PMID- 15772519 OWN - NLM STAT- MEDLINE DCOM- 20050715 LR - 20190724 IS - 0160-2446 (Print) IS - 0160-2446 (Linking) VI - 45 IP - 4 DP - 2005 Apr TI - Effect of monthly atorvastatin and fenofibrate treatment on monocyte chemoattractant protein-1 release in patients with primary mixed dyslipidemia. PG - 314-20 AB - The aim of this study was to compare the effect of 30-day treatment with atorvastatin and fenofibrate on monocyte release and plasma levels of monocyte chemoattractant protein-1 (MCP-1). We studied 52 atherosclerotic patients with primary mixed dyslipidemia and 16 age-, sex-, and weight-matched control subjects with asymptomatic atherosclerosis. Dyslipidemic patients enrolled into the study were randomly divided into three groups, simultaneously treated with atorvastatin (20 mg/d, n = 18), fenofibrate (267 mg/d, n = 16), or placebo (n = 18). Plasma lipid-profile and content of MCP-1, and monocyte release of this chemokine were measured at baseline and after 30 days of therapy. Compared with the control subjects, dyslipidemic patients exhibited the increased plasma levels and monocyte MCP-1 release. Atorvastatin and fenofibrate not only improved lipid profile but also decreased monocyte secretion of this chemokine. Moreover, hypolipemic agents slightly reduced its plasma levels. MCP-1-lowering effect of atorvastatin and fenofibrate did not correlate with the lipid-lowering potential of these agents. Our results suggest that atorvastatin and fenofibrate produce their antiinflammatory effect partially via inhibiting monocyte release of MCP-1. The treatment-induced reduction in its secretion may contribute to the clinical effectiveness of statins and fibrates in the therapy for atherosclerosis and other chronic fibroproliferative diseases. FAU - Okopien, Boguslaw AU - Okopien B AD - Department of Clinical Pharmacology, Medical University of Silesia, Katowice, Poland. FAU - Krysiak, Robert AU - Krysiak R FAU - Haberka, Maciej AU - Haberka M FAU - Herman, Zbigniew S AU - Herman ZS LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (Chemokine CCL2) RN - 0 (Heptanoic Acids) RN - 0 (Pyrroles) RN - A0JWA85V8F (Atorvastatin) RN - U202363UOS (Fenofibrate) SB - IM MH - Adult MH - Analysis of Variance MH - Atorvastatin MH - Chemokine CCL2/*metabolism MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Fenofibrate/*administration & dosage MH - Heptanoic Acids/*administration & dosage MH - Humans MH - Hyperlipidemias/blood/*drug therapy MH - Male MH - Middle Aged MH - Pyrroles/*administration & dosage MH - Statistics, Nonparametric EDAT- 2005/03/18 09:00 MHDA- 2005/07/16 09:00 CRDT- 2005/03/18 09:00 PHST- 2005/03/18 09:00 [pubmed] PHST- 2005/07/16 09:00 [medline] PHST- 2005/03/18 09:00 [entrez] AID - 00005344-200504000-00007 [pii] AID - 10.1097/01.fjc.0000156821.50457.32 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 2005 Apr;45(4):314-20. doi: 10.1097/01.fjc.0000156821.50457.32.