Atorvastatin upregulates regulatory T cells and reduces clinical disease activity in patients with rheumatoid arthritis.

Abstract:

:In this study, we investigated the hypothesis that regulatory T cells (T(reg)) are involved in the immunomodulatory effects of statins on rheumatoid arthritis (RA) patients. The 12-week study cohort consisted of 55 RA patients and 42 control subjects allocated to either a group treated with atorvastatin (AT) (20 mg/day) or a non-AT group. T(reg) numbers, suppressive function, serum inflammatory markers, and disease activity were evaluated before and after the therapy. Furthermore, the effects of AT on the frequency and suppressive function of T(reg) were determined in vitro. Our data revealed that the suppressive function of T(reg) from RA patients significantly decreased compared with that of control subjects. AT significantly reduced erythrosedimentation, C-reactive protein, and disease activity. Concomitantly, T(reg) numbers and suppressive functions were significantly improved by AT. Consistent with the in vivo experiments, AT promoted the generation of T(reg) from primary T cells and enhanced preexisting T(reg) function in vitro. Moreover, we showed that PI3K-Akt-mTOR and ERK signal pathways were involved in the induction of T(reg) by AT. In conclusion, AT significantly increased T(reg) numbers and restored their suppressive function in the RA patients, and this may be relevant in the modulation of uncontrolled inflammation in this disorder.

journal_name

J Lipid Res

authors

Tang TT,Song Y,Ding YJ,Liao YH,Yu X,Du R,Xiao H,Yuan J,Zhou ZH,Liao MY,Yao R,Jevallee H,Shi GP,Cheng X

doi

10.1194/jlr.M010876

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1023-32

issue

5

eissn

0022-2275

issn

1539-7262

pii

jlr.M010876

journal_volume

52

pub_type

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