Article: Effects of atorvastatin on serum soluble receptors for advanced glycation end-products in type 2 diabetes

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TitleEffects of atorvastatin on serum soluble receptors for advanced glycation end-products in type 2 diabetes
AuthorsTam, HL1
Shiu, SWM1
Wong, Y1
Chow, WS1
Betteridge, DJ2
Tan, KCB1
KeywordsAdvanced glycation end-products
Atorvastatin
Soluble receptor for advanced glycation end-products
Type 2 diabetes mellitus
Issue Date2010
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/atherosclerosis
CitationAtherosclerosis, 2010, v. 209 n. 1, p. 173-177 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.atherosclerosis.2009.08.031
AbstractObjective: The receptor for advanced glycation end-products (RAGE) plays an important role in the pathogenesis of diabetic complications and atherosclerosis. Interfering with the activation of RAGE by using a soluble form of the receptor (sRAGE) ameliorates the vascular complications of diabetes in animal models. We have investigated whether statin can influence the expression of sRAGE and esRAGE (a splice variant of sRAGE) in vitro and in vivo. Methods: THP-1 cells were incubated with atorvastatin in vitro and sRAGE and esRAGE in the medium was measured by Western immunoblot. Serum levels of sRAGE and esRAGE were measured by ELISA in archived serum samples from a previous randomized double-blind placebo-controlled clinical trial that explored the cardiovascular effects of atorvastatin in hypercholesterolemic Chinese type 2 diabetic patients. Results: sRAGE and esRAGE were induced by atorvastatin in a time- and dose-dependent manner in THP-1 cells. In the diabetic patients, there was a significant increase in serum sRAGE (p < 0.05) and esRAGE (p < 0.01) in the atorvastatin group at 6-month, but no change in placebo group. Serum esRAGE was higher in atorvastatin group than placebo group [median 240.5 pg/ml (interquartile range 186.5-377.3) vs 194.8 pg/ml (124.1-347.9) respectively, p < 0.01] at 6-month, whereas the differences in sRAGE did not reach statistical significance (p = 0.051). There was a correlation between the increase of serum esRAGE and reduction of serum LDL (r = -0.36, p = 0.001). Conclusions: Statins are known to have pleiotropic effects and we have shown that atorvastatin can increase circulating esRAGE levels in type 2 diabetic patients. © 2009 Elsevier Ireland Ltd. All rights reserved.
ISSN0021-9150
2011 Impact Factor: 3.794
2011 SCImago Journal Rankings: 0.372
DOIhttp://dx.doi.org/10.1016/j.atherosclerosis.2009.08.031
ISI Accession Number IDWOS:000275101500028
Funding AgencyGrant Number
Hong Kong Research Grants Council Research FundHKU 775708M
Committee on Research and Conference Grants of the University of Hong Kong
Funding Information:

This study is supported by funding from the Hong Kong Research Grants Council Research Fund (HKU 775708M) and the Committee on Research and Conference Grants of the University of Hong Kong.

ReferencesReferences in Scopus
GrantsSoluble receptor for advanced glycation end products and diabetic complications
DC Field
Value
dc.contributor.authorTam, HL
dc.contributor.authorShiu, SWM
dc.contributor.authorWong, Y
dc.contributor.authorChow, WS
dc.contributor.authorBetteridge, DJ
dc.contributor.authorTan, KCB
dc.date.accessioned2010-10-31T11:09:56Z
dc.date.available2010-10-31T11:09:56Z
dc.date.issued2010
dc.description.abstractObjective: The receptor for advanced glycation end-products (RAGE) plays an important role in the pathogenesis of diabetic complications and atherosclerosis. Interfering with the activation of RAGE by using a soluble form of the receptor (sRAGE) ameliorates the vascular complications of diabetes in animal models. We have investigated whether statin can influence the expression of sRAGE and esRAGE (a splice variant of sRAGE) in vitro and in vivo. Methods: THP-1 cells were incubated with atorvastatin in vitro and sRAGE and esRAGE in the medium was measured by Western immunoblot. Serum levels of sRAGE and esRAGE were measured by ELISA in archived serum samples from a previous randomized double-blind placebo-controlled clinical trial that explored the cardiovascular effects of atorvastatin in hypercholesterolemic Chinese type 2 diabetic patients. Results: sRAGE and esRAGE were induced by atorvastatin in a time- and dose-dependent manner in THP-1 cells. In the diabetic patients, there was a significant increase in serum sRAGE (p < 0.05) and esRAGE (p < 0.01) in the atorvastatin group at 6-month, but no change in placebo group. Serum esRAGE was higher in atorvastatin group than placebo group [median 240.5 pg/ml (interquartile range 186.5-377.3) vs 194.8 pg/ml (124.1-347.9) respectively, p < 0.01] at 6-month, whereas the differences in sRAGE did not reach statistical significance (p = 0.051). There was a correlation between the increase of serum esRAGE and reduction of serum LDL (r = -0.36, p = 0.001). Conclusions: Statins are known to have pleiotropic effects and we have shown that atorvastatin can increase circulating esRAGE levels in type 2 diabetic patients. © 2009 Elsevier Ireland Ltd. All rights reserved.
dc.description.grantSoluble receptor for advanced glycation end products and diabetic complications
dc.description.grantcode99048
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationAtherosclerosis, 2010, v. 209 n. 1, p. 173-177 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.atherosclerosis.2009.08.031
dc.identifier.citeulike5627978
dc.identifier.doihttp://dx.doi.org/10.1016/j.atherosclerosis.2009.08.031
dc.identifier.epage177
dc.identifier.hkuros174655
dc.identifier.isiWOS:000275101500028
Funding AgencyGrant Number
Hong Kong Research Grants Council Research FundHKU 775708M
Committee on Research and Conference Grants of the University of Hong Kong
Funding Information:

This study is supported by funding from the Hong Kong Research Grants Council Research Fund (HKU 775708M) and the Committee on Research and Conference Grants of the University of Hong Kong.

dc.identifier.issn0021-9150
2011 Impact Factor: 3.794
2011 SCImago Journal Rankings: 0.372
dc.identifier.issue1
dc.identifier.openurl
dc.identifier.pmid19733353
dc.identifier.scopuseid_2-s2.0-77049119450
dc.identifier.spage173
dc.identifier.urihttp://hdl.handle.net/10722/125074
dc.identifier.volume209
dc.languageeng
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/atherosclerosis
dc.publisher.placeIreland
dc.relation.ispartofAtherosclerosis
dc.relation.referencesReferences in Scopus
dc.subject.meshDiabetes Mellitus, Type 2 - blood - drug therapy
dc.subject.meshHeptanoic Acids - therapeutic use
dc.subject.meshHydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
dc.subject.meshPyrroles - therapeutic use
dc.subject.meshReceptors, Immunologic - blood
dc.subjectAdvanced glycation end-products
dc.subjectAtorvastatin
dc.subjectSoluble receptor for advanced glycation end-products
dc.subjectType 2 diabetes mellitus
dc.titleEffects of atorvastatin on serum soluble receptors for advanced glycation end-products in type 2 diabetes
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. UCL Medical School