosynthesis</subject><subject>Cell Adhesion Molecules - drug effects</subject><subject>Coarctation</subject><subject>congenital heart disease</subject><subject>coronary artery disease</subject><subject>coronary physiology</subject><subject>Cytokines - biosynthesis</subject><subject>Cytokines - drug effects</subject><subject>Disease Progression</subject><subject>EBM</subject><subject>endothelial function</subject><subject>endothelium</subject><subject>Endothelium, Vascular - drug effects</subject><subject>Endothelium, Vascular - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart attacks</subject><subject>Heptanoic Acids - administration &amp; dosage</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration &amp; dosage</subject><subject>inflammation</subject><subject>interventional cardiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nitric oxide</subject><subject>oxidative stress</subject><subject>pharmacology</subject><subject>platelet activation</subject><subject>Postoperative Period</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Pyrroles - administration &amp; dosage</subject><subject>renal disease</subject><subject>stable angina</subject><subject>Statins</subject><subject>Studies</subject><subject>Time Factors</subject><subject>valvular disease</subject><subject>valvuloplasty</subject><subject>Vascular Surgical Procedures</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkd-O1CAUxhujcdfVNzCGxBiv6kKhpb10J-ufuFljXI13hNKDwyyFEajuvJmPJ53OrolXXgEfv_OdA19RPCX4FSG0OV2DDGnjbFlhQkqKcdXye8UxYU07S9_u5z2t67LBlB8Vj2LcYIxZ1zYPi6OqwrzBpDsufp9rDSpF5DWSyYefMiaZjEPeIXCDT2uwRlqkJ6eSyaJ0A8oigpttgBhnKZdugzdOWzmOs8kOqV3y18ZB3PNyWMOeHL0FNdks5w47P7nvKE79Zj_AL5PW-aRUdtWTtTsUYCtNgAEpL4Oax1qaSR-SfFw80NJGeHJYT4ovb86vVu_Ki49v369eX5Q9Y1UqST_QSlHSk77uWqiJwkC0HKBuaS9xjynL_9YBoT1XvGlU3XYdoZoxhilwRk-Kl4tvfuKPCWISo4kKrJUO_BRFR3jNeUdn8vk_5MZPweXhBOEt5qQlFc0UWygVfIwBtNgGM8qwEwSLOVhxG6yYgxVLsLns2cF86kcY7opuk8zAiwMgo5JWB-mUiX-5mlHatnP_cuFMTHBzdy_DtWg45bW4_LoSn7r6w9XZ50ZcZv504ftx83-j_gGWldEC</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Brili, S</creator><creator>Tousoulis, D</creator><creator>Antonopoulos, A S</creator><creator>Antoniades, C</creator><creator>Hatzis, G</creator><creator>Bakogiannis, C</creator><creator>Papageorgiou, N</creator><creator>Stefanadis, C</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Effects of atorvastatin on endothelial function and the expression of proinflammatory cytokines and adhesion molecules in young subjects with successfully repaired coarctation of aorta</title><author>Brili, S ; Tousoulis, D ; Antonopoulos, A S ; Antoniades, C ; Hatzis, G ; Bakogiannis, C ; Papageorgiou, N ; Stefanadis, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b442t-1bd32c31b1b598e51c0e1fade583ba0b0342879e13b7c766c589913f44403e743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>acute ischaemic syndromes</topic><topic>Adult</topic><topic>Aortic Coarctation - blood</topic><topic>Aortic Coarctation - drug therapy</topic><topic>Aortic Coarctation - physiopathology</topic><topic>atherosclerosis</topic><topic>Atorvastatin Calcium</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Cardiology. Vascular system</topic><topic>Cell Adhesion Molecules - biosynthesis</topic><topic>Cell Adhesion Molecules - drug effects</topic><topic>Coarctation</topic><topic>congenital heart disease</topic><topic>coronary artery disease</topic><topic>coronary physiology</topic><topic>Cytokines - biosynthesis</topic><topic>Cytokines - drug effects</topic><topic>Disease Progression</topic><topic>EBM</topic><topic>endothelial function</topic><topic>endothelium</topic><topic>Endothelium, Vascular - drug effects</topic><topic>Endothelium, Vascular - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart attacks</topic><topic>Heptanoic Acids - administration &amp; dosage</topic><topic>Humans</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration &amp; dosage</topic><topic>inflammation</topic><topic>interventional cardiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nitric oxide</topic><topic>oxidative stress</topic><topic>pharmacology</topic><topic>platelet activation</topic><topic>Postoperative Period</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Pyrroles - administration &amp; dosage</topic><topic>renal disease</topic><topic>stable angina</topic><topic>Statins</topic><topic>Studies</topic><topic>Time Factors</topic><topic>valvular disease</topic><topic>valvuloplasty</topic><topic>Vascular Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brili, S</creatorcontrib><creatorcontrib>Tousoulis, D</creatorcontrib><creatorcontrib>Antonopoulos, A S</creatorcontrib><creatorcontrib>Antoniades, C</creatorcontrib><creatorcontrib>Hatzis, G</creatorcontrib><creatorcontrib>Bakogiannis, C</creatorcontrib><creatorcontrib>Papageorgiou, N</creatorcontrib><creatorcontrib>Stefanadis, C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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; 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At baseline and at 4 weeks, endothelial function was assessed by flow-mediated dilatation (FMD) of the right brachial artery, and blood samples were obtained. Serum levels of interleukin (IL) 1b, IL-6 and soluble vascular cell adhesion molecule-1 (sVCAM-1) were determined by ELISA.Main outcome measuresEffects of treatment on FMD and serum levels of IL-1b, IL-6 and sVCAM-1.ResultsFMD in the atorvastatin group was significantly improved after 4 weeks (from 6.46±0.95% to 11.24±1.38%, p&lt;0.01), while remaining unchanged in the control group (from 6.74±0.58% to 6.95±0.53%, p=NS). Even though atorvastatin had no effect on serum IL-6 levels (0.62 (0.37–0.88) pg/ml to 0.53 (0.28–0.73) pg/ml, p=NS), it significantly reduced circulating levels of IL-1b (from 1.17 (0.92–1.77) pg/ml to 1.02 (0.75–1.55) pg/ml, p&lt;0.05) and sVCAM-1 (from 883.4 (660.3–1093.1) ng/ml to 801.4 (566.7–1030.2) ng/ml, p&lt;0.05). No changes were seen in serum levels of IL-6, IL-1b and sVCAM-1 in the control group after 4 weeks compared with baseline (p=NS for all).ConclusionsAtorvastatin treatment for 4 weeks in subjects with SCR significantly improved endothelial function and suppressed systemic inflammatory status by decreasing circulating levels of IL-1b and sVCAM-1.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>22076019</pmid><doi>10.1136/heartjnl-2011-300287</doi><tpages>5</tpages></addata></record>
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issn 1355-6037
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source MEDLINE; BMJ Journals - NESLi2; PubMed Central
subjects acute ischaemic syndromes
Adult
Aortic Coarctation - blood
Aortic Coarctation - drug therapy
Aortic Coarctation - physiopathology
atherosclerosis
Atorvastatin Calcium
Biological and medical sciences
Biomarkers - blood
Cardiology. Vascular system
Cell Adhesion Molecules - biosynthesis
Cell Adhesion Molecules - drug effects
Coarctation
congenital heart disease
coronary artery disease
coronary physiology
Cytokines - biosynthesis
Cytokines - drug effects
Disease Progression
EBM
endothelial function
endothelium
Endothelium, Vascular - drug effects
Endothelium, Vascular - physiopathology
Female
Follow-Up Studies
Heart attacks
Heptanoic Acids - administration & dosage
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage
inflammation
interventional cardiology
Male
Medical sciences
Nitric oxide
oxidative stress
pharmacology
platelet activation
Postoperative Period
Prognosis
Prospective Studies
Pyrroles - administration & dosage
renal disease
stable angina
Statins
Studies
Time Factors
valvular disease
valvuloplasty
Vascular Surgical Procedures
title Effects of atorvastatin on endothelial function and the expression of proinflammatory cytokines and adhesion molecules in young subjects with successfully repaired coarctation of aorta
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