Kitamoto Shiro, Egashira Kensuke
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University.
Nihon Rinsho. 2004 Jan;62(1):172-9.
It has been suggested that HMG-CoA reductase inhibitors(statins) have additional cholesterol-independent pleiotropic effects on preventing coronary events and strokes. One of major pleiotropic actions of statins, which have been proposed, is anti-inflammatory effect. Statins have been shown to reduce infiltration of inflammatory cells into atherosclerotic lesions. It has been also reported that statins increase production of nitric oxide, reduce expression of proinflammatory cytokines and adhesion molecules, and lower plasma C-reactive protein levels. Although these effects may partially account for anti-inflammatory property of statins, its mechanisms are not fully understood. Therefore, further studies are expected to elucidate process of anti-inflammatory effect of statins.
有人提出,HMG-CoA还原酶抑制剂(他汀类药物)在预防冠状动脉事件和中风方面具有额外的非胆固醇依赖性多效性作用。他汀类药物主要的多效性作用之一被认为是抗炎作用。他汀类药物已被证明可减少炎症细胞向动脉粥样硬化病变的浸润。也有报道称,他汀类药物可增加一氧化氮的生成,降低促炎细胞因子和黏附分子的表达,并降低血浆C反应蛋白水平。尽管这些作用可能部分解释了他汀类药物的抗炎特性,但其机制尚未完全明确。因此,期望进一步的研究能够阐明他汀类药物抗炎作用的过程。