PMID- 20403731 OWN - NLM STAT- MEDLINE DCOM- 20100805 LR - 20131121 IS - 1521-7035 (Electronic) IS - 1521-6616 (Linking) VI - 136 IP - 2 DP - 2010 Aug TI - Effect of combining ACE inhibitor and statin in lupus-prone mice. PG - 188-96 LID - 10.1016/j.clim.2010.03.008 [doi] AB - MRL-Fas(lpr) mice spontaneously develop a systemic autoimmune disease resembling human systemic lupus erythematosus. The glomerulonephritis in MRL-Fas(lpr) mice is mediated by autoantibodies and autoreactive lymphocytes. To investigate the effect of combination therapy by angiotensin-converting enzyme inhibitor (ACEI) and hydroxymethylglutaryl-coenzyme A reductase inhibitor (statin) for lupus nephritis, we treated MRL-Fas(lpr) mice with imidapril, pravastatin or both agents. Compared with other groups, the mice treated by combination therapy survived longer and showed a significant reduction in proteinuria, renal pathology, including glomerular IgG deposit, and serum anti-DNA Ab. Furthermore, monocyte chemoattractant protein-1 (MCP-1) in the kidney was reduced significantly in the combination therapy group, compared with that in the control group. We conclude that combination therapy with ACEI and statin for MRL-Fas(lpr) mice significantly alleviates autoimmune renal disorder and prolongs survival. These results suggest that combination therapy by ACEI and statin may represent a new approach to the treatment of patients with lupus. FAU - Shimazu, Hideki AU - Shimazu H AD - Department of Nephrology and Rheumatology, Kinki University School of Medicine, Osaka-Sayama, Osaka, Japan. FAU - Kinoshita, Koji AU - Kinoshita K FAU - Hino, Shoichi AU - Hino S FAU - Yano, Tomohiro AU - Yano T FAU - Kishimoto, Kazuya AU - Kishimoto K FAU - Nagare, Yasuaki AU - Nagare Y FAU - Nozaki, Yuji AU - Nozaki Y FAU - Sugiyama, Masafumi AU - Sugiyama M FAU - Ikoma, Shinya AU - Ikoma S FAU - Funauchi, Masanori AU - Funauchi M LA - eng PT - Journal Article DEP - 20100418 PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Antibodies, Antinuclear) RN - 0 (Cytokines) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Imidazolidines) RN - 0 (Immunoglobulin G) RN - BW7H1TJS22 (imidapril) RN - KXO2KT9N0G (Pravastatin) SB - IM MH - Angiotensin-Converting Enzyme Inhibitors/*administration & dosage MH - Animals MH - Antibodies, Antinuclear/blood MH - Blood Pressure MH - Cytokines/metabolism MH - Drug Therapy, Combination MH - Female MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*administration & dosage MH - Imidazolidines/*administration & dosage MH - Immunoglobulin G/metabolism MH - Kidney/immunology/metabolism/pathology MH - Lupus Erythematosus, Systemic/*drug therapy/immunology MH - Lupus Nephritis/drug therapy/immunology MH - Mice MH - Mice, Inbred C3H MH - Mice, Inbred MRL lpr MH - Pravastatin/*administration & dosage MH - Proteinuria/drug therapy/prevention & control MH - Random Allocation MH - Specific Pathogen-Free Organisms EDAT- 2010/04/21 06:00 MHDA- 2010/08/06 06:00 CRDT- 2010/04/21 06:00 PHST- 2009/08/13 00:00 [received] PHST- 2010/03/18 00:00 [revised] PHST- 2010/03/18 00:00 [accepted] PHST- 2010/04/21 06:00 [entrez] PHST- 2010/04/21 06:00 [pubmed] PHST- 2010/08/06 06:00 [medline] AID - S1521-6616(10)00090-2 [pii] AID - 10.1016/j.clim.2010.03.008 [doi] PST - ppublish SO - Clin Immunol. 2010 Aug;136(2):188-96. doi: 10.1016/j.clim.2010.03.008. Epub 2010 Apr 18.