In uremic patients, the frequency of sister chromatid exchanges appears markedly higher than in the general population.
Statins are well known for their pleiotropic effects, which are independent of any reduction in
cholesterol circulating levels. The aim of the present study was to determine the effects of exposure to escalating doses of
simvastatin on the sister chromatid exchange rate in cultured lymphocytes in order to identify the influence of
statin on genomic damage. Peripheral lymphocytic samples for culture were obtained from 25 healthy volunteers, 20 patients with documented
carotid atherosclerosis and 30 atherosclerotic patients on maintenance regular
acetate-free biofiltration. Hemodialyzed patients had a greater percentage of high frequency cells (50%) than healthy controls (3%) and a significantly higher average number of sister chromatid (9.82+/-2.1 vs. 4.65+/-2.18). The subgroup of hemodialyzed patients with high plaque score values was characterized by significantly greater values for both sister chromatid exchanges rate and high frequency cells percentage. Our findings demonstrate that there is an association between sister chromatid exchanges and high frequency cells rate and
atherosclerosis in
acetate-free biofiltration patients. In cultures with added
simvastatin, high frequency cells percentages and mean sister chromatid exchanges levels were significantly lower than in cultures with an added vehicle alone, the reduction occurring in a dose-dependent fashion, above all in cultures from
end stage renal disease patients. The findings, moreover, demonstrate new effects of
simvastatin, which appeared to mitigate the expression of genomic damage in our model. However, it is not yet clear whether this effect is due to the prevention of genomic damage or to the potentiation of the DNA repair capacity.
Statins may therefore have an anti-atherogenic action partly ascribable to their ability to provide protection against the development of
atherosclerotic plaque.