Volume 148, Issue 5, Pages (November 2015)

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Volume 148, Issue 5, Pages 1164-1176 (November 2015) Simvastatin Suppresses Airway IL-17 and Upregulates IL-10 in Patients With Stable COPD  Kittipong Maneechotesuwan, MD, PhD, Adisak Wongkajornsilp, MD, PhD, Ian M. Adcock, PhD, Peter J. Barnes, DM, Master FCCP  CHEST  Volume 148, Issue 5, Pages 1164-1176 (November 2015) DOI: 10.1378/chest.14-3138 Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 1 Flow of subjects through the study. CHEST 2015 148, 1164-1176DOI: (10.1378/chest.14-3138) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 2 A, B, The lowering of sputum IL-17A (A) and IL-22 (B) concentrations in response to simvastatin treatment to a greater extent than placebo. Data are expressed as mean (SD). Δ = change in. CHEST 2015 148, 1164-1176DOI: (10.1378/chest.14-3138) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 3 A, The elevation of sputum IL-10 concentrations was greater in response to simvastatin treatment than placebo. B, The same pattern was seen in IDO messenger RNA concentration. C, IDO activity also was elevated in response to simvastatin treatment to a greater extent than placebo. The data are expressed as mean (SD). IDO = indoleamine 2,3-dioxygenase; Kyn = kynurenine; Tryp = tryptophan. See Figure 2 legend for expansion of other abbreviation. CHEST 2015 148, 1164-1176DOI: (10.1378/chest.14-3138) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 4 A, Sputum IL-6 concentration was lower in response to simvastatin treatment to a greater extent than placebo. B, The same pattern was seen in CXCL8 concentrations. The data are expressed as mean (SD). See Figure 2 legend for expansion of other abbreviation. CHEST 2015 148, 1164-1176DOI: (10.1378/chest.14-3138) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 5 A, Absolute macrophage counts were lower in response to simvastatin treatment to a greater extent than placebo. B, A similar pattern was seen in the proportion of macrophages (% of total cells). The data are expressed as mean (SD). CHEST 2015 148, 1164-1176DOI: (10.1378/chest.14-3138) Copyright © 2015 The American College of Chest Physicians Terms and Conditions