Evaluation of Plaque Stability of Advanced Atherosclerotic Lesions in Apo E-Deficient Mice after Treatment with the Oral Factor Xa Inhibitor Rivaroxaban
2011

Effects of Rivaroxaban on Atherosclerotic Lesions in Mice

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Qianxing Zhou, Bea Florian, Preusch Michael, Wang Hongjie, Isermann Berend, Shahzad Khurrum, Katus Hugo A., Blessing Erwin

Primary Institution: University of Heidelberg

Hypothesis

Rivaroxaban, a direct FXa inhibitor, attenuates plaque progression and promotes stability of advanced atherosclerotic lesions in an in vivo model.

Conclusion

Chronic administration of rivaroxaban does not affect lesion progression but downregulates expression of inflammatory mediators and promotes lesion stability in apolipoprotein E-deficient mice.

Supporting Evidence

  • Rivaroxaban increased the thickness of protective fibrous caps in atherosclerotic lesions.
  • Treatment with rivaroxaban reduced mRNA expression of inflammatory mediators like IL-6 and TNF-α.
  • Chronic administration of rivaroxaban did not significantly alter the progression of atherosclerotic plaques.

Takeaway

This study looked at how a medicine called rivaroxaban affects heart problems in mice. It found that while it doesn't stop the growth of bad stuff in their arteries, it helps make the arteries stronger and less inflamed.

Methodology

Apolipoprotein E-deficient mice were treated with rivaroxaban for 26 weeks, and various plaque characteristics were analyzed.

Limitations

The study did not achieve significant reduction in lesion progression, and the effects observed may not translate directly to humans.

Participant Demographics

Female apolipoprotein E-deficient mice, 26 weeks old.

Statistical Information

P-Value

<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2011/432080

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