Effect of combining ACE inhibitor and statin in lupus-prone mice

Clin Immunol. 2010 Aug;136(2):188-96. doi: 10.1016/j.clim.2010.03.008. Epub 2010 Apr 18.

Abstract

MRL-Fas(lpr) mice spontaneously develop a systemic autoimmune disease resembling human systemic lupus erythematosus. The glomerulonephritis in MRL-Fas(lpr) mice is mediated by autoantibodies and autoreactive lymphocytes. To investigate the effect of combination therapy by angiotensin-converting enzyme inhibitor (ACEI) and hydroxymethylglutaryl-coenzyme A reductase inhibitor (statin) for lupus nephritis, we treated MRL-Fas(lpr) mice with imidapril, pravastatin or both agents. Compared with other groups, the mice treated by combination therapy survived longer and showed a significant reduction in proteinuria, renal pathology, including glomerular IgG deposit, and serum anti-DNA Ab. Furthermore, monocyte chemoattractant protein-1 (MCP-1) in the kidney was reduced significantly in the combination therapy group, compared with that in the control group. We conclude that combination therapy with ACEI and statin for MRL-Fas(lpr) mice significantly alleviates autoimmune renal disorder and prolongs survival. These results suggest that combination therapy by ACEI and statin may represent a new approach to the treatment of patients with lupus.

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / administration & dosage*
  • Animals
  • Antibodies, Antinuclear / blood
  • Blood Pressure
  • Cytokines / metabolism
  • Drug Therapy, Combination
  • Female
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage*
  • Imidazolidines / administration & dosage*
  • Immunoglobulin G / metabolism
  • Kidney / immunology
  • Kidney / metabolism
  • Kidney / pathology
  • Lupus Erythematosus, Systemic / drug therapy*
  • Lupus Erythematosus, Systemic / immunology
  • Lupus Nephritis / drug therapy
  • Lupus Nephritis / immunology
  • Mice
  • Mice, Inbred C3H
  • Mice, Inbred MRL lpr
  • Pravastatin / administration & dosage*
  • Proteinuria / drug therapy
  • Proteinuria / prevention & control
  • Random Allocation
  • Specific Pathogen-Free Organisms

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Antibodies, Antinuclear
  • Cytokines
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Imidazolidines
  • Immunoglobulin G
  • imidapril
  • Pravastatin