PMID- 31070532 OWN - NLM STAT- MEDLINE DCOM- 20190904 LR - 20200225 IS - 1744-5116 (Electronic) IS - 1388-0209 (Print) IS - 1388-0209 (Linking) VI - 56 IP - 1 DP - 2018 Dec TI - Effect of simvastatin on the SIRT2/NF-kappaB pathway in rats with acute pulmonary embolism. PG - 511-518 LID - 10.1080/13880209.2018.1508239 [doi] AB - CONTEXT: Statins have been widely used in acute pulmonary embolism (APE), while simvastatin has been well-established for the prevention of pulmonary hypertension, which was supposed to be an attractive recommendation for APE treatment. OBJECTIVE: The current article studies the effect of simvastatin on the SIRT2/NF-kappaB pathway in rats with APE. MATERIALS AND METHODS: Sprague-Dawley rats were divided into four groups (n = 24 per group): control group, rats were treated with saline once daily for 14 days before administration of saline (sham group) or a suspension of autologous emboli (APE group), or rats were treated with simvastatin (10 mg/kg) for 14 days before administration of autologous emboli (APE + simvastatin) group. The RVSP, mPAP and the arterial blood gas was analyzed. Besides, plasma inflammatory cytokines and MMPs levels, as well as the expression of SIRT2/NF-kappaB pathway were determined. RESULTS: Compared with the control and sham groups, the levels of mPAP (31.06 +/- 3.47 mmHg), RVSP (35.12 +/- 6.02 mmHg), A-aDO(2) (33.14 +/- 6.16 mmHg) and MMP-9 (6.89 +/- 0.84 ng/mL) activity were significantly elevated, but PaO(2) (66.87 +/- 7.85 mmHg) was highly decreased in rats from APE group at 24 h after APE. Meanwhile, the inflammatory changes were aggravated by the enhanced levels of TNF-alpha (138.85 +/- 22.69 pg/mL), IL-1beta (128.47 +/- 22.14 pg/mL), IL-6 (103.16 +/- 13.58 pg/mL) and IL-8 (179.28 +/- 25.79 pg/mL), as well as increased NF-kappaB (5.29 +/- 0.47 fold), but reduced SIRT2 (59 +/- 6% reduction), and eNOS (61 +/- 5% reduction) mRNA in APE rats. APE rats treated with simvastatin led to a significant opposite trend of the above indexes. CONCLUSIONS: Simvastatin protects against APE-induced pulmonary artery pressure, hypoxemia and inflammatory changes probably due to the regulation of SIRT2/NF-kappaB signalling pathway, which suggest that simvastatin may have promising protective effects in patients with APE. FAU - Wu, Zhi-Yao AU - Wu ZY AD - a Department of Respiratory Medicine (Department of Respiratory and Critical Care Medicine), National Key Clinical Specialty, Xiangya Hospital , Central South University , Changsha , China. FAU - Li, Hui AU - Li H AD - a Department of Respiratory Medicine (Department of Respiratory and Critical Care Medicine), National Key Clinical Specialty, Xiangya Hospital , Central South University , Changsha , China. FAU - Tang, Yong-Jun AU - Tang YJ AD - a Department of Respiratory Medicine (Department of Respiratory and Critical Care Medicine), National Key Clinical Specialty, Xiangya Hospital , Central South University , Changsha , China. LA - eng PT - Journal Article PL - England TA - Pharm Biol JT - Pharmaceutical biology JID - 9812552 RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (NF-kappa B) RN - 0 (Sirt2 protein, rat) RN - AGG2FN16EV (Simvastatin) RN - EC 3.5.1.- (Sirtuin 2) SB - IM MH - Animals MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology/*therapeutic use MH - Male MH - NF-kappa B/*antagonists & inhibitors/metabolism MH - Pulmonary Embolism/*drug therapy/metabolism/pathology MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction/drug effects/physiology MH - Simvastatin/pharmacology/*therapeutic use MH - Sirtuin 2/*antagonists & inhibitors/metabolism MH - Treatment Outcome PMC - PMC6282435 OTO - NOTNLM OT - Inflammatory cytokines OT - MMPs OT - pulmonary artery pressure EDAT- 2019/05/10 06:00 MHDA- 2019/09/05 06:00 PMCR- 2018/12/03 CRDT- 2019/05/10 06:00 PHST- 2019/05/10 06:00 [entrez] PHST- 2019/05/10 06:00 [pubmed] PHST- 2019/09/05 06:00 [medline] PHST- 2018/12/03 00:00 [pmc-release] AID - 1508239 [pii] AID - 10.1080/13880209.2018.1508239 [doi] PST - ppublish SO - Pharm Biol. 2018 Dec;56(1):511-518. doi: 10.1080/13880209.2018.1508239.