Nephrol Dial Transplant (2001) 16: 1738-1741
© 2001 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Statins: effects beyond cholesterol lowering
1 Division of Nephrology, CH Beauvais and INSERM U 507, Necker Hospital, Paris, France and 2 Fundación Hospital Alcorcón, Madrid, Spain
Keywords: 3-hydroxy-3-methyl-glutaryl coenzyme A reductase inhibitors; cholesterol; statins
Introduction
Recent large-scale placebo-controlled clinical trials have established beyond doubt the benefits of 3-hydroxy-3-methyl-glutaryl coenzyme A (HMG-Co A) reductase inhibitors (statins) in the primary and secondary prevention of coronary heart disease [1]. The role of hypercholesterolaemia in the pathogenesis of atherosclerosis is also well established and statins are the most powerful available agents to safely reduce blood cholesterol levels. However, the greater than expected success of statin therapy has raised the possibility that certain beneficial effects go beyond their ability to reduce circulating cholesterol levels [2]. For example, the clinical benefits of statin therapy appear disproportionate to the improvement in atherosclerotic lesions demonstrated in angiographic studies [3]. Therefore, statins may reduce cardiovascular events by mechanisms different from regression of coronary atherosclerosis. Second, the rate of clinical events in some trials in from treated groups was lower than expected from estimations based on Framingham equations using
Statins and the control of cell number
Statins and thrombosis
Statins and inflammation
Statins and endothelial function
Statins and immunomodulation
Conclusion
Notes
References
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