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.

CytokineReported effects

Tumour necrosis factor-alphaEndothelial nitric oxide synthase activity ↓
Inducible nitric oxide synthase activity ↑
Reactive oxygen species ↑
Endothelium-dependent vasodilation ↓
Leukocyte adhesion ↑
Endothelial cell apoptosis ↑
Asymmetric dimethylarginine ↑

Interleukin-1Endothelium-dependent vasodilation ↓
Vasoconstrictor response to pharmacological challenge ↑
Endothelin-1 ↑
Leukocyte adhesion ↑
Vascular smooth muscle cell growth ↑
Intima thickness ↑
Arterial stiffness ↑
Coagulation ↑

Interleukin-6Expression of angiotensin II type-1 receptor ↑
Endothelium-dependent vasodilation ↓
Arterial stiffness ↑
Oxidative stress ↑
Thrombosis ↑

↑: Increase; ↓: decrease.