PMID- 34147541 OWN - NLM STAT- MEDLINE DCOM- 20220110 LR - 20220110 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 760 DP - 2021 Aug 24 TI - Simvastatin increases circulating endothelial progenitor cells and inhibits the formation of intracranial aneurysms in rats with diet-induced hyperhomocysteinemia. PG - 136072 LID - S0304-3940(21)00450-X [pii] LID - 10.1016/j.neulet.2021.136072 [doi] AB - BACKGROUND AND PURPOSE: Endothelial dysfunction triggers early pathological changes in artery, leading to the formation of intracranial aneurysm (ICA). Increase in plasma homocysteine (Hcy) impairs endothelium and endothelial progenitor cells (EPCs) are critical in repairing damaged endothelium. The aim of this study was to assess the impact of simvastatin on ICA formation in rats with hyperhomocysteinemia (HHcy). METHODS: ICAs were induced in Male Sprague-Dawley rats after surgical induction in the presence of HHcy induced by a high L-methionine diet with or without oral simvastatin treatment. The size and media thickness of ICAs were evaluated 2 months after aneurysm induction. EPCs and serum vascular endothelial grow factor (VEGF) were measured be flow cytometry and ELISA respectively. Plasma Hcy levels and expression of VEGF, endothelial nitric oxide synthase (eNOS), inducible nitric oxide synthase (iNOS), matrix metalloproteinase-2 (MMP-2), and MMP-9 in aneurysmal walls were examined and correlated with ICA formation. RESULTS: HHcy accelerates ICA formation and rats treated with simvastatin exhibited a significant increase in media thickness and a reduction in aneurysmal size. Simvastatin increased levels of circulating EPCs and decreased iNOS, MMP-2, MMP-9 and VEGF mRNA levels, while increased eNOS mRNA in aneurysmal tissue. CONCLUSION: In a rat model, HHcy reduces circulating EPCs and accelerates ICA formation. Simvastatin treatment increases circulating EPCs and inhabits the formation of ICA. We have shown a close association among circulating EPCs, biochemical markers related to vascular remodeling and the formation of ICA. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Xu, Yong AU - Xu Y AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Department of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Zhang, Bin AU - Zhang B AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. FAU - Chen, Yu AU - Chen Y AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. FAU - Wang, Xiu AU - Wang X AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. FAU - Li, Yong AU - Li Y AD - Department of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Wu, Jiangping AU - Wu J AD - Department of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Dong, Hao AU - Dong H AD - Department of Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Wang, Shuo AU - Wang S AD - Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. Electronic address: captain9858@126.com. LA - eng PT - Journal Article DEP - 20210617 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 0 (Biomarkers) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0LVT1QZ0BA (Homocysteine) RN - AGG2FN16EV (Simvastatin) SB - IM MH - Animals MH - Biomarkers/blood MH - Disease Models, Animal MH - Endothelial Progenitor Cells/*drug effects MH - Endothelium, Vascular/drug effects/pathology MH - Homocysteine/blood MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*pharmacology/therapeutic use MH - Hyperhomocysteinemia/blood/complications/*drug therapy MH - Intracranial Aneurysm/blood/etiology/pathology/*prevention & control MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Simvastatin/*pharmacology/therapeutic use MH - Vascular Remodeling/drug effects OTO - NOTNLM OT - Endothelial progenitor cells OT - Homocysteine OT - Hyperhomocysteinemia OT - Intracranial cerebral aneurysm OT - Simvastatin EDAT- 2021/06/21 06:00 MHDA- 2022/01/11 06:00 CRDT- 2021/06/20 20:35 PHST- 2021/04/08 00:00 [received] PHST- 2021/06/01 00:00 [revised] PHST- 2021/06/15 00:00 [accepted] PHST- 2021/06/21 06:00 [pubmed] PHST- 2022/01/11 06:00 [medline] PHST- 2021/06/20 20:35 [entrez] AID - S0304-3940(21)00450-X [pii] AID - 10.1016/j.neulet.2021.136072 [doi] PST - ppublish SO - Neurosci Lett. 2021 Aug 24;760:136072. doi: 10.1016/j.neulet.2021.136072. Epub 2021 Jun 17.