Toxicology 247 (2008) 161
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Letter to the Editor
Letter by Namazi regarding article “Simvastatin attenuates cisplatin-induced kidney and liver damage in rats” Sir, I read with great interest the article by Iseri et al. (2007). This work shows that simvastatin markedly suppresses the functional activity of neutrophils, which is underscored by reduced myeloperoxidase activity compared with a placebo. I would like to complete the discussion of Iseri et al. (2007) by introducing a major route through which simvastatin could suppress the activity of neutrophils. The recent focus on cisplatin-induced injury has been on interaction between neutrophils and endothelial cells. Transendothelial migration of neutrophils, with release of reactive oxygen species and cytokines, causes further damage to the injured tissue (Mishra et al., 2004; Kim et al., 2006). However, a key component in the pathogenesis of cisplatin-induced injury is the upregulation of surface adhesion molecules on the vascular endothelium and their subsequent interaction with the activated neutrophils (Li et al., 2005). The most important adhesion protein identified on neutrophils is the integrin lymphocyte function-associated antigen-1 (LFA-1; CD11a/CD18), which is the ligand for intercellular adhesion molecule-1 (ICAM-1) expressed on the endothelium. The LFA-1/ICAM-1 interaction is crucial for the ingress of neutrophils into the inflammatory sites (Haskard and Lee, 1992; Chen and Easton, 2007). Simvastatin down regulate the expression of ICAM1 and LFA-1, and through binding to LFA-1, they interfere with ICAM-1–LFA-1 interaction (Ahn et al., 2007; Pozo et al., 2006). This important mechanism should be borne in mind as the major mechanism for simvastatin-induced inhibition of neutrophil activity.
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Hamid Namazi ∗ Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Chamran Hospital, Shiraz, Iran ∗ Tel.:
+98 711 6246093; fax: +98 711 6246093. E-mail address:
[email protected] 16 February 2008 Available online 4 March 2008