Key result
High-dose simvastatin and atorvastatin impair beta-cell viability and increase basal insulin secretion vs. pravastatin.
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In addition to the prevention of cardiovascular diseases by lowering plasma LDL cholesterol, recent studies suggest that statins could have some impact on insulin action. To estimate the direct effects of statins on insulin secretion from pancreatic beta-cells, MIN6 cells were treated with pravastatin, simvastatin, or atorvastatin. Basal insulin secretion at low glucose concentration was unexpectedly increased at very high doses of simvastatin or atorvastatin after 24- and 48-hour incubation. Insulin secretion at high glucose was not significantly changed, and thus, net glucose-stimulated insulin secretion was apparently decreased by these lipophilic statins. The changes in insulin secretion were highly associated with increased endogenous SREBP activities in response to HMG-CoA inhibition as estimated by SRE-luciferase assays, and finally after 48-hour incubation, accompanied by impaired cell viability as estimated by MTT assays. In contrast, these changes were much less prominent by the addition of pravastatin. Meanwhile, glucose-stimulated insulin secretion of islets isolated from C57BL/6 mice was not significantly changed by any of the statins. Overall, taken up by beta-cells, statins can affect insulin secretion through either HMG-CoA inhibition or cytotoxicity, as observed by the addition of extraordinary high doses of lipophilic statins, but not hydrophilic statins, to the medium.
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Ishikawa et al. (2006) studied this question. Pravastatin, simvastatin, or atorvastatin vs. Pravastatin (hydrophilic statin) vs. simvastatin or atorvastatin (lipophilic statins) was evaluated on Insulin secretion (basal and glucose-stimulated) and beta-cell viability. High-dose simvastatin and atorvastatin increased basal insulin secretion and impaired MIN6 cell viability after 24-48 hours, whereas pravastatin showed much less prominent effects.
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