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Table 2 Statins modulatory effect on CCL2/CCR2 axis in cardiac diseases

From: Regulatory effects of statins on CCL2/CCR2 axis in cardiovascular diseases: new insight into pleiotropic effects of statins

Pathology/

Disease

Treatment

Type of Study

Model

Findings

Ref.

MCP-1

Other findings

Cardiac remodeling and ischemic conditions

Simvastatin

In vivo

Cardiopulmonary bypass

↓NF-κB, TNF, IL-6,

[176]

Atorvastatin

In vivo

LAD ligation

↓TNF, IL-6, macrophage recruitment

↑LV function

[72]

Pravastatin

In vivo

L-NAME induced coronary vascular inflammation

↓Inflammation, proliferation

[177]

Pitavastatin(nanoparticles)

In vivo

Ischemic-reperfusion injury

↓ NF-κB, infarct size, post-MI cardiac remodeling

[178]

Simvastatin

In vivo

Cardiac isograft ischemia-reperfusion injury

↓Infarct size, macrophages, CCR2

[73]

Simvastatin

In vivo

Cardiac allograft vasculopathy (CAV)

↓ RANTES, ↓CCR2, CCR5, macrophage infiltration

↓ CAV

[179]

Simvastatin

Clinical trial

CAD remained hypercholesterolemic during step 2 of diet therapy

↓MMP-9

Tendency to reduce PAI-1, TNF

[41]

Atorvastatin

Clinical trial

ACS patients

-

[77]

Atorvastatin

Clinical trial

Stable angina

↓TLR-2 on peripheral monocytes

↓MMP-9, IL-6, CK-MB, cardiac troponin 1

[180]

Atorvastatin

Clinical trial

Coronary heart disease

↓VEGF, CRP

↑EPC

[80]

Atorvastatin

Clinical trial

Unstable angina

-

↓TLR-2, TLR-4, CCR2(high-dose)

↑PPARγ

[181]

Atorvastatin

Clinical trial

Stable angina

→HMOX1

↑Total bilirubin

[182]

Atorvastatin

Clinical trial

Stable angina

↓ICAM-1 mRNA

→sICAM-1, sVCAM-1

[75]

Atorvastatin

Clinical trial

ACS

→CRP, IL-6, TNF

→MACE, restenosis

[78]

Atorvastatin

Clinical trial

Unstable angina

→MCP-1, VCAM-1 in treatment group while increased in control group

[76]

Atorvastatin

Clinical trial

CHD or CHD equivalent

↓sICAM-1

[79]

Rosuvastatin

Clinical trial

Stable CAD

-

Stabilizing hs-CRP in high-dose group

[183]

Rosuvastatin

Clinical trial

NSTEMI

↓Post-PCI MI, hs-CRP, IL-6

[184]

Cardiac depression

Simvastatin

In vivo

Sepsis-induced cardiac depression

↓TLR-4, NF-κB, p65

↓TNF, IL-1β, IL-6

↓Cardiac troponin

[74]

  1. This table reviews the modulatory effect of various statins on MCP-1 and other inflammatory cytokines in various types of studies concerning cardiac diseases. Arrows are employed to show possible changes in cytokines. ↑: Increased; ↓: Decreased; →: No significant change. Abbreviations: TNF: Tumor necrosis factor-α; PBL: Peripheral blood lymphocytes; CCL: C-C motif ligand 2; IL: Interleukin; TGF: Transforming growth factor; SMC: Smooth muscle cells; NF-κB: Nuclear factor- Kappa B; ICAM: Intercellular adhesion molecule; VCAM: Vascular cell adhesion molecule; MIP: Macrophage inflammatory protein; MMPs: Matrix metalloproteinases; ROS: Reactive oxygen species; NOS2: Nitric Oxide synthase 2; COX: Cyclooxygenase; VEGF: vascular endothelial growth factor; INF: Interferon; hs-CRP: High sensitive C-Reactive protein; TLR: Toll-like receptor; RANTES(CCL5): regulated upon activation, normal T cell expressed and secreted; EPC: Endothelial progenitor cells; CHD: coronary heart disease; NSTEMI: non-ST elevation myocardial infarction; ACS: acute coronary syndrome; CAD: coronary artery disease; CHD: coronary heart disease; PAI: Plasminogen activator inhibitor; ip: Intraperitoneal; PPAR: Peroxisome proliferator-activated receptor