Alfirevic A, Neely D, Armitage J, Chinoy H, Cooper R G, Laaksonen R, Carr D F, Bloch K M, Fahy J, Hanson A, Yue Q-Y, Wadelius M, Maitland-van Der Zee A H, Voora D, Psaty B M, Palmer C N A, Pirmohamed M
Department of Molecular and Clinical Pharmacology, TheWolfson Centre for Personalised Medicine, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
Department of Clinical Biochemistry, Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Clin Pharmacol Ther. 2014 Oct;96(4):470-6. doi: 10.1038/clpt.2014.121. Epub 2014 Jun 4.
Statins are widely used lipid-lowering drugs that are effective in reducing cardiovascular disease risk. Although they are generally well tolerated, they can cause muscle toxicity, which can lead to severe rhabdomyolysis. Research in this area has been hampered to some extent by the lack of standardized nomenclature and phenotypic definitions. We have used numerical and descriptive classifications and developed an algorithm to define statin-related myotoxicity phenotypes, including myalgia, myopathy, rhabdomyolysis, and necrotizing autoimmune myopathy.
他汀类药物是广泛使用的降脂药物,对降低心血管疾病风险有效。尽管它们通常耐受性良好,但可导致肌肉毒性,进而引发严重的横纹肌溶解症。该领域的研究在一定程度上受到缺乏标准化命名法和表型定义的阻碍。我们采用了数值和描述性分类方法,并开发了一种算法来定义他汀类药物相关的肌毒性表型,包括肌痛、肌病、横纹肌溶解症和坏死性自身免疫性肌病。