PMID- 18459941 OWN - NLM STAT- MEDLINE DCOM- 20090220 LR - 20181201 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 116 IP - 1 DP - 2009 Jan TI - Atorvastatin enhances interleukin-10 levels and improves cardiac function in rats after acute myocardial infarction. PG - 45-52 LID - 10.1042/CS20080042 [doi] AB - LV (left ventricular) remodelling is the basic mechanism of HF (heart failure) following MI (myocardial infarction). Although there is evidence that pro-inflammatory cytokines [including TNF-alpha (tumour necrosis factor-alpha) and IL-6 (interleukin-6)] are involved in the remodelling process, only little is known about the role of anti-inflammatory cytokines, such as IL-10. As accumulating evidence has revealed that statins possess anti-inflammatory properties, the aim of the present study was to elucidate the effect of atorvastatin on the modulation of the anti-inflammatory cytokine IL-10 and its effect on LV function in rats with HF subsequent to MI. Rats with MI, induced by permanent LAD (left anterior descending) branch coronary artery ligation, were treated for 4 weeks with atorvastatin (10 mg x kg(-1) of body weight x day(-1) via oral gavage) starting on the first day after induction of MI. Cardiac function was assessed by echocardiography and cardiac catheterization 4 weeks after MI induction. Membrane-bound and soluble fractions of TNF-alpha, IL-6 and IL-10 protein, the TNF-alpha/IL-10 ratio, serum levels of MCP-1 (monocyte chemoattractant protein-1) as well as myocardial macrophage infiltration were analysed. Treatment with atorvastatin significantly improved post-MI LV function (fractional shortening, +120%; dP/dt(max), +147%; and LV end-diastolic pressure, -27%). Furthermore atorvastatin treatment markedly decreased the levels of TNF-alpha, IL-6 and MCP-1, reduced myocardial infiltration of macrophages and significantly increased myocardial and serum levels of the anti-inflammatory cytokine IL-10. Thus the balance between pro-inflammatory and anti-inflammatory cytokines was shifted in the anti-inflammatory direction, as shown by a significantly decreased TNF-alpha/IL-10 ratio. Atorvastatin ameliorated early LV remodelling and improved LV function in rats with HF subsequent to MI. Our study suggests that the modulation of the balance between pro- and anti-inflammatory cytokines towards the anti-inflammatory cytokine IL-10 is one salutary mechanism underlying how atorvastatin influences post-MI remodelling and thus improves LV function. FAU - Stumpf, Christian AU - Stumpf C AD - Department of Cardiology, University of Erlangen-Nuremberg, Ulmenweg 18, 91054 Erlangen, Germany. ch.stumpf@web.de FAU - Petzi, Sebastian AU - Petzi S FAU - Seybold, Katrin AU - Seybold K FAU - Wasmeier, Gerald AU - Wasmeier G FAU - Arnold, Martin AU - Arnold M FAU - Raaz, Dorette AU - Raaz D FAU - Yilmaz, Atilla AU - Yilmaz A FAU - Daniel, Werner G AU - Daniel WG FAU - Garlichs, Christoph D AU - Garlichs CD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Cytokines) RN - 0 (Heptanoic Acids) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Inflammation Mediators) RN - 0 (Pyrroles) RN - 130068-27-8 (Interleukin-10) RN - A0JWA85V8F (Atorvastatin) SB - IM CIN - Clin Sci (Lond). 2009 Jan;116(1):37-9. PMID: 18973470 MH - Animals MH - Atorvastatin MH - Cytokines/blood MH - Disease Models, Animal MH - Drug Evaluation, Preclinical/methods MH - Hemodynamics/drug effects MH - Heptanoic Acids/*therapeutic use MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*therapeutic use MH - Inflammation Mediators/blood MH - Interleukin-10/*blood MH - Macrophages/pathology MH - Male MH - Myocardial Infarction/blood/*drug therapy/pathology/physiopathology MH - Pyrroles/*therapeutic use MH - Rats MH - Rats, Sprague-Dawley MH - Ventricular Dysfunction, Left/blood MH - Ventricular Function, Left/*drug effects EDAT- 2008/05/08 09:00 MHDA- 2009/02/21 09:00 CRDT- 2008/05/08 09:00 PHST- 2008/05/08 09:00 [pubmed] PHST- 2009/02/21 09:00 [medline] PHST- 2008/05/08 09:00 [entrez] AID - CS20080042 [pii] AID - 10.1042/CS20080042 [doi] PST - ppublish SO - Clin Sci (Lond). 2009 Jan;116(1):45-52. doi: 10.1042/CS20080042.