Response to 'Statins accelerate the onset of collagen type II-induced arthritis in mice'

  • Sylvain Mathieu1, 2Email author,

    Affiliated with

    • Sylvain Palat2, 3,

      Affiliated with

      • Bruno Pereira2, 4,

        Affiliated with

        • Jean-Louis Kemeny2, 5,

          Affiliated with

          • Geoffroy Marceau2, 6,

            Affiliated with

            • Claude Dubray2, 7 and

              Affiliated with

              • Martin Soubrier1, 2

                Affiliated with

                Arthritis Research & Therapy201315:402

                DOI: 10.1186/ar4169

                Published: 8 March 2013

                Statins used to treat hyperlipidemia also exhibit immune-modulatory properties. What is still unclear and a matter of debate, however, is whether these properties are of benefit or are deleterious in collagen type II-induced arthritis (CIA).

                We read with great interest Vandebriel and colleagues' article about the role of statins in the induction of CIA [1]. According to the authors' conclusion, statins accelerate the onset of CIA in mice. In their study, as previously reported [2], oral atorvastatin and pravastatin had no effect on the arthritis score after CIA induction. Nonetheless, the oral route might be ineffective due to the significant hepatic first-pass metabolism of statins.

                We performed a study that assessed the effects of simvastatin administrated by subcutaneous and intraperitoneal routes in CIA as previously reported [3]. Of the 60 rats included, 50 developed CIA (83.3%) and were treated by daily intraperitoneal simvastatin (n = 5), subcutaneous simvastatin (n = 9), diluted subcutaneous simvastatin (n = 9), subcutaneous saline (n = 9), and intraperitoneal saline (n = 9) for a total of 15 days. Nine rats received no treatment. A total score was calculated by grading each joint of the four limbs using a scale of 0 to 3 (0 = normal, 1 = erythema, 2 = erythema + swelling, and 3 = loss of function).

                At baseline, no difference was noted in the arthritis score or weight between groups. We observed a significant weight decrease in each treatment group but no difference in weight loss between groups. After adjusting for weight, there was a significant difference in arthritis scores between intraperitoneal simvastatin and the other groups, with significantly lower arthritis scores obtained in the intraperitoneal simvastatin group (Figure 1). The difference of the arthritis score between subcutaneous simvastatin and intraperitoneal simvastatin was significant (P = 0.002) (intraperitoneal: 3.67 ± 1.32 at baseline and 4.89 ± 1.69 after 15 days vs. subcutaneous: 4.20 ± 0.84 at baseline and 7.40 ± 1.34 after 15 days). Differences in arthritis scores between the other groups, except for the simvastatin group, were not significant (Figure 1). These results obtained using linear mixed-models analysis were similar to those obtained when using PROAST, a general program for dose-response modeling, as in Vandebriel and colleagues' article.
                Figure 1

                Arthritis score progression in the different treatment groups. IP, intraperitoneal; SC, subcutaneous.

                In the intraperitoneal simvastatin group, there was a limitation in the progression of the arthritis score in rats, whereas no effect was noted in the subcutaneous simvastatin group.

                Statins may therefore be a therapeutic option in CIA, provided that the substantial effects of hepatic first-pass metabolism are avoided. For CIA treatment, it might thus be interesting to administer transdermal statin patches that enhance diffusion, which have been reported to increase bone formation in rats [4]. Perhaps these patches could also be a therapeutic option in human rheumatoid arthritis.



                collagen-induced arthritis.


                Authors’ Affiliations

                Rheumatology Department, Gabriel Montpied Teaching Hospital
                Université Clermont 1, Fac Médecine
                Service de Médecine Interne, Gabriel Montpied Teaching Hospital
                DRCI, Gabriel Montpied Teaching Hospital
                Laboratoire d’Anatomopathologie, Gabriel Montpied Teaching Hospital
                Laboratoire de Biochimie, Gabriel Montpied Teaching Hospital
                Centre d’Investigation Clinique, CHU G Montpied


                1. Vandebriel RJ, De Jong HJI, Gremmer ER, Klungel OH, Tervaert JW, Slob W, Van Der Laan JW, Van Loveren H: Statins accelerate the onset of collagen type II-induced arthritis in mice. Arthritis Res Ther 2012, 14:R90.PubMedView Article
                2. Wahane VD, Kumar VL: Atorvastatin ameliorates inflammatory hyperalgesia in rat model of monoarticular arthritis. Pharmacol Res 2010, 61:329–333.PubMedView Article
                3. Leung BP, Sattar N, Crilly A, Prach M, McCarey DW, Payne H, Madhok R, Campbell C, Gracie JA, Liew FY, McInnes IB: A novel anti-inflammatory role for simvastatin in inflammatory arthritis. J Immunol 2003, 170:1524–1530.PubMed
                4. Gutierrez GE, Lalka D, Garrett IR, Rossini G, Mundy GR: Transdermal application of lovastatin to rats causes profound increases in bone formation and plasma concentrations. Osteoporos Int 2006, 17:1033–1042.PubMedView Article


                © BioMed Central Ltd 2013