Statin treatment significantly reduces the incidence of cardiovascular events. However, cholesterol variability is associated with the risk of adverse events such as mortality, myocardial infarction, and stroke. The previous research found that the inflammatory activity of peripheral blood mononuclear cells in mice fed with intermittent high-fat diet was significantly increased, and the cholesterol variability had an impact on the trained immunity of peripheral blood mononuclear cells, thus aggravating the atherosclerosis in mice. We plan to compare the differences in serum LDL-C levels after intermittent atorvastatin treatment and continuous atorvastatin treatment, and investigate the impact of this difference on the trained immunity of peripheral blood mononuclear cells.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Patients are treated with atorvastatin for 2 weeks (40 mg/day), atorvastatin free for 2 weeks, atorvastatin treatment for 2 weeks, atorvastatin free for 2 weeks, a 4-week washout period (no treatment), and atorvastatin treatment for the last 4 weeks.
Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
RECRUITINGChanges in LDL-C levels between baseline and atorvastatin treatment cycles
in the phase of atorvastatin intermittent treatment and continuous treatment
Time frame: 16 weeks
PBMCs subgroup percentage and activation status
in the phase of atorvastatin intermittent treatment and continuous treatment
Time frame: 16 weeks
PBMCs secreting cytokines
in the phase of atorvastatin intermittent treatment and continuous treatment
Time frame: 16 weeks
Differences in gene expression of PBMCs
in the phase of atorvastatin intermittent treatment and continuous treatment
Time frame: 16 weeks
The levels of hs-CRP, IL-6, IL-18, and sVCAM-1
in the phase of atorvastatin intermittent treatment and continuous treatment
Time frame: 16 weeks
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