on October 7, 2002
Published online before print October 7, 2002, doi: 10.1161/01.CIR.0000034048.38910.91
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Submitted on May 30, 2002
From the Department of Cardiothoracic and Vascular Surgery (D.P., J.M., M.D., H.O.) and Department of Medicine-Cardiology (M.S., U.B., J.M., H.D., M.B.), Johannes Gutenberg-University, Mainz, and Department of Medicine II (U.S., U.G., F.G., W.S.), Justus Liebig University, Giessen, Germany. * To whom correspondence should be addressed. E-mail: michael.buerke{at}medizin.uni-halle.de.
Background—Simvastatin, a 3-hydroxy-methylglutaryl coenzyme A reductase inhibitor, has been shown to lower serum cholesterol levels in clinical use. Moreover, statins exert beneficial effects in vascular diseases by inhibition of leukocyte rolling, adherence, and transmigration. The aim of this study was to determine if pretreatment with simvastatin attenuates Staphylococcus aureus Methods and Results—The effects of simvastatin on leukocyte-endothelial cell interactions were observed by intravital microscopy in the rat mesenteric microcirculation. Simvastatin (50 or 100 µg/kg) was administered 18 hours before the study. Activation of microcirculation was induced by bolus administration of 40 µg/kg S aureus Conclusions—These results demonstrate that simvastatin interferes with exotoxin-induced leukocyte-endothelial cell interactions, which may be relevant in various infectious diseases. Statin treatment may offer a new therapeutic strategy for these clinical conditions.
Revised on July 18, 2002
Accepted on July 18, 2002
Simvastatin Inhibits Inflammatory Properties of Staphylococcus aureus
Diethard Pruefer MD, 
-Toxin
-toxin-induced increase in leukocyte-endothelial interactions during exotoxemia.-toxin. Exotoxemia resulted in a significant and time-dependent increase in leukocyte rolling, adherence, and transmigration of leukocytes as well as P-selectin expression on the intestinal vascular endothelium. Pretreatment with simvastatin significantly inhibited exotoxin-induced leukocyte rolling from 71±10 to 14±4.7 cells/min (P<0.01) and adherence from 14±3.5 to 0.4±0.2 cells (P<0.01). In addition, simvastatin pretreatment significantly inhibited transmigration of leukocytes from 10.5±1.2 to 4.2±0.9 (P<0.05) cells. Immunohistochemical detection of endothelial cell adhesion molecule P-selectin showed a 50% decrease in endothelial cell surface expression after simvastatin treatment. Furthermore, simvastatin treatment resulted in enhanced expression of endothelial cell NO synthase III in the intestinal microcirculation.
Key words: statins • endothelium • inflammation • microcirculation
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