Source:http://linkedlifedata.com/resource/pubmed/id/20679180
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2010-9-16
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pubmed:abstractText |
3-Hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitors (statins) are effective in the primary and secondary prevention of cardiovascular events. Although originally developed to improve lipid profile, statins have demonstrated a surplus of beneficial pleiotropic effects, including improved endothelial function, reduced inflammation, and increased tolerance to ischemia-reperfusion injury. In preclinical studies, increased ecto-5'-nucleotidase activity, the key enzyme in extracellular adenosine formation, plays an important role in these effects. Because human data are absent, we explored the effects of rosuvastatin on ecto-5'-nucleotidase activity and the clinical relevance of increased extracellular adenosine during ischemia in humans in vivo. The forearm vasodilator responses to 3 increasing periods of forearm ischemia (2, 5, and 13 minutes) were determined during placebo and caffeine (an adenosine receptor antagonist) infusion into the brachial artery. At the end of an 8-day treatment period with rosuvastatin (20 mg per day), this whole procedure was repeated. During both experiments, ecto-5'-nucleotidase activity was determined. Vasodilator responses are expressed as the percentage increase in forearm blood flow ratio from baseline. Rosuvastatin increased ecto-5'-nucleotidase activity by 49±17% and enhanced the vasodilator response after 2, 5, and 13 minutes of ischemia in the absence (146±19, 330±26, and 987±133 to 312±77, 566±107, and 1533±267) but not in the presence of caffeine (98±25, 264±54, and 727±111 versus 95±19, 205±34, and 530±62). Rosuvastatin increases extracellular formation of adenosine in humans in vivo probably by enhancing ecto-5'-nucleotidase activity. This action results in the improvement of reactive hyperemia and may further enhance the clinical benefit of statins, in particular in conditions of ischemia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/5'-Nucleotidase,
http://linkedlifedata.com/resource/pubmed/chemical/Adenosine,
http://linkedlifedata.com/resource/pubmed/chemical/Caffeine,
http://linkedlifedata.com/resource/pubmed/chemical/Central Nervous System Stimulants,
http://linkedlifedata.com/resource/pubmed/chemical/Fluorobenzenes,
http://linkedlifedata.com/resource/pubmed/chemical/Hydroxymethylglutaryl-CoA...,
http://linkedlifedata.com/resource/pubmed/chemical/Pyrimidines,
http://linkedlifedata.com/resource/pubmed/chemical/Sulfonamides,
http://linkedlifedata.com/resource/pubmed/chemical/Vasodilator Agents,
http://linkedlifedata.com/resource/pubmed/chemical/rosuvastatin
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1524-4563
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
56
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
722-7
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pubmed:meshHeading |
pubmed-meshheading:20679180-5'-Nucleotidase,
pubmed-meshheading:20679180-Adenosine,
pubmed-meshheading:20679180-Blood Flow Velocity,
pubmed-meshheading:20679180-Brachial Artery,
pubmed-meshheading:20679180-Caffeine,
pubmed-meshheading:20679180-Central Nervous System Stimulants,
pubmed-meshheading:20679180-Female,
pubmed-meshheading:20679180-Fluorobenzenes,
pubmed-meshheading:20679180-Forearm,
pubmed-meshheading:20679180-Humans,
pubmed-meshheading:20679180-Hydroxymethylglutaryl-CoA Reductase Inhibitors,
pubmed-meshheading:20679180-Infusions, Intra-Arterial,
pubmed-meshheading:20679180-Ischemia,
pubmed-meshheading:20679180-Male,
pubmed-meshheading:20679180-Pyrimidines,
pubmed-meshheading:20679180-Sulfonamides,
pubmed-meshheading:20679180-Time Factors,
pubmed-meshheading:20679180-Up-Regulation,
pubmed-meshheading:20679180-Vasodilator Agents,
pubmed-meshheading:20679180-Young Adult
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pubmed:year |
2010
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pubmed:articleTitle |
Upregulation of ecto-5'-nucleotidase by rosuvastatin increases the vasodilator response to ischemia.
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pubmed:affiliation |
Departments of Pharmacology-Toxicology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
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pubmed:publicationType |
Journal Article,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't
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