PMID- 23336931 OWN - NLM STAT- MEDLINE DCOM- 20131216 LR - 20181202 IS - 1743-1328 (Electronic) IS - 0161-6412 (Linking) VI - 35 IP - 2 DP - 2013 Mar TI - Combination benefit of amlodipine plus atorvastatin treatment on carotid atherosclerosis in Zucker metabolic rats. PG - 181-6 LID - 10.1179/1743132812Y.0000000131 [doi] AB - OBJECTIVES: Obesity is the major risk factor for metabolic syndrome and atherosclerotic cardiocerebrovascular diseases. METHODS: We studied effects of amlodipine, atorvastatin, and their combination on carotid arteriosclerotic processes in a metabolic syndrome model of Zucker fatty rats. Zucker fatty rats were treated with vehicle, amlodipine, atorvastatin, or combination amlodipine plus atorvastatin for 28 days. RESULTS: Compared with the single treatment with amlodipine or atorvastatin, the combination of amlodipine plus atorvastatin treatment prevented arteriosclerotic processes, and induced a strong recovery of Sirtuin1 (Sirt1) expression and a marked reduction in p53, p21, and monocyte chemoattractant protein-1 (MCP-1). DISCUSSION: As Sirt1 is a longevity gene that prevents endothelial atherosclerotic processes, and p53, p21, and MCP-1 play pivotal roles in the initiation and development of atherosclerosis, these data suggest a strong synergistic benefit of combination therapy with amlodipine and atorvastatin for preventing atherosclerotic processes, and potentially reducing the clinical risk of cerebrovascular events in metabolic obesity patients. FAU - Kawai, Hiromi AU - Kawai H AD - Depatment of Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan. FAU - Kurata, Tomoko AU - Kurata T FAU - Deguchi, Kentaro AU - Deguchi K FAU - Deguchi, Shoko AU - Deguchi S FAU - Yamashita, Toru AU - Yamashita T FAU - Ohta, Yasuyuki AU - Ohta Y FAU - Omote, Yoshio AU - Omote Y FAU - Kono, Syoichiro AU - Kono S FAU - Abe, Koji AU - Abe K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121217 PL - England TA - Neurol Res JT - Neurological research JID - 7905298 RN - 0 (Antihypertensive Agents) RN - 0 (Chemokine CCL2) RN - 0 (Cyclin-Dependent Kinase Inhibitor p21) RN - 0 (Heptanoic Acids) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Pyrroles) RN - 0 (Tumor Suppressor Protein p53) RN - 1J444QC288 (Amlodipine) RN - A0JWA85V8F (Atorvastatin) RN - EC 3.5.1.- (Sirtuin 1) SB - IM MH - Amlodipine/*administration & dosage MH - Animals MH - Antihypertensive Agents/administration & dosage MH - Atorvastatin MH - Carotid Artery Diseases/*drug therapy/*metabolism MH - Carotid Artery, Common/*drug effects/metabolism MH - Chemokine CCL2/biosynthesis MH - Cyclin-Dependent Kinase Inhibitor p21/biosynthesis MH - Drug Therapy, Combination MH - Endothelial Cells/metabolism MH - Heptanoic Acids/*administration & dosage MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage MH - Male MH - Pyrroles/*administration & dosage MH - Rats MH - Sirtuin 1/biosynthesis MH - Tumor Suppressor Protein p53/biosynthesis EDAT- 2013/01/23 06:00 MHDA- 2013/12/18 06:00 CRDT- 2013/01/23 06:00 PHST- 2013/01/23 06:00 [entrez] PHST- 2013/01/23 06:00 [pubmed] PHST- 2013/12/18 06:00 [medline] AID - ner2827 [pii] AID - 10.1179/1743132812Y.0000000131 [doi] PST - ppublish SO - Neurol Res. 2013 Mar;35(2):181-6. doi: 10.1179/1743132812Y.0000000131. Epub 2012 Dec 17.