PMID- 18576356 OWN - NLM STAT- MEDLINE DCOM- 20080808 LR - 20211020 IS - 0004-3591 (Print) IS - 1529-0131 (Electronic) IS - 0004-3591 (Linking) VI - 58 IP - 7 DP - 2008 Jul TI - Failure of oral atorvastatin to modulate a murine model of systemic lupus erythematosus. PG - 2098-104 LID - 10.1002/art.23605 [doi] AB - OBJECTIVE: Inhibitors of the 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase enzyme (statins) are cholesterol-lowering drugs that have shown promise as therapeutic agents in various animal models of autoimmune disease. The results of initial clinical trials with statins in multiple sclerosis and rheumatoid arthritis have also been encouraging. In this study, we attempted to treat a widely studied murine model of spontaneous systemic lupus erythematosus (SLE) with atorvastatin. METHODS: (NZB x NZW)F1 (NZB/NZW) mice received daily oral doses of atorvastatin for 20 weeks. The mice were monitored weekly for survival and proteinuria. Anti-double-stranded DNA (anti-dsDNA) antibody levels in sera were determined by enzyme-linked immunosorbent assay (ELISA). T lymphocyte cytokine production in vitro, as well as cytokine levels in vivo, were measured by ELISA. T cell proliferation was assessed by thymidine incorporation assay. Serum cholesterol levels were determined using a standard fluorometric assay. Kidney tissue was harvested and evaluated for pathologic changes. RESULTS: In NZB/NZW mice, oral atorvastatin had significant effects on T cell proliferation and cytokine production in vitro. Atorvastatin also induced significant increases in serum levels of interleukin-4. However, atorvastatin treatment in NZB/NZW mice had no significant impact on proteinuria, survival, serum anti-dsDNA antibody and cholesterol levels, or extent of renal disease. CONCLUSION: Monotherapy with oral atorvastatin has no protective effects in a murine model of spontaneous SLE. The efficacy of atorvastatin in human SLE remains to be determined. FAU - Graham, Kareem L AU - Graham KL AD - Stanford University School of Medicine, Stanford, California 94305, USA. FAU - Lee, Lowen Y AU - Lee LY FAU - Higgins, John P AU - Higgins JP FAU - Steinman, Lawrence AU - Steinman L FAU - Utz, Paul J AU - Utz PJ FAU - Ho, Peggy P AU - Ho PP LA - eng GR - AI10663-02/AI/NIAID NIH HHS/United States GR - T32 AI007290/AI/NIAID NIH HHS/United States GR - R01-AI-59709/AI/NIAID NIH HHS/United States GR - R01 AI059709/AI/NIAID NIH HHS/United States GR - F31 AI010663/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Arthritis Rheum JT - Arthritis and rheumatism JID - 0370605 RN - 0 (Antibodies, Antinuclear) RN - 0 (Heptanoic Acids) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Pyrroles) RN - 207137-56-2 (Interleukin-4) RN - 97C5T2UQ7J (Cholesterol) RN - A0JWA85V8F (Atorvastatin) SB - IM MH - Administration, Oral MH - Animals MH - Antibodies, Antinuclear/blood MH - Atorvastatin MH - Cell Proliferation/*drug effects MH - Cholesterol/blood MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Heptanoic Acids/*administration & dosage MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*administration & dosage MH - Interleukin-4/blood MH - Lupus Erythematosus, Systemic/blood/*drug therapy MH - Mice MH - Mice, Inbred NZB MH - Pyrroles/*administration & dosage MH - T-Lymphocytes/*drug effects MH - Treatment Outcome PMC - PMC4143381 MID - NIHMS616722 EDAT- 2008/06/26 09:00 MHDA- 2008/08/09 09:00 PMCR- 2014/08/25 CRDT- 2008/06/26 09:00 PHST- 2008/06/26 09:00 [pubmed] PHST- 2008/08/09 09:00 [medline] PHST- 2008/06/26 09:00 [entrez] PHST- 2014/08/25 00:00 [pmc-release] AID - 10.1002/art.23605 [doi] PST - ppublish SO - Arthritis Rheum. 2008 Jul;58(7):2098-104. doi: 10.1002/art.23605.