Statin-induced immunomodulatory effects on human T cells in vivo.

Abstract:

:Statins are widely used for treatment of hypercholesterolemia. Recent experimental studies revealed that these drugs also exert anti-inflammatory effects. The aim of this study was to assess immunomodulatory effects of statins in humans in vivo. Twenty-seven healthy volunteers were analyzed for serum cytokines and acute phase proteins, HLA-DR and CD38 expression on T cells and superantigen-mediated T cell activation ex vivo before and after 14 days of statin treatment. First, simvastatin 40 mg was compared to atorvastatin 20 mg. Second, two different doses of simvastatin (20 and 40 mg) were tested. Atorvastatin treatment led to a significant down-regulation of HLA-DR and the CD38 activation marker on peripheral T cells, whereas simvastatin up-regulated both of these molecules. In contrast, superantigen-mediated T cell activation was inhibited by simvastatin and enhanced by atorvastatin. No significant effect of statin treatment on inflammatory serum markers was detected. Thus, immunomodulatory effects of statins on human T cells are first demonstrated in vivo and are differentially induced by two different statins: atorvastatin led to a major histocompatibility class II (MHC II) antigens down-regulation and may therefore be investigated for treatment of chronic transplant rejection; simvastatin inhibited superantigen-mediated T cell activation, which might explain reduced mortality of simvastatin-treated patients with staphylococcal bacteremia.

journal_name

Atherosclerosis

journal_title

Atherosclerosis

authors

Fehr T,Kahlert C,Fierz W,Joller-Jemelka HI,Riesen WF,Rickli H,Wüthrich RP,Ammann P

doi

10.1016/j.atherosclerosis.2004.02.016

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

83-90

issue

1

eissn

0021-9150

issn

1879-1484

pii

S0021-9150(04)00140-6

journal_volume

175

pub_type

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