Proteomic approach to the study of statin pleiotropy in kidney transplant patients

Pharmacology. 2011;87(3-4):161-8. doi: 10.1159/000324311. Epub 2011 Mar 4.

Abstract

Background/aims: Statins are prescribed in kidney transplant recipients in order to manage dyslipidemia, a common complication in these patients. The efficacy of statins in reducing cholesterol levels has been accompanied by pleiotropic effects. Fifty-four kidney transplant patients were included in the present study, the objective of which was to ascertain the effect of 12 weeks of atorvastatin therapy (10 mg/day) on the patients' lipid profile, renal function, markers of inflammation and plasma peptide profile.

Methods: Biochemical variables were determined with a routine clinical laboratory analyzer, and the proteomic approach was based on magnetic particle-assisted sample processing coupled to mass spectrometry readout.

Results: Atorvastatin therapy improved the lipid profile of patients and caused significant changes in their plasma peptide profile; peptides with m/z 1063 and 1898 decreased after treatment and were identified as fragments derived from molecules involved in vascular inflammation, i.e. high-molecular-weight kininogen and complement factor C4, respectively.

Conclusion: These findings may contribute to the growing body of evidence of the anti-inflammatory actions attributed to statins, by which these drugs could improve these patients' clinical status.

Publication types

  • Clinical Trial

MeSH terms

  • Anticholesteremic Agents / administration & dosage
  • Anticholesteremic Agents / pharmacology
  • Anticholesteremic Agents / therapeutic use*
  • Atorvastatin
  • C-Reactive Protein / analysis
  • Female
  • Heptanoic Acids / administration & dosage
  • Heptanoic Acids / pharmacology
  • Heptanoic Acids / therapeutic use*
  • Humans
  • Hypercholesterolemia / blood
  • Hypercholesterolemia / drug therapy*
  • Hypercholesterolemia / etiology
  • Immunoenzyme Techniques
  • Kidney Function Tests
  • Kidney Transplantation*
  • Lipids / blood
  • Male
  • Middle Aged
  • Molecular Weight
  • Peptide Fragments / blood*
  • Prospective Studies
  • Proteomics / methods*
  • Pyrroles / administration & dosage
  • Pyrroles / pharmacology
  • Pyrroles / therapeutic use*
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Anticholesteremic Agents
  • Heptanoic Acids
  • Lipids
  • Peptide Fragments
  • Pyrroles
  • Tumor Necrosis Factor-alpha
  • C-Reactive Protein
  • Atorvastatin