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Title:
The HMG-CoA reductase inhibitor rosuvastatin and the angiotensin receptor antagonist candesartan attenuate atherosclerosis in an apolipoprotein E-deficient mouse model of diabetes via effects on advanced glycation, oxidative stress and inflammation | Diabetologia
Description:
Aims/hypothesis We evaluated the anti-atherosclerotic effect of the 3-hydroxy-3-methylglutaryl CoA reductase inhibitor, rosuvastatin, and the angiotensin II receptor blocker (ARB), candesartan, alone and in combination, in the streptozotocin-induced diabetic apolipoprotein E-deficient (Apoe −/−) mouse. Methods Control and streptozotocin-induced diabetic Apoe −/− mice received rosuvastatin (5 mg kg−1 day−1), candesartan (2.5 mg kg−1 day−1), dual therapy or no treatment for 20 weeks. Aortic plaque deposition was assessed by Sudan IV staining and subsequent visual quantification. The abundance of proteins was measured using immunohistochemistry. Results Diabetes was associated with a fourfold increase in total plaque area. Rosuvastatin attenuated plaque area in diabetic mice in the absence of lipid-lowering effects. The anti-atherosclerotic effect of rosuvastatin was comparable to that observed with candesartan. A similar beneficial effect was seen with dual therapy, although it was not superior to monotherapy. Rosuvastatin treatment was associated with attenuated accumulation of AGE and AGE receptor (RAGE) in plaques. Similar beneficial effects on markers of oxidative stress were seen with the ARB and statin. Candesartan was more effective at reducing macrophage accumulation and collagen I abundance in plaques compared with rosuvastatin. The combined effect of candesartan and rosuvastatin was superior in reducing macrophage infiltration, monocyte chemoattractant protein-1 level, vascular AGE accumulation and RAGE abundance in the vascular wall. Furthermore, the combination tended to be more effective in reducing smooth muscle cell infiltration and connective tissue growth factor abundance in plaques. Conclusions/interpretation Rosuvastatin has direct anti-atherosclerotic effects in diabetic macrovascular disease. These effects are independent of effects on lipids and comparable to the effects observed with candesartan.
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Keywords {🔍}
diabetic, rosuvastatin, candesartan, diabetes, mice, effects, google, scholar, plaque, pubmed, cas, control, article, atherosclerosis, wall, effect, treatment, combination, apoe, vascular, fig, abundance, plaques, vessel, angiotensin, effective, area, therapy, study, receptor, table, stress, increase, accumulation, muscle, reduction, oxidative, antiatherosclerotic, age, cell, patients, smooth, increased, nadph, data, rage, treatments, oxidase, model, similar,
Topics {✒️}
diabetes-related end-organ injury membrane-bound nadh-/nadph-oxidases low-density lipoprotein oxidation hyperlipidaemic apolipoprotein e-deficient low-density lipoprotein cholesterol hmg-coa reductase inhibitor cis-acting promoter sequences h-induced lucigenin chemiluminescence c-myc gene expressions hmg-coa reductase inhibitors medical research council smooth muscle cells local renin–angiotensin system angiotensin ii-dependent proliferation back-crossed twenty times pentobarbitone sodium/phenytoin sodium hmg-coa-reductase inhibition renin–angiotensin system plays long-term antecedent glycemia nf-kappab-mediated genes human endothelial cells angiotensin-converting enzyme inhibition anti-atherosclerotic effects conferred renin–angiotensin system contribute randomised placebo-controlled trial monocyte chemoattractant protein-1 angiotensin ii-mediated hypertension anti-atherosclerotic effect conferred high-fat-induced atherosclerosis insulin-dependent diabetes mellitus renin-angiotensin system blockade anti-atherosclerotic effect achieved coronary artery disease pre-clinical setting investigating high-pressure liquid chromatography national heart foundation induces endothelial dysfunction 100 mg/kg body weight cholesterol-dependent oxidative stress direct anti-atherosclerotic effects high-risk diabetic patient simvastatin-dependent plaque stabilization greater anti-atherogenic effect additive anti-oxidative effect altered gene expression human resistance arteries coronary heart disease 3-hydroxy-3-methylglutaryl coa at1 receptor blocker renin–angiotensin system
Questions {❓}
- Goldberg IJ (2004) Why does diabetes increase atherosclerosis?
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mainEntity:
headline:The HMG-CoA reductase inhibitor rosuvastatin and the angiotensin receptor antagonist candesartan attenuate atherosclerosis in an apolipoprotein E-deficient mouse model of diabetes via effects on advanced glycation, oxidative stress and inflammation
description:We evaluated the anti-atherosclerotic effect of the 3-hydroxy-3-methylglutaryl CoA reductase inhibitor, rosuvastatin, and the angiotensin II receptor blocker (ARB), candesartan, alone and in combination, in the streptozotocin-induced diabetic apolipoprotein E-deficient (Apoe
−/−) mouse. Control and streptozotocin-induced diabetic Apoe
−/− mice received rosuvastatin (5 mg kg−1 day−1), candesartan (2.5 mg kg−1 day−1), dual therapy or no treatment for 20 weeks. Aortic plaque deposition was assessed by Sudan IV staining and subsequent visual quantification. The abundance of proteins was measured using immunohistochemistry. Diabetes was associated with a fourfold increase in total plaque area. Rosuvastatin attenuated plaque area in diabetic mice in the absence of lipid-lowering effects. The anti-atherosclerotic effect of rosuvastatin was comparable to that observed with candesartan. A similar beneficial effect was seen with dual therapy, although it was not superior to monotherapy. Rosuvastatin treatment was associated with attenuated accumulation of AGE and AGE receptor (RAGE) in plaques. Similar beneficial effects on markers of oxidative stress were seen with the ARB and statin. Candesartan was more effective at reducing macrophage accumulation and collagen I abundance in plaques compared with rosuvastatin. The combined effect of candesartan and rosuvastatin was superior in reducing macrophage infiltration, monocyte chemoattractant protein-1 level, vascular AGE accumulation and RAGE abundance in the vascular wall. Furthermore, the combination tended to be more effective in reducing smooth muscle cell infiltration and connective tissue growth factor abundance in plaques. Rosuvastatin has direct anti-atherosclerotic effects in diabetic macrovascular disease. These effects are independent of effects on lipids and comparable to the effects observed with candesartan.
datePublished:2008-07-02T00:00:00Z
dateModified:2008-07-02T00:00:00Z
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Angiotensin II
Atherosclerosis
Diabetes
Diabetic–hypercholesterolaemic mouse
Statin
Internal Medicine
Metabolic Diseases
Human Physiology
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headline:The HMG-CoA reductase inhibitor rosuvastatin and the angiotensin receptor antagonist candesartan attenuate atherosclerosis in an apolipoprotein E-deficient mouse model of diabetes via effects on advanced glycation, oxidative stress and inflammation
description:We evaluated the anti-atherosclerotic effect of the 3-hydroxy-3-methylglutaryl CoA reductase inhibitor, rosuvastatin, and the angiotensin II receptor blocker (ARB), candesartan, alone and in combination, in the streptozotocin-induced diabetic apolipoprotein E-deficient (Apoe
−/−) mouse. Control and streptozotocin-induced diabetic Apoe
−/− mice received rosuvastatin (5 mg kg−1 day−1), candesartan (2.5 mg kg−1 day−1), dual therapy or no treatment for 20 weeks. Aortic plaque deposition was assessed by Sudan IV staining and subsequent visual quantification. The abundance of proteins was measured using immunohistochemistry. Diabetes was associated with a fourfold increase in total plaque area. Rosuvastatin attenuated plaque area in diabetic mice in the absence of lipid-lowering effects. The anti-atherosclerotic effect of rosuvastatin was comparable to that observed with candesartan. A similar beneficial effect was seen with dual therapy, although it was not superior to monotherapy. Rosuvastatin treatment was associated with attenuated accumulation of AGE and AGE receptor (RAGE) in plaques. Similar beneficial effects on markers of oxidative stress were seen with the ARB and statin. Candesartan was more effective at reducing macrophage accumulation and collagen I abundance in plaques compared with rosuvastatin. The combined effect of candesartan and rosuvastatin was superior in reducing macrophage infiltration, monocyte chemoattractant protein-1 level, vascular AGE accumulation and RAGE abundance in the vascular wall. Furthermore, the combination tended to be more effective in reducing smooth muscle cell infiltration and connective tissue growth factor abundance in plaques. Rosuvastatin has direct anti-atherosclerotic effects in diabetic macrovascular disease. These effects are independent of effects on lipids and comparable to the effects observed with candesartan.
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dateModified:2008-07-02T00:00:00Z
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Angiotensin II
Atherosclerosis
Diabetes
Diabetic–hypercholesterolaemic mouse
Statin
Internal Medicine
Metabolic Diseases
Human Physiology
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