Review Article
Protective Effects of Methotrexate against Proatherosclerotic Cytokines: A Review of the Evidence
Table 1
Effects of the cytokines TNF-α, IL-1, and IL-6 on endothelial function and vascular homeostasis.
| Cytokine | Reported effects |
| Tumour necrosis factor-alpha | Endothelial nitric oxide synthase activity ↓ | Inducible nitric oxide synthase activity ↑ | Reactive oxygen species ↑ | Endothelium-dependent vasodilation ↓ | Leukocyte adhesion ↑ | Endothelial cell apoptosis ↑ | Asymmetric dimethylarginine ↑ |
| Interleukin-1 | Endothelium-dependent vasodilation ↓ | Vasoconstrictor response to pharmacological challenge ↑ | Endothelin-1 ↑ | Leukocyte adhesion ↑ | Vascular smooth muscle cell growth ↑ | Intima thickness ↑ | Arterial stiffness ↑ | Coagulation ↑ |
| Interleukin-6 | Expression of angiotensin II type-1 receptor ↑ | Endothelium-dependent vasodilation ↓ | Arterial stiffness ↑ | Oxidative stress ↑ | Thrombosis ↑ |
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↑: Increase; ↓: decrease.
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