Published ahead of print on January 27, 2005, doi:10.1165/rcmb.2004-0127OC Am. J. Respir. Cell Mol. Biol., Volume 32, Number 4, April 2005, 290-300 A more recent version of this article appeared on April 1, 2005
Submitted on April 22, 2004 Simvastatin inhibits growth factor expression and modulates pro-fibrotic markers in lung fibroblastsKeira L Watts1*,1 Lung Research, Institute of Science and Technology in Medicine, University Hospital of North Staffordshire/ Keele University, Stoke on Trent, Staffordshire, United Kingdom, 2 Department of Obstetrics and Gynaecology, Institute of Wound Repair, Health Science Centre, University of Florida, Gainesville, Florida, USA * To whom correspondence should be addressed. E-mail: keira_watts{at}yahoo.co.uk.
Simvastatin is best known for its antilipidaemic action and use in cardiovascular disease due to its inhibition of 3-hydroxy-3-methylglutaryl CoenzymeA (HMG CoA) reductase; a key enzyme in the cholesterol synthesis pathway. Inhibition of biological precursors in this pathway also enables pleiotrophic immunomodulatory and anti-inflammatory capabilities, including modulation of growth factor expression. Connective tissue growth factor (CTGF) and persistent myofibroblast formation are major determinants of the aggressive fibrotic disease, idiopathic pulmonary fibrosis (IPF). In this study we utilized human lung fibroblasts derived from healthy and IPF lungs to examine Simvastatin effects on CTGF gene and protein expression, analyzed by RT-PCR and ELISA respectively. Simvastatin significantly inhibited (p<0.05) CTGF gene and protein expression, overriding the induction by Transforming Growth Factor (TGF)-
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