PMID- 17399814 OWN - NLM STAT- MEDLINE DCOM- 20080313 LR - 20151119 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 124 IP - 2 DP - 2008 Feb 29 TI - Simvastatin exerts its anti-inflammatory effect in hypercholesterolaemic patients by decreasing the serum levels of monocyte chemoattractant protein-1. PG - 271-2 AB - AIM: To assess the effect of simvastatin on serum levels of monocyte chemoattractant protein-1 (MCP-1), interleukin-6, tumor necrosis factor-alpha, macrophage colony stimulating factor, C-reactive protein and serum amyloid A in hypercholesterolaemic patients without coronary heart disease. METHODS: Sixty consecutive hypercholesterolaemic patients were randomly assigned in a 2:1 process to 40 mg of simvastatin daily (n=40) and to hypolipidaemic only diet (n=20) for 3 months. Blood was taken at baseline and at the end of the study and analysed for lipids and inflammatory markers. RESULTS: From the inflammatory markers only MCP-1 was decreased significantly (217.4+/-48 versus 177+/-75 pg/ml, p<0.001) after treatment with simvastatin and this reduction was independent of lipid changes. CONCLUSION: Simvastatin significantly decreases only MCP-1 levels in hypercholesterolaemic patients suggesting that this molecule is probably a sensitive marker to detect the anti-inflammatory effect of simvastatin in blood. FAU - Rallidis, Loukianos S AU - Rallidis LS FAU - Hamodraka, Eftichia S AU - Hamodraka ES FAU - Fountoulaki, Katerina AU - Fountoulaki K FAU - Moustogiannis, Georgios AU - Moustogiannis G FAU - Zolindaki, Maria G AU - Zolindaki MG FAU - Kremastinos, Dimitrios T AU - Kremastinos DT LA - eng PT - Letter PT - Randomized Controlled Trial DEP - 20070330 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 RN - 0 (Amyloid) RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 9007-41-4 (C-Reactive Protein) RN - AGG2FN16EV (Simvastatin) SB - IM MH - Adult MH - Aged MH - Amyloid/blood/drug effects MH - Biomarkers/blood MH - C-Reactive Protein/drug effects/metabolism MH - Cardiovascular Diseases/prevention & control MH - Chemokine CCL2/blood/*drug effects MH - Cytokines/drug effects/metabolism MH - *Diet MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Follow-Up Studies MH - Humans MH - Hypercholesterolemia/blood/diagnosis/*drug therapy MH - Male MH - Middle Aged MH - Probability MH - Reference Values MH - Risk Factors MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Simvastatin/*administration & dosage MH - Treatment Outcome EDAT- 2007/04/03 09:00 MHDA- 2008/03/14 09:00 CRDT- 2007/04/03 09:00 PHST- 2006/11/09 00:00 [received] PHST- 2006/12/31 00:00 [accepted] PHST- 2007/04/03 09:00 [pubmed] PHST- 2008/03/14 09:00 [medline] PHST- 2007/04/03 09:00 [entrez] AID - S0167-5273(07)00373-7 [pii] AID - 10.1016/j.ijcard.2006.12.059 [doi] PST - ppublish SO - Int J Cardiol. 2008 Feb 29;124(2):271-2. doi: 10.1016/j.ijcard.2006.12.059. Epub 2007 Mar 30.