Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin

The aim of this cross-sectional study was to assess the influence of simvastatin treatment in children with familial hypercholesterolemia (FH) on parameters of cellular immunity. Twenty-six children with FH were included, of which thirteen were treated with 10 mg simvastatin for at least 26 weeks, a...

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Main Authors: Radosław Motkowski, Marek Alifier, Paweł Abramowicz, Jerzy Konstantynowicz, Bożena Mikołuć, Anna Stasiak-Barmuta
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/10/2924
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author Radosław Motkowski
Marek Alifier
Paweł Abramowicz
Jerzy Konstantynowicz
Bożena Mikołuć
Anna Stasiak-Barmuta
author_facet Radosław Motkowski
Marek Alifier
Paweł Abramowicz
Jerzy Konstantynowicz
Bożena Mikołuć
Anna Stasiak-Barmuta
author_sort Radosław Motkowski
collection DOAJ
description The aim of this cross-sectional study was to assess the influence of simvastatin treatment in children with familial hypercholesterolemia (FH) on parameters of cellular immunity. Twenty-six children with FH were included, of which thirteen were treated with 10 mg simvastatin for at least 26 weeks, and thirteen were age- and sex-matched with a low-cholesterol diet only. Total WBC count and lipid profile were measured. Flow cytometry was used to identify lymphocyte subsets and determine the expression of adhesion molecules (AM) and toll-like receptors (TLRs) on leukocytes. No differences were found in the basic values of peripheral blood count and subpopulations of lymphocytes between groups. The percentage of granulocytes with the expression of AM was higher in those treated with statins. The TLR-2 expression on granulocytes and monocytes showed higher values, whereas the TLR-4 expression was lower on lymphocytes and granulocytes in simvastatin-treated children. Treatment with simvastatin in children with FH is not associated with alterations in the amounts of granulocytes and monocytes. There is no association between statin treatment and the pattern of peripheral blood lymphocyte subpopulations. The role of AM and TLRs needs further investigation, given the effect of statins on the innate immunity may be important for their efficacy and safety during growth.
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spelling doaj.art-b7d2b06c8f2a4461949f1473caf603322023-11-23T11:36:58ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011110292410.3390/jcm11102924Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with SimvastatinRadosław Motkowski0Marek Alifier1Paweł Abramowicz2Jerzy Konstantynowicz3Bożena Mikołuć4Anna Stasiak-Barmuta5Department of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, 15-274 Bialystok, PolandDepartment of Clinical Immunology, Medical University of Bialystok, 15-274 Bialystok, PolandDepartment of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, 15-274 Bialystok, PolandDepartment of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, 15-274 Bialystok, PolandDepartment of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, 15-274 Bialystok, PolandDepartment of Clinical Immunology, Medical University of Bialystok, 15-274 Bialystok, PolandThe aim of this cross-sectional study was to assess the influence of simvastatin treatment in children with familial hypercholesterolemia (FH) on parameters of cellular immunity. Twenty-six children with FH were included, of which thirteen were treated with 10 mg simvastatin for at least 26 weeks, and thirteen were age- and sex-matched with a low-cholesterol diet only. Total WBC count and lipid profile were measured. Flow cytometry was used to identify lymphocyte subsets and determine the expression of adhesion molecules (AM) and toll-like receptors (TLRs) on leukocytes. No differences were found in the basic values of peripheral blood count and subpopulations of lymphocytes between groups. The percentage of granulocytes with the expression of AM was higher in those treated with statins. The TLR-2 expression on granulocytes and monocytes showed higher values, whereas the TLR-4 expression was lower on lymphocytes and granulocytes in simvastatin-treated children. Treatment with simvastatin in children with FH is not associated with alterations in the amounts of granulocytes and monocytes. There is no association between statin treatment and the pattern of peripheral blood lymphocyte subpopulations. The role of AM and TLRs needs further investigation, given the effect of statins on the innate immunity may be important for their efficacy and safety during growth.https://www.mdpi.com/2077-0383/11/10/2924atherosclerosisstatinsflow cytometryadhesion moleculeschildrenfamilial hypercholesterolemia
spellingShingle Radosław Motkowski
Marek Alifier
Paweł Abramowicz
Jerzy Konstantynowicz
Bożena Mikołuć
Anna Stasiak-Barmuta
Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
Journal of Clinical Medicine
atherosclerosis
statins
flow cytometry
adhesion molecules
children
familial hypercholesterolemia
title Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
title_full Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
title_fullStr Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
title_full_unstemmed Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
title_short Innate and Acquired Cellular Immunity in Children with Familial Hypercholesterolemia Treated with Simvastatin
title_sort innate and acquired cellular immunity in children with familial hypercholesterolemia treated with simvastatin
topic atherosclerosis
statins
flow cytometry
adhesion molecules
children
familial hypercholesterolemia
url https://www.mdpi.com/2077-0383/11/10/2924
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