Simvastatin may be beneficial for treating
sepsis due to its immune-regulating properties, although the mechanisms remain elusive. Herein, we hypothesized
simvastatin may attenuate T cell dysfunction induced by
sepsis. To test this hypothesis, we used a model based on cecal
ligation and
puncture (CLP) to induce
sepsis in mice. Male C57BL/6 mice were pre-treated with
simvastatin (0.2 μg/g of
body weight) before CLP. The expression of B and T lymphocyte attenuator (BTLA) on splenic CD4+ T cells and T cell apoptosis, CD4+ and CD8+ T cells were quantified by flow cytometry. Immunohistochemical staining was performed to evaluate the loss of immune effector cells. Formation of TNF-α and
interleukin 10 (IL-10) in the spleen and plasma levels of presepsin, IL-1β, and
IL-6 were determined using
enzyme-linked
immunosorbent assay.
Simvastatin markedly inhibited the reduction in
cytokine secretion from
lipopolysaccharide (LPS)-stimulated splenocytes.
Simvastatin-treated mice had significantly decreased the percentages of negative costimulatory receptor BTLA on CD4 T cell expression.
Simvastatin markedly reduced T cell apoptosis through downregulating the Fas/FasL expression and decrease the percentage of
caspase-3 activity in spleen tissue. There was significantly less depletion of splenic CD4+ and CD8+ T cells in
simvastatin-treated mice.
Simvastatin reduced plasma levels of presepsin, IL-1β, and
IL-6.
Simvastatin can be a powerful regulator of immune function under
sepsis conditions by improving T cell function in
sepsis.