Statins are drugs well known for their cholesterol-lowering properties. Lately, statins have been shown to possess antiinflammatory properties that might be attributed to inhibition of leukocyte adhesion and migration to sites of inflammation. Therefore, we have explored the effects of administration of simvastatin (30 mg/kg body weight given i.p. once a day, from days 4 -14) on the development of diabetes induced by multiple low-dose streptozotocin (MLDS) in CD-1 mice, a type 1 diabetes model. We found that treatment with simvastatin could delay and in certain mice fully protect against MLDS-induced diabetes. The protective effect could last up to 3 weeks after simvastatin treatment was ended. Morphological examinations of the pancreas suggest that simvastatin might reduce the islet inflammation. Based on experiments in vitro, using isolated pancreatic islets, we conclude that the protective effect of simvastatin is not mediated by a direct effect on streptozotocin action but rather the result of an immunomodulatory effect. This was reinforced by the finding that simvastatin treatment also prolonged islet function in the recurrence of disease model in diabetic nonobese diabetic mice.Simvastatin (for chemical structure, see Weitz-Schmidt, 2002) belongs to the statin family, a class of drugs that competitively inhibit 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase. This enzyme catalyzes the conversion of HMG-CoA to mevalonate, the rate-limiting step of the cholesterol synthesis pathway. Statins are frequently prescribed to prevent coronary heart disease and have been shown to exert this action even without a significant drop in blood cholesterol levels, suggesting anti-inflammatory properties independent of its cholesterol-lowering effects (Downs et al., 1998;Ridker et al., 1998;Weitz-Schmidt, 2002).Mevalonate is a precursor not only for cholesterol but also for isoprenoids, such as farnesyl pyrophosphate and geranylgeranyl pyrophosphate. These are necessary for the posttranslational lipid modification of a variety of proteins belonging to the small GTP binding proteins, e.g., Ras, Rho, and Rab (Weitz-Schmidt, 2002). Statins might therefore prevent the membrane localization and function of these proteins by inhibiting HMG-CoA reductase. There is strong evidence that these effects of statins, at least in part, are the basis for its anti-inflammatory properties. For example, Liu et al. (1999) have shown that inhibition of integrin activation by statins correlates with the reduced geranylgeranylation of Rho, and Takeuchi et al. (2000) have shown that statins prevent intercellular adhesion molecule 1 (ICAM-1) expression in endothelial cells by blocking Rho activation.Some statins, including simvastatin, have also been shown to bind to an allosteric site of the integrin leukocyte functionassociated antigen-1 (LFA-1), locking LFA-1 in its inactive form, thereby preventing LFA-1-mediated adhesion and costimulation of lymphocytes (Weitz-Schmidt et al., 2001). In addition, simvastatin has recently been...