He seems to feel that statins are especially good
Post# of 148167
Quote:
He seems to feel that statins are especially good at dealing with fractalkine receptors on the endothelial layer of blood vessels. These are the receptors that can anchor non-classical monocyte macrophages to the endothelium, which is not so good, causing inflammation, especially in the blood vessels of the brain.
How statins effect the fractalkine receptor (CX3CR1) is by downregulating it's ligand CX3CL1. CCR5 blockade also downregulates CX3CL1 via NF-kB and TNF-a downregulation and it's on the regulator list.
Statins reduce adhesion to the endothelial layer by reduction of ICAM-1 (intercellular adhesion molecule-1) via disruption of the IFN-y pathway. With CCR5 blockade downregulating IFN-y then it comes as no surprise that CCR5 blockade also downregulates ICAM-1. But CCR5 blockade has another trick up it's sleeve. ICAM-1 binds to LFA-1 (lymphocyte function–associated antigen-1) which are present in those macrophages that are binding to the endothelium. CCR5 blockade also downregulates LFA-1.
Patterson may be using statins because of maraviroc's lower efficacy compared to leronlimab. Possibly statins could even give a little boost to leronlimab. But from our own trial we have a decent idea of what leronlimab can do on it's own.