Background-Chlamydia pneumoniae stimulates chronic inflammation in vascular cells. Hydroxymethylglutaryl coenzyme A reductase inhibitors (statins) may have an ameliorating effect. We investigated possible mechanisms. Methods and Results-We infected human macrophages that in coculture spread infection to vascular smooth muscle cells (VSMCs). Cerivastatin (250 nmol/L) reduced VSMC infection by 33%. Western blotting made it apparent that VSMC infection resulted in increased cell membrane-associated RhoA and Rac1, implying increased prenylation of these proteins. This effect was blocked by statin but circumvented by mevalonate. Cytochrome C assays showed that infected VSMCs produced increased reactive oxygen species that was blocked by statin. Infection increased nuclear transcription factor-B expression in VSMCs that was dose-dependently suppressed by statin. Infected VSMCs produced and released RANTES and MCP-1. Statin dose-dependently blocked this production both at the mRNA and protein levels. Mevalonate and M geranylgeranylpyrophosphate circumvented these effects. Conclusions-C pneumoniae can be transmitted from macrophages to VSMCs. VSMCs showed an activation profile typical of atherosclerosis, namely Rac1 and RhoA prenylation, nuclear transcription factor-B activation, reactive oxygen species production, and chemokine production. Statin reduces macrophage-mediated C pneumoniae-induced signaling and transmission. Key Words: statins Ⅲ Chlamydia pneumoniae Ⅲ atherosclerosis Ⅲ infection Ⅲ immunology A theromatous plaques harbor inflammatory cells, releasing reactive oxygen species (ROS), cytokines, and chemokines. Monocyte chemoattractant protein (MCP)-1 and "regulated on activation normal T-cell expressed and secreted" (RANTES) are expressed in plaques. Chlamydia pneumoniae may participate in this inflammatory process leading to atherosclerosis, since the organism can be cultured from atheroma. 1 We showed earlier that infected vascular smooth muscle cells (VSMCs) show increased nuclear transcription factor-B (NF-B) activation and target gene expression, leading to increased thrombogenicity and interleukin production. 2 We also found that hydroxymethylglutaryl coenzyme A reductase inhibitors (statins) modify the inflammatory responses induced by C pneumoniae. 3 We hypothesized that statins can prevent the reciprocal activation between macrophages and VSMCs, a process in which altered prenylation of the trimeric G protein components (RhoA and Rac1) might be mechanistically involved.
MethodsC pneumoniae stock suspensions were prepared from the CV-6 strain isolated from an arteriosclerotic coronary artery. Infection was established in primary human VSMC cultures (Clonetics) by centrifuging (2000g, 45 minutes, 35°C) 10 7 inclusion forming units of the pathogen onto confluent VSMC monolayers in 6-well culture plates. 2,3 For infection in the presence of statins, VSMCs were pretreated for 24 hours with cerivastatin (1, 10, 50, and 250 nmol/L) or 10 mol/L atorvastatin and 100 mol/L mevalonate, 10 mol/L geranylgeranyl p...