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[他汀类药物与哮喘]

[Statins and asthma].

作者信息

Pawlak Joanna, Ziętkowski Ziemowit, Bodzenta-Łukaszyk Anna

机构信息

Klinika Alergologii i Chorób Wewnętrznych USK w Białymstoku.

出版信息

Postepy Hig Med Dosw (Online). 2011 Mar 25;65:177-89. doi: 10.5604/17322693.936092.

Abstract

Statins are drugs widely used in the treatment of hyperlipidemia and cardiovascular diseases. They decrease cholesterol synthesis by inhibiting 3-hydroxy-methylglutaryl reductase of coenzyme A (HMG-CoA). It was shown that statins are characterized by a wider spectrum of activity, which was attributed as an extralipid (pleiotropic) one. Although benefits of HMG-CoA reductase inhibitors have been proven in the treatment of cardiovascular diseases, there are attempts to use them in other fields of medicine, such as neurology and rheumatology. At present, anti-inflammatory and immunomodulatory effects of HMG-CoA reductase inhibitors are being particularly examined. Based on the observation mentioned above, the use of statins in allergology has also been attempted. The paper presents selected aspects of statins’ effects on immunological reactions and the inflammatory process, pointing to the possibility of statin use in the treatment of asthma.

摘要

他汀类药物是广泛用于治疗高脂血症和心血管疾病的药物。它们通过抑制辅酶A的3-羟基-3-甲基戊二酰辅酶A还原酶(HMG-CoA)来减少胆固醇的合成。研究表明,他汀类药物具有更广泛的活性谱,这被认为是一种脂质外(多效性)的活性谱。尽管HMG-CoA还原酶抑制剂在心血管疾病治疗中的益处已得到证实,但仍有人尝试将其用于医学的其他领域,如神经病学和风湿病学。目前,人们尤其在研究HMG-CoA还原酶抑制剂的抗炎和免疫调节作用。基于上述观察,也有人尝试将他汀类药物用于变态反应学。本文介绍了他汀类药物对免疫反应和炎症过程影响的某些方面,指出了他汀类药物用于治疗哮喘的可能性。

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