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Influence of rosuvastatin treatment on cerebral inflammation and nitro-oxidative stress in experimental lung injury in pigs

Authors: Kamuf, Jens; Garcia Bardon, Andreas; Ziebart, Alexander; Ruemmler, Robert; Schwab, Johannes; Dib, Mobin; Daiber, Andreas; +2 Authors

Influence of rosuvastatin treatment on cerebral inflammation and nitro-oxidative stress in experimental lung injury in pigs

Abstract

Abstract Background Many patients with acute respiratory distress syndrome (ARDS) suffer from cognitive impairment after hospital discharge. Different mechanisms have been implicated as potential causes for this impairment, inter alia cerebral inflammation. A class of drugs with antioxidant and anti-inflammatory properties are β-HMG-CoA-reductase inhibitors (“statins”). We hypothesized that treatment with rosuvastatin attenuates cerebral cytokine mRNA expression and nitro-oxidative stress in an animal model of acute lung injury. Methods After approval of the institutional and state animal care committee, we performed this prospective randomized controlled animal study in accordance with the international guidelines for the care and use of laboratory animals. Thirty-two healthy male pigs were randomized to one of four groups: lung injury by central venous injection of oleic acid (n = 8), statin treatment before and directly after lung injury (n = 8), statin treatment after lung injury (n = 8), or ventilation-only controls (n = 8). About 18 h after lung injury and standardized treatment, the animals were euthanised, and the brains and lungs were collected for further examinations. We determined histologic lung injury and cerebral and pulmonal cytokine and 3-nitrotyrosine production. Results We found a significant increase in hippocampal IL-6 mRNA after lung injury (p < 0.05). Treatment with rosuvastatin before and after induction of lung injury led to a significant reduction of hippocampal IL-6 mRNA (p < 0.05). Cerebral 3-nitrotyrosine was significantly higher in lung-injured animals compared with all other groups (p < 0.05 vs. animals treated with rosuvastatin after lung injury induction; p < 0.001 vs. all other groups). 3-Nitrotyrosine was also increased in the lungs of the lung-injured pigs compared to all other groups (p < 0.05 each). Conclusions Our findings highlight cerebral cytokine production and nitro-oxidative stress within the first day after induction of lung injury. The treatment with rosuvastatin reduced IL-6 mRNA and 3-nitrotyrosine concentration in the brains of the animals. In earlier trials, statin treatment did not reduce mortality in ARDS patients but seemed to improve quality of life in ARDS survivors. Whether this is attributable to better cognitive function because of reduced nitro-oxidative stress and inflammation remains to be elucidated.

Keywords

Inflammation, ddc:610, Nitro-oxidative stress, Acute respiratory distress syndrome, Swine, Research, Acute Lung Injury, 610 Medizin, 610, Brain, Swine [MeSH] ; Brain/drug effects [MeSH] ; Inflammation ; Rosuvastatin ; Animals [MeSH] ; Acute respiratory distress syndrome ; Inflammation/prevention ; Acute Lung Injury/complications [MeSH] ; Brain/physiopathology [MeSH] ; Nitro-oxidative stress ; Inflammation/complications [MeSH] ; Rosuvastatin Calcium/pharmacology [MeSH] ; Research ; Oxidative Stress/drug effects [MeSH] ; Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology [MeSH] ; Pigs ; Disease Models, Animal [MeSH] ; Inflammation/physiopathology [MeSH], Rosuvastatin, Disease Models, Animal, Oxidative Stress, Anesthesiology, 610 Medical sciences, Animals, Pigs, RD78.3-87.3, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Rosuvastatin Calcium

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Average
Green
gold