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High dose statin treatment reduces circulating Dickkopf-1 following acute myocardial infarction.
- Source :
-
International Journal of Cardiology . Jul2024, Vol. 406, pN.PAG-N.PAG. 1p. - Publication Year :
- 2024
-
Abstract
- Secreted glycoproteins of the Dickkopf (DKK) family modify Wnt signaling and may influence plaque destabilization but their modulation by statins in MI patients is not known. We measured plasma DKK-1 and DKK-3 in patients with acute ST-segment elevation MI (STEMI) before percutaneous coronary intervention (PCI) and after 2 and 7 days and 2 months in patients receiving short-term high-dose (40 mg rosuvastatin, given before PCI; n = 25) and moderate dose (20 mg simvastatin, given the day after PCI; n = 34). In vitro modulation of DKK-1 in human umbilical vein endothelial cells (HUVECs) by statins were assessed. (i) Patients receiving high dose rosuvastatin had a marked decline in DKK-1 at day 2 which was maintained throughout the study period. However, a more prevalent use of β-blockers in the simvastatin group, that could have contributed to higher DKK-1 levels in these patients. (ii) There was a strong correlation between baseline DKK-1 levels and change in DKK-1 from baseline to day 2 in patients receiving high dose rosuvastatin treatment. (iii) DKK-3 increased at day 2 but returned to baseline levels at 2 months in both treatment groups. (iv) Statin treatment dose-dependently decreased DKK-1 mRNA and protein levels in HUVEC. Our findings suggest that high dose statin treatment with 40 mg rosuvastatin could persistently down-regulate DKK-1 levels, even at 2 months after the initial event in STEMI patients. • The Wnt signaling pathway and secreted members of the Dickkopf family are activated during myocardial infarction. • High dose rosuvastatin (40 mg), but not a moderate dose simvastatin (20 mg) induced a markedly decreased pro-atherogenic Dickkopf 1 during follow-up in STEMI patients. • For DKK-3, there was a rapid increase following STEMI that was not modulated by statins [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 01675273
- Volume :
- 406
- Database :
- Academic Search Index
- Journal :
- International Journal of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 177031454
- Full Text :
- https://doi.org/10.1016/j.ijcard.2024.132035