Objective-Brain abnormalities, preceded by a systemic inflammation, develop in spontaneously hypertensive stroke-prone rats (SHRSP). In this model, we investigated whether the hydrophilic statin, rosuvastatin, influences the development of inflammation associated with brain abnormalities. Because differences in hydrophilicity/hydrophobicity contribute to the differences in statin pharmacology, we also evaluated the effects of simvastatin, a lipophilic molecule Methods and Results-SHRSP, fed a high-salt diet, were treated long-term with vehicle or rosuvastatin (1 and 10 mg/kg per day). Brain abnormalities developed after 40Ϯ5 days and after 60Ϯ5 days of salt loading, in vehicle-treated and in rosuvastatin-treated (1 mg/kg per day) SHRSP, respectively. After 100 days of treatment, no damage was detectable in 30% of the rats treated with the highest dose of the drug. In comparison with vehicle-treated SHRSP, rosuvastatin treatment attenuated the transcription of monocyte chemoattractant protein-1, transforming growth factor-1, IL-1, and tumor necrosis factor-␣ in the kidney, and of P-selectin in brain vessels and increased the transcription of endothelial nitric oxide synthase mRNA in the aorta. Urinary excretion of acute-phase proteins increased with time in vehicle-treated animals but remained negligible in drug-treated animals. These effects are independent of changes in physiological parameters. Treatment of SHRSP with simvastatin (2 to 20 mg/kg per day) did not exert any protective effect. Key Words: inflammation Ⅲ statins Ⅲ rats Ⅲ brain ischemia Ⅲ proteome Ⅲ rosuvastatin Ⅲ simvastatin Ⅲ stroke-prone rats I nflammatory processes accompany tissue injury no matter what organ is involved. Data suggest that inflammation predisposes to ischemic vascular disease in general and to stroke in particular, because patients with chronic inflammatory disorders or with chronic or acute infection are at high risk for stroke. 1 High blood levels of inflammatory markers are associated with increased cardiovascular risk in healthy populations and in patients with coronary heart disease and ischemic stroke. 2 Moreover, in patients with an acute ischemic neurological event, a strong inflammatory response at the time of admission is associated with a less favorable outcome. 3 The inflammatory reaction therefore presents an attractive pharmacological opportunity for novel approaches in stroke. The spontaneously hypertensive stroke-prone rat (SHRSP) provides a useful tool to evaluate the contribution of inflammation to brain injury and to answer the question of whether antiinflammatory strategies may affect the genesis, progression, and outcome of brain damage. 4 We previously reported that SHRSP subjected to salt loading have an inflammatory condition characterized, before the appearance of brain damage, by the accumulation in plasma and urine of several acute-phase proteins (APP), including thiostatin, the most typical marker of an inflammatory response in the rat. 4 Serum and urine levels of this protein were found to be predic...