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Effects of simvastatin on circulating autoantibodies to oxidized LDL antigens: relation with immune stimulation markers
Malmö University Hospital.
Högland Hospital.
Malmö University Hospital.
Malmö University Hospital.
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2009 (English)In: AUTOIMMUNITY, ISSN 0891-6934, Vol. 42, no 3, 203-208 p.Article in journal (Refereed) Published
Abstract [en]

Statins exert a number of anti-inflammatory and immunomodulatory effects in vitro. However, the immunomodulatory effects in vivo are less clarified. In the present study, we investigated whether simvastatin treatment changed the levels of autoantibodies against specific oxidized LDL (oxLDL) antigens as well as their association with leukocyte activation markers. Eighty volunteers with mild-to-moderate hypercholesterolemia were randomized to either simvastatin 40mg or placebo for 6 weeks. Autoantibodies against apo B peptide antigens, C-reactive protein (CRP) and interleukin (IL)-6 in plasma were determined by ELISA. Subsets of circulating B and T cells were studied by flow cytometry. Simvastatin significantly reduced CRP by 26%, whereas IL-6 remained unchanged. Levels of IgG against the apo B peptide P-240 (amino acids 3586-3605) increased by 16% (p=0.03) in the simvastatin group whereas autoantibody levels to other apo B peptides did not change. At baseline and after 6 weeks, the P-240 IgG levels were significantly correlated with the number of CD57+CD28-CD8+T cells but not to other lymphocyte subsets or inflammatory markers. The P-240 IgG levels after 6 weeks simvastatin therapy was strongly correlated to the relative increase in CD57+CD28-CD8+T cells (p=0.003). Simvastatin treatment induced an increase in autoantibodies against an oxLDL antigen. The effect was related to an expansion of a CD8+T cell subset and may involve an immunostimulation by simvastatin.

Place, publisher, year, edition, pages
2009. Vol. 42, no 3, 203-208 p.
Keyword [en]
Statin, autoantibody, oxLDL, immunology, atherosclerosis
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-17625DOI: 10.1080/08916930802668602OAI: diva2:210923
Available from: 2009-04-07 Created: 2009-04-06 Last updated: 2010-02-02

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Jonasson, Lena
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Cardiology Faculty of Health SciencesDepartment of Cardiology
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