Effects of Ezetimibe, Statins, and Their Combination on Nuclear Factor Erythroid 2‑Related Factor 2/Heme Oxygenase-1/Kelch-like ECH-Associated Protein‑1 Signaling and Inflammatory Markers in Indomethacin-Induced Gastric Ulcer in Rats. (PubMed, ACS Pharmacol Transl Sci)
Rats were assigned into six groups (n = 8, each): (I) normal (control), (II) gastric ulcer induced with a single oral dose of indomethacin (30 mg/kg body weight), (III) rats received oral simvastatin (40 mg/kg/day) for 14 days, (IV) rats received oral ezetimibe (10 mg/kg/day) for 14 days, (V) the combination group received both oral simvastatin and ezetimibe, and (VI) standard group received oral famotidine (20 mg/kg). Simvastatin plus ezetimibe exerted synergistic gastroprotective effects in rats, associated with Nrf2/HO-1 activation and suppression of Keap1, oxidative stress, and pro-inflammatory cytokines. This combination may represent a novel therapeutic approach for preventing NSAID-induced GUs, meriting further mechanistic and translational studies.