Journal of Neuroinflammation · 2006 · 22 citations · 15 references
Life SciencesNeurosciencePharmacologyGlial BiologyInflammationNeuroimmunologyAstrocyte BiologyAstrocyte-immune InteractionsMultiple SclerosisMultiple Sclerosis PharmacotherapyNeuroinflammationNeuroprotectionAstrocyte ImmunologyAstrocyte Interferon SignalingAstrocyte Major Histocompatibility Complex ExpressionAstrocyte-mediated Immune ModulationAstrocyte-mediated ImmunomodulationAstrocyte-mediated ImmunoregulationHmg-coa Reductase InhibitorsMultiple Sclerosis Therapy
Based on their potent anti-inflammatory properties and a preliminary clinical trial, statins (HMG-CoA reductase inhibitors) are being studied as possible candidates for multiple sclerosis (MS) therapy. The pathogenesis of MS is unclear. One theory suggests that the development of autoimmune lesions in the central nervous system may be due to a failure of endogenous inhibitory control of MHC class II expression on astrocytes, allowing these cells to adapt an interferon (IFN)-gamma-induced antigen presenting phenotype. By using immunocytochemistry in cultured astrocytes derived from newborn Wistar rats we found that simvastatin at nanomolar concentrations inhibited, in a dose-response fashion, up to 70% of IFN-gamma-induced MHC class II expression. This effect was reversed by the HMG-CoA reductase product mevalonate. Suppression of the antigen presenting function of astrocytes might contribute to the beneficial effects of statins in MS.
15
Oral simvastatin treatment in relapsing-remitting multiple sclerosis
Timothy R. Vollmer, Lyndon Key, Valerie Durkalski et al. · The Lancet · 2004 · 470 citations