Regulatory effects of statins on CCL2/CCR2 axis in cardiovascular diseases: new insight into pleiotropic effects of statins


Gholamalizadeh H., Ensan B., KARAV S., Jamialahmadi T., Sahebkar A.

Journal of Inflammation (United Kingdom), vol.21, no.1, 2024 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 1
  • Publication Date: 2024
  • Doi Number: 10.1186/s12950-024-00420-y
  • Journal Name: Journal of Inflammation (United Kingdom)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CAB Abstracts, Veterinary Science Database, Directory of Open Access Journals
  • Keywords: CCL2, Ischemic heart disease, MCP-1, Statins, Stroke
  • Çanakkale Onsekiz Mart University Affiliated: Yes

Abstract

Background: HMG-CoA reductase inhibitors are well-known medications in the treatment of cardiovascular disorders due to their pleiotropic and lipid-lowering properties. Herein, we reviewed the effects of statins on the CCL2/CCR2 axis. Method: Scopus and Pubmed databases were systematically searched using the following keywords:” Hydroxymethylglutaryl CoA Reductase Inhibitors”,” HMG-CoA Reductase Inhibitors”,” Statins”, “CCL2, Chemokine”, “Monocyte Chemoattractant Protein-1” and “Chemokine (C-C Motif) Ligand 2”. Evidence investigating the role of statin on MCP-1 in CVD was identified and bibliographies were completely evaluated to gather further related studies. Results: The anti-inflammatory effects of statins on the CCL2/CCR2 pathway have been widely investigated. Despite inconclusive results, a great body of research supports the regulatory roles of statins on this pathway due to their pleiotropic effects. By disrupting the CCL2/CCR2 axis, statins attenuate the infiltration of monocytes and macrophages into the zone of inflammation and hence down-regulate the inflammatory cascades in various CVDs including atherosclerosis, cardiac remodeling, and stroke, among others. Conclusion: CCL2 plays a major role in the pathogenesis of cardiovascular disorders. Down-regulation of CCL2 is proposed as one of the pleiotropic properties of statins. However, more investigations are required to elucidate which statin in what dose exerts a more potent effect on CCL2/CCR2 pathway.