Cardiovascular Research Advance Access originally published online on January 10, 2008
Cardiovascular Research 2008 78(1):175-184; doi:10.1093/cvr/cvn007
Simvastatin has an anti-inflammatory effect on macrophages via upregulation of an atheroprotective transcription factor, Kruppel-like factor 2



1 Department of Biotechnology and Molecular Medicine, A. I. Virtanen Institute, University of Kuopio, PO Box 1627, FIN-70211 Kuopio, Finland
2 Department of Medical Biochemistry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
3 Department of Medicine, University of Kuopio, Kuopio, Finland
4 Gene Therapy Unit, Kuopio University Hospital, Kuopio, Finland
* Corresponding author. Tel: +358 17 162075; fax: +358 17 163751. E-mail address: seppo.ylaherttuala{at}uku.fi
Aims: Statins have beneficial vascular effects beyond their cholesterol-lowering action. Since macrophages play a central role in atherogenesis, we characterized the effects of simvastatin on gene expression profile of human peripheral blood monocyte (HPBM)-macrophages.
Methods and results: Gene expression profile was studied using Affymetrix gene chip analysis. Lentiviral gene transfer of Kruppel-like factor 2 (KLF-2) was used to further study its role in macrophages. Simvastatin treatment lead to downregulation of many pro-inflammatory genes including several chemokines [e.g. monocyte chemotactic protein-1 (MCP-1), macrophage inflammatory proteins-1
and β, interleukin-2 receptor-β], members of the tumour necrosis factor family (e.g. lymphotoxin β), vascular cell adhesion molecule-1, and tissue factor (TF). Simvastatin also modulated the expression of several transcription factors essential for inflammation: NF-
B relA/p65 subunit and ets-1 were downregulated, and an atheroprotective transcription factor KLF-2 was upregulated. The effects of simvastatin on MCP-1 and TF could be mimicked by KLF-2 overexpression using lentiviral gene transfer.
Conclusion: Simvastatin has a strong anti-inflammatory effect on HPBM cells including upregulation of the atheroprotective factor KLF-2. This may partly explain the beneficial effects of statins on cardiovascular diseases.
KEYWORDS Atherosclerosis; Gene array analysis; Inflammation; Macrophages; Statins
Time for primary review: 27 days
These authors contributed equally to this work.
Present address: Department of Molecular Cell Biology and Immunology, VU University Medical Center, Amsterdam, The Netherlands.
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