Document Detail


Lymphocyte-suppressing effect of simvastatin in mixed dyslipidemic patients but not impaired glucose tolerance patients.
MedLine Citation:
PMID:  21441616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study compared the effect of simvastatin on lymphocyte secretory function between patients with impaired glucose tolerance (IGT) (n=30) and mixed dyslipidemia (n=29). Lipid profile, glucose metabolism markers (fasting and 2-h post-glucose challenge glucose levels, HOMA-IR and glycated hemoglobin), plasma CRP levels and the release of interleukin-2 and interferon-γ by phytohemagglutinin-stimulated T lymphocytes were determined before and after 30 and 90 days of simvastatin administration (20 mg daily). Phytohemagglutinin-stimulated T cells from both IGT and mixed dyslipidemic subjects released significantly higher amounts of both cytokines than lymphocytes of 30 dyslipidemia-free individuals with normal glucose tolerance. Despite improving the lipid profile, simvastatin produced no effects on glucose metabolism markers in either treatment groups. The drug normalized the lymphocyte cytokine release and plasma hsCRP in mixed dyslipidemic patients but not in IGT patients. Our study indicates that the presence of mixed dyslipidemia and IGT is associated with the enhanced secretory function of human lymphocytes. Simvastatin is an effective lymphocyte-suppressing agent in mixed dyslipidemic patients but not in IGT patients.
Authors:
Robert Krysiak; Bogusław Okopień
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pharmacological reports : PR     Volume:  63     ISSN:  1734-1140     ISO Abbreviation:  Pharmacol Rep     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-28     Completed Date:  2011-07-18     Revised Date:  2011-11-28    
Medline Journal Info:
Nlm Unique ID:  101234999     Medline TA:  Pharmacol Rep     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  95-101     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, PL 40-752 Katowice, Poland. r.krysiak@interia.pl
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MeSH Terms
Descriptor/Qualifier:
Blood Glucose / drug effects
C-Reactive Protein / metabolism
Cytokines / drug effects,  metabolism
Dyslipidemias / drug therapy*
Female
Glucose Intolerance / drug therapy*
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology
Lipids / blood
Male
Middle Aged
Simvastatin / pharmacology*
T-Lymphocytes / drug effects*,  secretion
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Cytokines; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Lipids; 79902-63-9/Simvastatin; 9007-41-4/C-Reactive Protein

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