Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 7, Number 8, August 2015, pages 613-619


Effect of Atorvastatin and Pioglitazone on Plasma Levels of Adhesion Molecules in Non-Diabetic Patients With Hypertension or Stable Angina or Both

Figures

Figure 1.
Figure 1. Changes in plasma sICAM-1 levels after treatment (*P < 0.05). Group 1: atorvastatin; group 2: pioglitazone; group 3: atorvastatin + pioglitazone.
Figure 2.
Figure 2. Changes in plasma sVCAM-1 levels after treatment. Group 1: atorvastatin; group 2: pioglitazone; group 3: atorvastatin + pioglitazone.
Figure 3.
Figure 3. Changes in hsCRP levels after treatment. A: atorvastatin; P: pioglitazone; A + P: atorvastatin + pioglitazone.

Tables

Table 1. Baseline Characteristics
 
VariableGroup 1Group 2Group 3
Variables expressed in mean ± SD. SBP: systolic blood pressure; DBP: diastolic blood pressure; FPG: fasting plasma glucose; AST: aspartate aminotransferase; ALT: alanine aminotransferase.
Number of patients142025
Sex (M/F)10/414/619/6
Age (years)51 ± 7.950.3 ± 10.049.8 ± 9.1
FPG (mg/dL)89.2 ± 10.691.2 ± 10.291.9 ± 11.2
SBP (mm Hg)135.8 ± 7.1131.8 ± 10.2130.8 ± 10.9
DBP (mm Hg)87.7 ± 5.986.3 ± 4.682.9 ± 5.4
Serum AST (IU/L)36.2 ± 4.635.9 ± 4.236.7 ± 4.8
Serum ALT (IU/L)35.7 ± 4.834.8 ± 3.735.2 ± 4.3
Blood urea (mg/dL)29.7 ± 6.529 ± 6.429.1 ± 6.3
Serum creatinine (mg/dL)1.07 ± 0.201.1 ± 0.21.0 ± 0.2
LDL cholesterol105 ± 28110 ± 3298 ± 24
Triglycerides144 ± 110152 ± 96140 ± 100
Hypertension without stable angina11129
Stable angina without hypertension1512
Hypertension and stable angina234

 

Table 2. Effect of Treatment on Adhesion Molecules Plasma Values of hsCRP, sICAM-1 and sVCAM-1 at Baseline and 12-Week Follow-Up
 
Group 1 (n = 14)Group 2 (n = 20)Group 3 (n = 25)Pa
Values are expressed as median (min-max; inter-quartile range). Pa: P-value when base line plasma values of hsCRP, sICAM-1 and sVCAM-1 are compared between the study groups. Pb: P-value when post treatment plasma values of hsCRP, sICAM-1 and sVCAM-1 are compared to their respective baseline values in each treatment group. P-value < 0.05 was considered statistically significant.
Baseline
  hsCRP0.63 (0.01 - 3.42; 2.07)1.91 (0.01 - 5.04; 2.41)2.54 (0.18 - 5.05; 2.25)0.09
  sICAM-1357.4 (48.0 - 700.9; 310.4)401.7 (182.1 - 751.1; 229.8)435.3 (148.8 - 899.6; 240.5)0.65
  sVCAM-1314.5 (129.0 - 858.9; 362.9)361.0 (96.7 C 1,142.5; 466.8)536.3 (76.6 - 588.7; 745.7)0.12
12-week follow-upPbPbPb
  hsCRP0.91 (0.01 - 8.24; 2.54)0.721.01 (0.01 - 4.03; 4.79)0.913.41 (1.03 - 8.68; 3.45)0.32
  sICAM-1189.2 (3.2 - 531.5; 265.6)0.01396.5 (59.7 - 935.6; 363.1)0.23249.5 (2.5 - 789.9; 339.7)0.004
  sVCAM-1188.9 (0.1 - 2,989.5; 1,209.5)0.84576.6 (0.1 - 1,294.4; 984.8)0.35439.5 (0.1 - 2,632.0; 1,790.3)0.44

 

Table 3. Liver and Renal Function Parameters at Baseline and 12-Week Follow-Up
 
VariableGroup 1Group 2Group 3
Baseline3 monthsSSBaseline3 monthsSSBaseline3 monthsSS
SS: statistical significance; NS: not significant (P > 0.05). Values are expresses as mean ± SD.
Serum AST (IU/L)36.2 ± 4.636.7 ± 4.9NS35.9 ± 4.236.0 ± 4.4NS36.71 ± 4.837.0 ± 4.9NS
Serum ALT (IU/L)35.7 ± 4.836.0 ± 4.6NS34.8 ± 3.735.1 ± 4.2NS35.2 ± 4.336.0 ± 4.2NS
Blood urea (mg/dL)29.7 ± 6.529.9 ± 6.8NS29.0 ± 6.429.3 ± 6.9NS29.1 ± 6.329.5 ± 6.6NS
Serum creatinine (mg/dL)1.0 ± 0.21.1 ± 0.3NS1.1 ± 0.21.1 ± 0.2NS1.0 ± 0.21.1 ± 0.2NS