Statins May Cut Stroke Mortality
http://stroke.ahajournals.org/content/early/2013/02/07/STROKEAHA.111.000633.short
Abstract
Background and Purpose—Statins
are widely used in the primary and secondary prevention of ischemic
stroke, but their effects on stroke-induced immunodepression
and poststroke infections are elusive. We
investigated the effects of simvastatin treatment on stroke-induced
splenic atrophy
and lung susceptibility to bacterial
infection in acute experimental stroke in mice.
Methods—Ischemic
stroke was induced by transient middle cerebral artery occlusion,
followed by reperfusion. In some experiments, splenectomies
were performed 2 weeks before middle cerebral
artery occlusion. Animals were randomly assigned to sham and middle
cerebral
artery occlusion groups treated
subcutaneously with vehicle or simvastatin (20 mg/kg per day). Brain
infarction, neurological
function, brain interferon-γ expression,
splenic atrophy and apoptosis, and lung infection were examined.
Results—Simvastatin
reduced stroke-induced spleen atrophy and splenic apoptosis via
increased mitochrondrial antiapoptotic Bcl-2 expression
and decreased proapoptotic Bax translocation
from cytosol into mitochondria. Splenectomy reduced brain interferon-γ
(3 days)
and infarct size (5 days) after stroke, and
these effects were reversed by adoptive transfer of splenocytes.
Simvastatin inhibited
brain interferon-γ (3 days) and reduced
infarct volume and neurological deficits (5 days) after stroke, and
these protective
effects were observed not only in naive
stroke mice but also in splenectomied stroke mice adoptively transferred
with splenocytes.
Simvastatin also decreased the
stroke-associated lung susceptibility to spontaneous bacterial
infection.
Conclusions—Results
provide the first direct experimental evidence that simvastatin
ameliorates stroke-induced peripheral immunodepression
by attenuating spleen atrophy and lung
bacterial infection. These findings contribute to a better understanding
of the beneficial
effects of statins in the treatment of
stroke.
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