Relationship between hyperfibrinogenemia (HF), oxidative stress, and atherogenesis was established. Effect of atorvastatin (Ator) was assessed. Wistar male (6 months) rats were studied: Ctr, control, without HF induction; Ctr-Ator, without HF treated with atorvastatin; AI, atherogenesis induced, and AI-Ator, atherogenesis induced and treated with atorvastatin. Atherogenesis was induced by daily adrenaline injection (0.1?mL/day/rat) for 90 days; treatment started 15 days after induction. Fibrinogen (mg/dL) and nitric oxide (NO) were measured in plasma (mM) and superoxide dismutase (SOD) (U/mL) in red cell lysate by spectrophotometry. Slices of aorta were analyzed by electron microscopy (EM). ANOVA and chi-square test were used; was established. There were no significant differences between Ctr and Ctr-Atorv in fibrinogen, NO, and SOD values. Comparing Ctr with AI an increase of fibrinogen is observed (), but it decreased after administration of atorvastatin in AI-Ator (). NO diminished in AI relative to Ctr and increased in AI-Ator (). SOD showed an increase in AI and AI-Ator compared to Ctr (). EM revealed expansion of intermembrane space and disorganization of crests in AI. In AI-Ator mitochondrial areas and diameters were similar to control. Atorvastatin normalizes HF, stabilizes NO, increases SOD, and produces a partial regression of mitochondrial lesions. 1. Introduction Cardiovascular diseases represent one of the main causes of morbimortality in developed and emerging countries. Atherogenesis has been established as the pathophysiological substrate of these pathologies, leading to abundant research on atherogenic triggers, progression, and possible treatments, as well as increased primary and secondary preventive measures. However, a high incidence of acute cardiovascular events has been reported in subjects classified as healthy according to the Framingham stratification criteria or to the guidelines elaborated by the National Cholesterol Education Program—Adult Treatment Panel III (ATP III) [1]. New risk factors and vascular disease markers, such as hyperfibrinogenemia (HF), participate in platelet aggregation, modulate endothelial function, promote the proliferation of smooth muscle, and express the inflammatory component in atherogenesis [2–4], mediated by TNF-α which reflects the endothelial activation level. Some years ago, several studies proved that fibrinogen values behave as risk indicators of an adverse cardiovascular event due to their participation in the stages of subclinical atherosclerosis [5, 6]. In previous studies, we have
References
[1]
T. M. Okwuosa, P. Greenland, G. L. Burke et al., “Prediction of coronary artery calcium progression in individuals with low Framingham Risk Score: the Multi-Ethnic Study of Atherosclerosis,” JACC: Cardiovascular Imaging, vol. 5, no. 2, pp. 144–153, 2012.
[2]
A. R. Folsom, K. K. Wu, W. D. Rosamond, A. R. Sharrett, and L. E. Chambless, “Prospective study of hemostatic factors and incidence of coronary heart disease: the Atherosclerosis Risk in Communities (ARIC) Study,” Circulation, vol. 96, no. 4, pp. 1102–1108, 1997.
[3]
A. E. Prizment, K. E. Anderson, K. Visvanathan, and A. R. Folsom, “Association of inflammatory markers with colorectal cancer incidence in the atherosclerosis risk in communities study,” Cancer Epidemiology Biomarkers and Prevention, vol. 20, no. 2, pp. 297–307, 2011.
[4]
M. C. Baez, M. Tarán, V. Campana, et al., “Marcadores de estrés oxidativo en aterogénesis inducida por hiperfibrinogenemia,” Archivos de Cardiología de México, vol. 79, no. 2, pp. 85–90, 2009.
[5]
J. L. Martín-Ventura, L. M. Blanco-Colio, J. Mu?ón et al., “Biomarcadores en la medicina cardiovascular,” Revista Espanola de Cardiologia, vol. 62, no. 6, pp. 677–688, 2009.
[6]
L. M. Canseco-ávila, C. Jerjes-Sánchez Díaz, R. Ortiz-López, A. Rojas-Martínez, and D. Guzmán-Ramírez, “Fibrinogen Cardiovascular risk factor or marker?” Archivos de Cardiologia de Mexico, vol. 76, supplement 4, pp. S158–S172, 2006.
[7]
M. Moya, V. Campana, A. Gavotto, L. Spitale, J. Simes, and J. Palma, “Simvastatin: pharmacological response in experimental hyperfibrinogenaemias,” Acta Cardiologica, vol. 60, no. 2, pp. 159–164, 2005.
[8]
K. K. Koh, P. C. Oh, and M. J. Quon, “Does reversal of oxidative stress and inflammation provide vascular protection?” Cardiovascular Research, vol. 81, no. 4, pp. 649–659, 2009.
[9]
J. I. Borissoff, H. M. H. Spronk, and H. T. Cate, “The hemostatic system as a modulator of atherosclerosis,” The New England Journal of Medicine, vol. 364, no. 18, pp. 1746–1760, 2011.
[10]
A. C. Montezano and R. M. Touyz, “Reactive oxygen species and endothelial function—role of nitric oxide synthase uncoupling and nox family nicotinamide adenine dinucleotide phosphate oxidases,” Basic and Clinical Pharmacology and Toxicology, vol. 110, no. 1, pp. 87–94, 2012.
[11]
C. Cortés-Rojo and A. R. Rodríguez-Orozco, “Importance of oxidative damage on the electron transport chain for the rational use of mitochondria-targeted antioxidants,” Mini-Reviews in Medicinal Chemistry, vol. 11, no. 7, pp. 625–632, 2011.
[12]
N. R. Madamanchi and M. S. Runge, “Mitochondrial dysfunction in atherosclerosis,” Circulation Research, vol. 100, no. 4, pp. 460–473, 2007.
[13]
G. Lenaz and M. L. Genova, “Structure and organization of mitochondrial respiratory complexes: a new understanding of an old subject,” Antioxidants and Redox Signaling, vol. 12, no. 8, pp. 961–1008, 2010.
[14]
O. Lorenzo, L. M. Blanco Clio, J. L. Martín Ventura, and E. Sánchez Galán, “Nuevos mediadores implicados en la génesis de la aterosclerosis,” Clínica e Investigación en Arteriosclerosis, vol. 21, no. 1, pp. 25–33, 2009.
[15]
Y. Higashi, K. Noma, M. Yoshizumi, and Y. Kihara, “Endothelial function and oxidative stress in cardiovascular diseases,” Circulation Journal, vol. 73, no. 3, pp. 411–418, 2009.
[16]
S.-J. Lin, S.-K. Shyue, M.-C. Shih et al., “Superoxide dismutase and catalase inhibit oxidized low-density lipoprotein-induced human aortic smooth muscle cell proliferation: role of cell-cycle regulation, mitogen-activated protein kinases, and transcription factors,” Atherosclerosis, vol. 190, no. 1, pp. 124–134, 2007.
[17]
D. D. Heistad, Y. Wakisaka, J. Miller, Y. Chu, and R. Pena-Silva, “Novel aspects of oxidative stress in cardiovascular diseases,” Circulation Journal, vol. 73, no. 2, pp. 201–207, 2009.
[18]
J. M. McCord, “Superoxide dismutase, lipid peroxidation, and bell-shaped dose response curves,” Dose-Response, vol. 6, no. 3, pp. 223–238, 2008.
[19]
V. Lahera, M. Goicoechea, S. G. de Vinuesa et al., “Endothelial dysfunction, oxidative stress and inflammation in atherosclerosis: Beneficial effects of statins,” Current Medicinal Chemistry, vol. 14, no. 2, pp. 243–248, 2007.
[20]
M. J. Karnovsky and R. C. Graham, “A formaldehide-glutaraldehide fixative of high osmolarity by MET,” The Journal of Cell Biology, vol. 27, pp. 137–138, 1965.
[21]
O. D. Ratnoff and C. Menzie, “A new method for the determination of fibrinogen in small samples of plasma,” The Journal of Laboratory and Clinical Medicine, vol. 37, no. 2, pp. 316–320, 1951.
[22]
S. Moncada and P. Vayanse, “El endotelio y la función cardiovascular,” Cardiovascular Risk Factors, vol. 7, no. 3, pp. 156–161, 1998.
[23]
J. A. Woolliams, G. Wiener, P. H. Anderson, and C. H. McMurray, “Variation in the activities of glutathione peroxidase and superoxide dismutase and in the concentration of copper in the blood in various breed crosses of sheep,” Research in Veterinary Science, vol. 34, no. 3, pp. 253–256, 1983.
[24]
P. M. Vanhoutte, “Endothelial dysfunction—the first step toward coronary arteriosclerosis,” Circulation Journal, vol. 73, no. 4, pp. 595–601, 2009.
[25]
Q. Zhou and J. K. Liao, “Pleiotropic effects of statins. Basic research and clinical perspectives,” Circulation Journal, vol. 74, no. 5, pp. 818–826, 2010.
[26]
F. Taylor, M. D. Huffman, A. F. Macedo et al., “Statins for the primary prevention of cardiovascular disease,” Cochrane Database of Systematic Reviews, vol. 1, Article ID CD004816, 2013.
[27]
T. Sathyapalan, J. Shepherd, S. L. Atkin, and E. S. Kilpatrick, “The effect of atorvastatin and simvastatin on vitamin D, oxidative stress and inflammatory marker concentrations in patients with type 2 diabetes: a crossover study,” Diabetes, Obesity and Metabolism, vol. 15, no. 8, pp. 767–769, 2013.
[28]
P. S. Silva, R. Lacchini, V. Gomes, and J. T. Santos, “Implicaciones farmacogenéticas de polimorfismos de la eNOS para drogas de acción cardiovascular,” The Journal Arquivos Brasileiros de Cardiologia, vol. 96, no. 2, pp. 27–34, 2011.
[29]
R. H. Samson and D. G. Nair, “Influence and critique of the JUPITER trial (Statins vs No Statins for primary prevention of cardiovascular events in patients with normal lipids and elevated c-reactive protein),” Seminars in Vascular Surgery, vol. 24, no. 3, pp. 172–179, 2011.
[30]
R. Rezzani, F. Bonomini, S. Tengattini, A. Fabiano, and R. Bianchi, “Atherosclerosis and oxidative stress,” Histology and Histopathology, vol. 23, no. 3, pp. 381–390, 2008.
[31]
A. Wrzosek, A. ?ojek, I. Stanis?awska et al., “Endothelial mitochondria—a novel target for pharmacology of endothelial dysfunction,” Postepy Biochemii, vol. 54, no. 2, pp. 198–208, 2008.
[32]
S. Itoh, K. Ozumi, H. W. Kim et al., “Novel mechanism for regulation of extracellular SOD transcription and activity by copper: role of antioxidant-1,” Free Radical Biology and Medicine, vol. 46, no. 1, pp. 95–104, 2009.
[33]
C. L. Neumann, E. G. Schulz, G. C. Hagenah, U. Platzer, E. Wieland, and V. Schettler, “Lipoprotein apheresis—more than just cholesterol reduction?” Atherosclerosis Supplements, vol. 14, no. 1, pp. 29–32, 2013.