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Journal of Inflammation
Published in: Journal of Inflammation 1/2018

Open Access 01-12-2018 | Research

Atorvastatin and diacerein reduce insulin resistance and increase disease tolerance in rats with sepsis

Authors: K. L. C. da Silva, A. P. Camacho, F. C. Mittestainer, B. M. Carvalho, A. Santos, D. Guadagnini, A. G. Oliveira, M. J. A. Saad

Published in: Journal of Inflammation | Issue 1/2018

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Abstract

Background

Sepsis is one of the leading causes of death among hospitalized patients. At the onset of this condition, there is an over-production of pro-inflammatory mediators that contribute to organ failure and death. The excess production of pro-inflammatory mediators also impairs insulin signaling, which may be a pathophysiological tissue marker of proinflammatory cytokine action before organ failure. Statins and diacerein have pleiotropic effects, such as the blockage of inflammatory signaling pathways, suggesting that these drugs may be an attractive therapeutic or prophylactic strategy against sepsis. The aim of the present study was to investigate whether a statin or diacerein can improve insulin signaling, disease tolerance and survival in sepsis by inhibiting inflammatory pathways.

Methods

We investigated the effect of these drugs on survival, tissue insulin signaling and inflammatory pathways in the liver and muscle of rats with sepsis induced by cecal ligation and puncture (CLP).

Results

The results showed that administration of medications, with anti-inflammatory ability, to septic animals increased survival and improved disease tolerance and insulin resistance in the liver and muscle. The treatment also attenuated ER stress, NF-κB, JNK activation and restored glucose-6-phosphatase (G6Pase) levels in the liver.

Conclusions

Our results indicate that atorvastatin and diacerein treatment can modulate inflammatory pathways and, in parallel, attenuate insulin resistance in sepsis. Since these two drugs have safety profiles and minimal side effects, we suggest that these drugs may be alternative therapies for the prevention or therapies for the treatment of insulin resistance in sepsis, which could potentially reduce mortality in patients with sepsis.
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Metadata
Title
Atorvastatin and diacerein reduce insulin resistance and increase disease tolerance in rats with sepsis
Authors
K. L. C. da Silva
A. P. Camacho
F. C. Mittestainer
B. M. Carvalho
A. Santos
D. Guadagnini
A. G. Oliveira
M. J. A. Saad
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Inflammation / Issue 1/2018
Electronic ISSN: 1476-9255
DOI
https://doi.org/10.1186/s12950-018-0184-9

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