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Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1671-1678

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1671-1678.)
© 1998 American Heart Association, Inc.


Original Contributions

HMG-CoA Reductase Inhibitors Reduce MMP-9 Secretion by Macrophages

S. Bellosta; D. Via; M. Canavesi; P. Pfister; R. Fumagalli; R. Paoletti; ; F. Bernini

From the Institute of Pharmacological Sciences, University of Milan (S.B., M.C., R.F., R.P.) and the Institute of Pharmacology and Pharmacognosy, University of Parma (F.B.), Italy; Baylor College of Medicine (D.V.), Houston, Tex; and Novartis Pharma AG (P.P.), Basel, Switzerland.

Correspondence to Prof Franco Bernini, Institute of Pharmacology and Pharmacognosy, University of Parma, Via delle Scienze, 43100 Parma, Italy. E-mail fbernini{at}ipruniv.cce.unipr.it

Abstract—Macrophages secrete matrix metalloproteinases (MMPs) that may weaken the fibrous cap of atherosclerotic plaque, predisposing its fissuration. The 92-kDa gelatinase B (MMP-9) has been identified in abdominal aortic aneurysms and in atherosclerotic tissues. Fluvastatin, through the inhibition of the isoprenoid pathway, inhibits major processes of atherogenesis in experimental models (smooth muscle cell migration and proliferation and cholesterol accumulation in macrophages). We studied the effect of fluvastatin on the activity of MMP-9 in mouse and human macrophages in culture. Conditioned media of cells treated for 24 hours with fluvastatin were analyzed by gelatin zymography. In mouse macrophages, fluvastatin (5 to 100 µmol/L) significantly inhibited in a dose-dependent manner MMP-9 activity from 20% to 40% versus control. The drug, at a concentration as low as 5 µmol/L, inhibited MMP-9 activity ({approx}30%) in human monocyte–derived macrophages as well. Phorbol esters (TPA, 50 ng/mL) stimulated MMP-9 activity by 50%, and fluvastatin inhibited this enhanced activity up to 50% in both mouse and human macrophages. The above results on the secretion of MMP-9 were confirmed by Western blotting and ELISA. The inhibitory effect of fluvastatin was overcome by the simultaneous addition of exogenous mevalonate (100 µmol/L), a precursor of isoprenoids. Fluvastatin's effect was fully reversible, and the drug did not cause any cellular toxicity. The statin did not block directly the in vitro activation of the secreted protease. Similar data were obtained with simvastatin. Altogether, our data indicate an inhibition of MMP-9 secretion by the drug. This effect is mediated by the inhibition of synthesis of mevalonate, a precursor of numerous derivatives essential for several cellular functions.


Key Words: statins • macrophages • plaque stability • metalloproteinases




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Reviews: Fluvastatin: Effects Beyond Cholesterol Lowering
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 2000; 5(3): 161 - 175.
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J CARDIOVASC PHARMACOL THERHome page
W. Marz, R. Siekmeier, H.-M. Muller, H. Wieland, W. Gross, and H.-G. Olbrich
Effects of Lovastatin and Pravastatin on the Survival of Hamsters With Inherited Cardiomyopathy
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 2000; 5(4): 275 - 279.
[Abstract] [PDF]


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HypertensionHome page
A. Faggiotto and R. Paoletti
Statins and Blockers of the Renin-Angiotensin System : Vascular Protection Beyond Their Primary Mode of Action
Hypertension, October 1, 1999; 34(4): 987 - 996.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. M. Ridker, N. Rifai, M. A. Pfeffer, F. Sacks, and E. Braunwald
Long-Term Effects of Pravastatin on Plasma Concentration of C-reactive Protein
Circulation, July 20, 1999; 100(3): 230 - 235.
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CirculationHome page
A. W. Chan, D. L. Bhatt, D. P. Chew, M. J. Quinn, D. J. Moliterno, E. J. Topol, and S. G. Ellis
Early and Sustained Survival Benefit Associated With Statin Therapy at the Time of Percutaneous Coronary Intervention
Circulation, February 12, 2002; 105(6): 691 - 696.
[Abstract] [Full Text] [PDF]