Russian Heart Failure Journal 2009year Effect of statins on immune components of inflammatory response in patients with CHF caused by ischemic heart disease.


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2009/

Effect of statins on immune components of inflammatory response in patients with CHF caused by ischemic heart disease.

Tatenkulova C. H., Belenkov Yu. N., Mareev V. Yu., Masenko B. P., Balakhonova T. V., Tripoten’ M. I, Kaznatcheeva E. I., Belyavsky E. A., Tkachev G. A., Zykov K. A.

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Urgency. Importance of the understanding of immune component for the CHF diagnosis and treatment was shown in the large amount of recent year’s studies. Aim. To study statin’s effect on the immune components of the inflammatory reaction in CHF of Ischemic Etiology. Materials and methods. In 43 patients with IHD and CHF I–IV functional classes markers of endothelial and left ventricular dysfunction, and immune activation were evaluated. In this study were included 10 (23 %) patients with I functional class of CHF, 10 (23 %) patients with II functional class of CHF, 11 (26 %) patients with III functional class of CHF and 12 (28 %) patients of IV functional class of CHF. All patients were passing through the echo-CG / High sensitive C-reactive protein (hsCRP), Immunoglobulin G, A, M (IgG, IgA, IgM), sIL-2R, IL-8, NT-proBNP, IL-6, IL-18, IL-10, IFN-γ, endoteline and NO were evaluated during the study. After 3 weeks «cleaning» period all patients was receiving atorvastatin for 6 months. Results. Treatment with statin was associated with decreasing in CHF functional class and increase of anti-inflammatory cytokines levels. At the same time improving in endothelial function was not detected during and after treatment period. Treatment with atorvastatin was associated with different changes in anti-inflammatory factors (decrease in hsCRP, IFN-γ, IL-8, sIL-2R and NO metabolites and increase in IL‑6, IgG). The conclusion could be made that statin therapy is insufficient for controlling all levels of inflammatory process in atherosclerosis.
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