PMID- 16250265 OWN - NLM STAT- MEDLINE DCOM- 20060120 LR - 20220223 IS - 0160-9289 (Print) IS - 1932-8737 (Electronic) IS - 0160-9289 (Linking) VI - 28 IP - 9 DP - 2005 Sep TI - Effects of fluvastatin, an HMG-CoA reductase inhibitor, on serum levels of interleukin-18 and matrix metalloproteinase-9 in patients with hypercholesterolemia. PG - 423-8 AB - BACKGROUND: Interleukin-18 (IL-18), a novel proinflammatory marker, and matrix metalloproteinase-9 (MMP-9) represent the indices of plaque stability. It is unknown whether hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins), which provide anti-inflammatory and endothelium protection effects, have the property of stabilizing plaque in patients with hypercholesterolemia. HYPOTHESIS: The study was designed to investigate the influence of statin therapy in circulating IL-18, MMP-9, and endothelial function. METHODS: We investigated the effects of a 12-week therapy with fluvastatin on IL-18, MMP-9, and endothelial function in patients with hypercholesterolemia. RESULTS: Compared with placebo, fluvastatin significantly improved flow-mediated vasodilatation to hyperemia, a hallmark of endothelial function [from 3.8% (-3.9 approximately 15.2) to 5.9% (-0.3 approximately 13.2), p = 0.001], and attenuated plasma levels of high sensitivity C-reactive protein (hsCRP) [from 1.3 (0.3 approximately 7.7) to 1.1 mg/l (0.2 approximately 3.5), p = 0.018], IL-18 [from 247.6 (145.4 approximately 378.4) to 196.4 pg/dl (90.7 approximately 380.2), p <0.001], total MMP-9 (from 58 +/- 46.3 to 39.4 +/- 22.4 ng/dl, p = 0.023), and MMP-9 activity [from 6.4 (3.6 approximately 27) to 5.6 ng/dl (3.1 approximately 13.7)]. However, no significant correlation was found between the degree of changes in lipid profile and flow-mediated dilatation (FMD) and plasma concentration of IL-18 and MMP-9. CONCLUSIONS: Fluvastatin reduced plasma concentrations of IL-18 and MMP-9, and improved endothelial function in patients with hypercholesterolemia independent of its lipid-lowering effect. FAU - Leu, Hsin-Bang AU - Leu HB AD - National Yang-Ming University, School of Medicine. FAU - Chen, Jaw-Wen AU - Chen JW FAU - Wu, Tao-Cheng AU - Wu TC FAU - Ding, Yu-An AU - Ding YA FAU - Lin, Shing-Jong AU - Lin SJ FAU - Charng, Min-Ji AU - Charng MJ LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Clin Cardiol JT - Clinical cardiology JID - 7903272 RN - 0 (Anticholesteremic Agents) RN - 0 (Biomarkers) RN - 0 (Cholesterol, LDL) RN - 0 (Fatty Acids, Monounsaturated) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Indoles) RN - 0 (Interleukin-18) RN - 4L066368AS (Fluvastatin) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Aged MH - Anticholesteremic Agents/*therapeutic use MH - Biomarkers/blood MH - C-Reactive Protein/drug effects/metabolism MH - Cholesterol, LDL/drug effects/metabolism MH - Double-Blind Method MH - Endothelium, Vascular/drug effects/metabolism/physiopathology MH - Fatty Acids, Monounsaturated/*therapeutic use MH - Female MH - Fluvastatin MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*therapeutic use MH - Hypercholesterolemia/*blood/drug therapy MH - Indoles/*therapeutic use MH - Interleukin-18/*blood MH - Male MH - Matrix Metalloproteinase 9/*blood/drug effects MH - Middle Aged MH - Treatment Outcome MH - Vasodilation/drug effects PMC - PMC6654498 EDAT- 2005/10/28 09:00 MHDA- 2006/01/21 09:00 PMCR- 2006/12/05 CRDT- 2005/10/28 09:00 PHST- 2005/10/28 09:00 [pubmed] PHST- 2006/01/21 09:00 [medline] PHST- 2005/10/28 09:00 [entrez] PHST- 2006/12/05 00:00 [pmc-release] AID - CLC4960280907 [pii] AID - 10.1002/clc.4960280907 [doi] PST - ppublish SO - Clin Cardiol. 2005 Sep;28(9):423-8. doi: 10.1002/clc.4960280907.