PMID- 16113589 OWN - NLM STAT- MEDLINE DCOM- 20060524 LR - 20170118 IS - 1660-2137 (Electronic) IS - 1660-2137 (Linking) VI - 101 IP - 4 DP - 2005 TI - Statin monotherapy attenuates renal injury in a salt-sensitive hypertension model of renal disease. PG - p82-91 AB - BACKGROUND: Several salutary biological effects of statins have been described. We sought to investigate more closely the anti-inflammatory and antiproliferative effects of simvastatin (SIMV) in a model of hypertension and progressive renal disease, as well as its effects on the cyclin-cdk inhibitors p21 and p27. METHODS: Munich-Wistar rats received the nitric oxide (NO) synthase inhibitor L-NAME (25 mg/kg/day p.o.) for 20 days accompanied by a high-salt diet (HS, 3% Na) and then were kept on HS for 60 days. Animals were then divided into two groups: vehicle (VH) or SIMV 2 mg/kg/day p.o. Albuminuria and tail-cuff pressure were determined at 30 and 60 days. RT-PCR was done to assess renal expression of TGF-beta1, collagen I and III, fibronectin, p27, p21 and monocyte chemoattractant protein-1 (MCP-1). Renal protein expression was assessed by Western blot (proliferating cell nuclear antigen (PCNA)) and immunostaining (macrophage, lymphocyte, PCNA). RESULTS: SIMV did not prevent the development of severe hypertension or albuminuria. SIMV-treated animals had less severe renal interstitial inflammation and cell proliferation. MCP-1 expression was significantly diminished in the SIMV-treated animals (55.4 +/- 7.3 vs. 84.4 +/- 8.2 OD, p = 0.02). mRNA renal expression for p27 and TGF-beta did not change between groups, but p21 mRNA renal expression, highly induced in this model, significantly decreased with SIMV treatment (31.6 +/- 6.6 vs. 50.2 +/- 5.8 OD, p < 0.05). The interstitial fibrosis score significantly decreased with SIMV (2.46 +/- 0.40 vs. 4.07 +/- 0.38%, p < 0.01), which was confirmed by a decrease in renal collagen I and fibronectin expression. Serum cholesterol level did not change with SIMV. CONCLUSION: SIMV attenuated interstitial fibrosis associated with this model of hypertensive renal disease. The mechanism involved MCP-1 downregulation. SIMV treatment was also associated with a p21 downregulation in the kidney, which might be involved in the protection of renal scarring. CI - Copyright 2005 S. Karger AG, Basel. FAU - Vieira, J M Jr AU - Vieira JM Jr AD - Internal Medicine, Renal Division, University of Sao Paulo, Sao Paulo, Brazil. josemvjr@usp.br FAU - Rodrigues, L T AU - Rodrigues LT FAU - Mantovani, E AU - Mantovani E FAU - Delle, H AU - Delle H FAU - Mattar, A L AU - Mattar AL FAU - Malheiros, D M A C AU - Malheiros DM FAU - Noronha, I L AU - Noronha IL FAU - Fujihara, C K AU - Fujihara CK FAU - Zatz, R AU - Zatz R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050819 PL - Switzerland TA - Nephron Physiol JT - Nephron. Physiology JID - 101159772 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Cyclin-Dependent Kinase Inhibitor p21) RN - 0 (Enzyme Inhibitors) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta) RN - 147604-94-2 (Cyclin-Dependent Kinase Inhibitor p27) RN - 451W47IQ8X (Sodium Chloride) RN - AGG2FN16EV (Simvastatin) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - V55S2QJN2X (NG-Nitroarginine Methyl Ester) SB - IM MH - Albuminuria/immunology/pathology MH - Animals MH - Cell Division MH - Chemokine CCL2/genetics/metabolism MH - Cyclin-Dependent Kinase Inhibitor p21/metabolism MH - Cyclin-Dependent Kinase Inhibitor p27/metabolism MH - Disease Models, Animal MH - Enzyme Inhibitors/pharmacology MH - Extracellular Matrix/physiology MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*pharmacology MH - Hypertension, Renal/*drug therapy/immunology/*pathology MH - Lymphocytes/metabolism/pathology MH - Macrophages/metabolism/pathology MH - Male MH - NG-Nitroarginine Methyl Ester/pharmacology MH - Nitric Oxide Synthase/antagonists & inhibitors MH - RNA, Messenger/analysis MH - Rats MH - Rats, Wistar MH - Simvastatin/*pharmacology MH - Sodium Chloride/pharmacology MH - Transforming Growth Factor beta/genetics EDAT- 2005/08/23 09:00 MHDA- 2006/05/25 09:00 CRDT- 2005/08/23 09:00 PHST- 2004/09/30 00:00 [received] PHST- 2005/05/06 00:00 [accepted] PHST- 2005/08/23 09:00 [pubmed] PHST- 2006/05/25 09:00 [medline] PHST- 2005/08/23 09:00 [entrez] AID - 87576 [pii] AID - 10.1159/000087576 [doi] PST - ppublish SO - Nephron Physiol. 2005;101(4):p82-91. doi: 10.1159/000087576. Epub 2005 Aug 19.