PMID- 30008464 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1674-8301 (Print) IS - 2352-4685 (Electronic) IS - 1674-8301 (Linking) VI - 32 IP - 4 DP - 2018 Jul 23 TI - Pravastatin alleviates lipopolysaccharide-induced placental TLR4 over-activation and promotes uterine arteriole remodeling without impairing rat fetal development. PG - 288-297 LID - 10.7555/JBR.32.20180039 [doi] AB - Preeclampsia is associated with over-activation of the innate immune system in the placenta, in which toll-like receptor 4 (TLR4) plays an essential part. With their potent anti-inflammatory effects, statins have been suggested as potential prevention or treatment of preeclampsia, although evidence remains inadequate. Herewith, we investigated whether pravastatin could ameliorate preeclampsia-like phenotypes in a previously established lipopolysaccharide (LPS)-induced rat preeclampsia model, through targeting the TLR4/NF-kappaB pathway. The results showed that pravastatin reduced the blood pressure [maximum decline on gestational day (GD) 12, (101.33+/-2.49) mmHg vs. (118.3+/-1.37) mmHg, P<0.05] and urine protein level [maximum decline on GD9, (3,726.23+/-1,572.86) mug vs. (1,991.03+/-609.37) mug, P<0.05], which were elevated following LPS administration. Pravastatin also significantly reduced the rate of fetal growth restriction in LPS-treated rats (34.10% vs. 8.99%, P<0.05). Further pathological analyses suggested a restoration of normal spiral artery remodeling in preeclampsia rats by pravastatin treatment. These effects of pravastatin were associated with decreased TLR4/NF-kappaB protein levels in the placenta and IL-6/MCP-1 levels in serum. Additionally, no obvious abnormalities in fetal liver, brain, and kidney were found after administration of pravastatin. These results provide supportive evidence for use of pravastatin in preventing preeclampsia. FAU - Yang, Mu-Yi AU - Yang MY AD - Drum Tower Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu 210008, China. FAU - Diao, Zhen-Yu AU - Diao ZY AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Wang, Zhi-Yin AU - Wang ZY AD - Drum Tower Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu 210008, China. FAU - Yan, Gui-Jun AU - Yan GJ AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Zhao, Guang-Feng AU - Zhao GF AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Zheng, Ming-Ming AU - Zheng MM AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Dai, An-Yi AU - Dai AY AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Dai, Yi-Min AU - Dai YM AD - Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China. FAU - Hu, Ya-Li AU - Hu YL AD - Drum Tower Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu 210008, China. LA - eng PT - Journal Article PL - China TA - J Biomed Res JT - Journal of biomedical research JID - 101551157 PMC - PMC6117606 OTO - NOTNLM OT - arteriole remodeling pravastatin OT - fetal development OT - preeclampsia OT - toll-like receptor 4 EDAT- 2018/07/17 06:00 MHDA- 2018/07/17 06:01 PMCR- 2018/07/26 CRDT- 2018/07/17 06:00 PHST- 2018/07/17 06:00 [pubmed] PHST- 2018/07/17 06:01 [medline] PHST- 2018/07/17 06:00 [entrez] PHST- 2018/07/26 00:00 [pmc-release] AID - 10.7555/JBR.32.20180039 [doi] PST - ppublish SO - J Biomed Res. 2018 Jul 23;32(4):288-297. doi: 10.7555/JBR.32.20180039.