RT Journal Article T1 Increased soluble Fas plasma levels in subjects at high cardiovascular risk - Atorvastatin on inflammatory markers (AIM) study, a substudy of ACTFAST A1 Blanco-Colio, Luis M A1 Martín-Ventura, Jose L A1 Teresa Galván, Eduardo,de A1 Farsang, Csaba A1 Gaw, Allan A1 Gensini, GianFranco A1 Leiter, Lawrence A A1 Langer, Anatoly A1 Martineau, Pierre A1 Hérnandez, Gonzalo A1 Egido, Jesús K1 inflammation K1 atorvastatin K1 soluble Fas K1 C-reactive protein K1 statins K1 Anticolesterolemiantes K1 Antígenos CD95 K1 Proteína C-Reactiva K1 Enfermedades Cardiovasculares K1 Diabetes Mellitus K1 Relación Dosis-Respuesta a Droga K1 Proteína Ligando Fas K1 Femenino K1 Regulación de la Expresión Génica K1 Ácidos Heptanoicos K1 Humanos K1 Masculino K1 Síndrome X Metabólico K1 Mediana Edad K1 Estudios Prospectivos K1 Pirroles AB OBJECTIVEIncreasing evidence indicates that the Fas/Fas ligand interaction is involved in atherogenesis. We sought to analyze soluble Fas (sFas) and soluble Fas ligand (sFasL) concentrations in subjects at high cardiovascular risk and their modulation by atorvastatin treatment.METHODS AND RESULTSACTFAST was a 12-week, prospective, multicenter, open-label trial which enrolled subjects (statin-free or statin-treated at baseline) with coronary heart disease (CHD), CHD-equivalent, or 10-year CHD risk > 20%. Subjects with LDL-C between 100 to 220 mg/dL (2.6 to 5.7 mmol/L) and triglycerides < or = 600 mg/dL (6.8 mmol/L) were assigned to a starting dose of atorvastatin (10 to 80 mg/d) based on LDL-C at screening. Of the 2117 subjects enrolled in ACTFAST, AIM sub-study included the 1078 statin-free patients. At study end, 85% of these subjects reached LDL-C target. Mean sFas levels were increased and sFasL were reduced in subjects at high cardiovascular risk compared with healthy subjects. Atorvastatin reduced sFas in the whole population as well as in patients with metabolic syndrome or diabetes. Minimal changes were observed in sFasL.CONCLUSIONSsFas concentrations are increased and sFasL are decreased in subjects at high cardiovascular risk, suggesting that these proteins may be novel markers of vascular injury. Atorvastatin reduces sFas, indicating that short-term treatment with atorvastatin exhibits antiinflammatory effects in these subjects. PB Lippincott, Williams & Wilkins SN 1079-5642 YR 2007 FD 2007-01 LK http://hdl.handle.net/10668/826 UL http://hdl.handle.net/10668/826 LA en NO Blanco-Colio LM, Martín-Ventura JL, de Teresa E, Farsang C, Gaw A, Gensini G, et al. Increased soluble Fas plasma levels in subjects at high cardiovascular risk: Atorvastatin on Inflammatory Markers (AIM) study, a substudy of ACTFAST. Arterioscler. Thromb. Vasc. Biol.. 2007 ; 27(1):168-74 NO Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 19, 2025