BACKGROUND AND PURPOSEZymosan-induced non-septic shock is a multi-factorial pathology that involves several organs including the kidneys, liver and lungs. Its complexity and diversity presents a continuing therapeutic challenge. Given their pleiotropic effect, statins could be beneficial in non-septic shock. One of the molecular mechanisms underlying the anti-inflammatory effect of statins involves the peroxisome proliferator-activated receptor (PPAR) a. We used a zymosan-induced non-septic shock experimental model to investigate the role of PPARa in the anti-inflammatory effects of simvastatin.
EXPERIMENTAL APPROACHEffects of simvastatin (5 or 10 mg·kg -1 i.p.) were analysed in PPARa knock-out (KO) and PPARa wild type (WT) mice after zymosan or vehicle administration. Organ injury in lung, liver, kidney and intestine was evaluated by immunohistology. PPARa mRNA expression and nuclear factor-kB activation were evaluated in all experimental groups, 18 h after study onset. Cytokine levels were measured in plasma, and nitrite/nitrate in plasma and peritoneal exudate. Nitric oxide synthase, nitrotyrosine and poly ADP-ribose were localized by immunohistochemical methods.
KEY RESULTSSimvastatin significantly and dose-dependently increased the zymosan-induced expression of PPARa levels in all tissues analysed. It also dose-dependently reduced systemic inflammation and the organ injury induced by zymosan in lung, liver, intestine and kidney. These effects were observed in PPARaWT mice and in PPARaKO mice.
CONCLUSIONS AND IMPLICATIONSSimvastatin protected against the molecular and cellular damage caused by systemic inflammation in our experimental model. Our results also provide new information regarding the role of PPARa in the anti-inflammatory effects of statins.
AbbreviationsALT, alanine aminotransferase; AST, aspartate aminotransferase; HMG-CoA, 3-hydroxy-3-methylglutaryl co-enzyme A reductase; IL-1b, interleukin 1b; iNOS, inducible NO