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. 2019 May 2;2019:3159283. doi: 10.1155/2019/3159283

Table 2.

Anti-inflammatory effects of cardiovascular drugs.

Effects on inflammatory cytokines Antihypertensive mechanisms Proposed References
Statins ↓ IL-1β NF-κB inhibition
AT1R
downregulation
HMC CoA inhibition
(G protein coupled
signalling inhibition)
PPAR-γ inhibition
Upregulates NO
synthase
[162, 164, 166, 167, 174]
↓ IL-6
↓ MCP-1
↓ ICAM-1
↓ MMP-2
↓ MMP-9
↓ hs-CRP
↓ PAI-1
↑ NO

ARBs/ACEIs ↓ IL-1β NF-κB inhibition
AT1R
downregulation
Decreased ACE
synthesis
[8, 56, 164]
↓ IL-6
↑ TGF-β (losartan)
↑ NO (AT2R)

Calcium channel blockers ↓ MMP-2 Protein kinase pathway (MMP-2) [174, 176]
↓ MMP-9
↓ IL-1β
↓ IL-18
↓ CRP
↓ MCP-1
↓ ICAM-1

IL: interleukin; MCP: macrophage chemotactic factor-1; ICAM-1: intercellular adhesion molecule-1; MMP: matrix metalloproteinase; NO: nitric oxide; ARBs: angiotensinogen receptor blockers; ACEIs: angiotensin converting enzyme inhibitors; NF-κB: nuclear factor κB; AT1R: angiotensinogen type 1 receptor; HMC CoA: hydroxy-methyl-glutaryl coenzyme A; hs-CRP: high sensitivity C reactive protein.