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The effects of 3-month atorvastatin therapy on arterial inflammation, calcification, abdominal adipose tissue and circulating biomarkers

Abstract

{sup 18}F-Fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT has the potential to track vascular inflammation and monitor therapeutic response. The purpose of this study was to determine the association between arterial inflammation, calcification and serological biomarkers in subjects with atherosclerosis, and to assess their therapeutic response to 12-week atorvastatin treatment. Forty-three statin-naive subjects with atherosclerosis received atorvastatin (40 mg/day) for 12 weeks and underwent {sup 18}F-FDG PET/CT, coronary calcification and abdominal adipose tissue volume measurements. A panel of serological biomarkers was analysed. Arterial inflammation was measured at seven arterial segments and normalized to venous FDG activity to produce target to background ratios (TBR). Thirty-four subjects without cardiovascular disease who repeated PET 1-4 years apart for routine health check-ups were retrospectively evaluated for comparison. The baseline mean TBR values in atherosclerotic patients were positively correlated with age (R = 0.36), body mass index (R = 0.54), abdominal visceral adipose tissue volume (R = 0.65), coronary calcification score (R = 0.40), levels of low-density lipoprotein cholesterol (R = 0.54), matrix metalloproteinase (MMP)-9 (R = 0.46) and fatty acid binding protein 4 (FABP4) (R = 0.67, all p < 0.05). The TBR as well as high-sensitivity C-reactive protein (hsCRP), E-selectin, MMP-9, monocyte chemotactic protein  More>>
Authors:
Wu, Yen-Wen; [1]  National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)]; Kao, Hsian-Li; Chen, Ming-Fong; Lin, Lian-Yu; Wang, Yi-Chih; Lin, Yen-Hung; Lin, Hung-Ju; Huang, Por-Jau; [1]  Huang, Chi-Lun; [2]  Tzen, Kai-Yuan; Yen, Ruoh-Fang; [3]  Chi, Yu-Chiao; [4]  Yang, Wei-Shiung; [1]  National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)]
  1. National Taiwan University Hospital, Department of Internal Medicine, Taipei (China)
  2. Tao-Yuan General Hospital, Department of Internal Medicine, Tao-Yuan (China)
  3. National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)
  4. National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)
Publication Date:
Mar 15, 2012
Product Type:
Journal Article
Resource Relation:
Journal Name: European Journal of Nuclear Medicine and Molecular Imaging; Journal Volume: 39; Journal Issue: 3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; ADIPOSE TISSUE; ARTERIOSCLEROSIS; BIOLOGICAL MARKERS; BLOOD SERUM; CARDIOVASCULAR DISEASES; CHEMOTHERAPY; COMPUTERIZED TOMOGRAPHY; CORONARIES; FLUORINE 18; FLUORODEOXYGLUCOSE; INFLAMMATION; LIPOPROTEINS; POSITRON COMPUTED TOMOGRAPHY; RADIOPHARMACEUTICALS; STATISTICS; UPTAKE
OSTI ID:
21557739
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1619-7070; TRN: DE12F6170
Availability:
Available from: http://dx.doi.org/10.1007/s00259-011-1994-7
Submitting Site:
DEN
Size:
page(s) 399-407
Announcement Date:
Jun 09, 2012

Citation Formats

Wu, Yen-Wen, National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)], Kao, Hsian-Li, Chen, Ming-Fong, Lin, Lian-Yu, Wang, Yi-Chih, Lin, Yen-Hung, Lin, Hung-Ju, Huang, Por-Jau, Huang, Chi-Lun, Tzen, Kai-Yuan, Yen, Ruoh-Fang, Chi, Yu-Chiao, Yang, Wei-Shiung, and National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)]. The effects of 3-month atorvastatin therapy on arterial inflammation, calcification, abdominal adipose tissue and circulating biomarkers. Germany: N. p., 2012. Web. doi:10.1007/S00259-011-1994-7.
Wu, Yen-Wen, National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)], Kao, Hsian-Li, Chen, Ming-Fong, Lin, Lian-Yu, Wang, Yi-Chih, Lin, Yen-Hung, Lin, Hung-Ju, Huang, Por-Jau, Huang, Chi-Lun, Tzen, Kai-Yuan, Yen, Ruoh-Fang, Chi, Yu-Chiao, Yang, Wei-Shiung, & National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)]. The effects of 3-month atorvastatin therapy on arterial inflammation, calcification, abdominal adipose tissue and circulating biomarkers. Germany. doi:10.1007/S00259-011-1994-7.
Wu, Yen-Wen, National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)], Kao, Hsian-Li, Chen, Ming-Fong, Lin, Lian-Yu, Wang, Yi-Chih, Lin, Yen-Hung, Lin, Hung-Ju, Huang, Por-Jau, Huang, Chi-Lun, Tzen, Kai-Yuan, Yen, Ruoh-Fang, Chi, Yu-Chiao, Yang, Wei-Shiung, and National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)]. 2012. "The effects of 3-month atorvastatin therapy on arterial inflammation, calcification, abdominal adipose tissue and circulating biomarkers." Germany. doi:10.1007/S00259-011-1994-7. https://www.osti.gov/servlets/purl/10.1007/S00259-011-1994-7.
@misc{etde_21557739,
title = {The effects of 3-month atorvastatin therapy on arterial inflammation, calcification, abdominal adipose tissue and circulating biomarkers}
author = {Wu, Yen-Wen, National Taiwan University Hospital, Department of Nuclear Medicine, Taipei (China)], Kao, Hsian-Li, Chen, Ming-Fong, Lin, Lian-Yu, Wang, Yi-Chih, Lin, Yen-Hung, Lin, Hung-Ju, Huang, Por-Jau, Huang, Chi-Lun, Tzen, Kai-Yuan, Yen, Ruoh-Fang, Chi, Yu-Chiao, Yang, Wei-Shiung, and National Taiwan University, Graduate Institute of Clinical Medicine, College of Medicine, Taipei (China)]}
abstractNote = {{sup 18}F-Fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT has the potential to track vascular inflammation and monitor therapeutic response. The purpose of this study was to determine the association between arterial inflammation, calcification and serological biomarkers in subjects with atherosclerosis, and to assess their therapeutic response to 12-week atorvastatin treatment. Forty-three statin-naive subjects with atherosclerosis received atorvastatin (40 mg/day) for 12 weeks and underwent {sup 18}F-FDG PET/CT, coronary calcification and abdominal adipose tissue volume measurements. A panel of serological biomarkers was analysed. Arterial inflammation was measured at seven arterial segments and normalized to venous FDG activity to produce target to background ratios (TBR). Thirty-four subjects without cardiovascular disease who repeated PET 1-4 years apart for routine health check-ups were retrospectively evaluated for comparison. The baseline mean TBR values in atherosclerotic patients were positively correlated with age (R = 0.36), body mass index (R = 0.54), abdominal visceral adipose tissue volume (R = 0.65), coronary calcification score (R = 0.40), levels of low-density lipoprotein cholesterol (R = 0.54), matrix metalloproteinase (MMP)-9 (R = 0.46) and fatty acid binding protein 4 (FABP4) (R = 0.67, all p < 0.05). The TBR as well as high-sensitivity C-reactive protein (hsCRP), E-selectin, MMP-9, monocyte chemotactic protein 1, FABP4 and follistatin values were reduced significantly after the 12-week atorvastatin treatment. The TBR reduction marginally correlated with changes in MMP-9 levels (R = 0.56, p = 0.05). The control group, whose median age was younger, by comparison had lower hsCRP and arterial TBR than the subjects with atherosclerosis (all p < 0.05), and moreover had a slight but insignificant increase in mean TBR at their 2.5{+-}0.8 year follow-up. The medium dose of atorvastatin over a 12-week period resulted in a significant reduction of arterial inflammation as well as various circulating biomarkers. (orig.)}
doi = {10.1007/S00259-011-1994-7}
journal = {European Journal of Nuclear Medicine and Molecular Imaging}
issue = {3}
volume = {39}
place = {Germany}
year = {2012}
month = {Mar}
}