Gornik I
Acta Med Croatica. 2015 Sep;69(3):197-201.
Statins, inhibitors of hydroxymethylglutaryl coenzyme A reductase, are the mainstay of the treatment of hypercholesterolemia in patients with cardiovascular disease. Besides the effects on cholesterol synthesis, they also have other effects. Pleiotropic effects of statins have been noted as anti-inflammatory, immunomodulatory, antioxidant, anti-thrombotic and endothelium stabilizing. All the mentioned effects could have beneficial role in the systemic response to infection, i.e. sepsis, but also in other systemic inflammatory conditions. We give a review of pharmacological effects of statins and of trials investigating the effects of statins in acute inflammatory response and sepsis.
他汀类药物是羟甲基戊二酰辅酶A还原酶抑制剂,是心血管疾病患者高胆固醇血症治疗的主要药物。除了对胆固醇合成的影响外,它们还有其他作用。他汀类药物的多效性作用已被注意到,包括抗炎、免疫调节、抗氧化、抗血栓形成和内皮稳定作用。所有上述作用在对感染(即脓毒症)的全身反应中可能具有有益作用,在其他全身炎症性疾病中也可能如此。我们对他汀类药物的药理作用以及研究他汀类药物在急性炎症反应和脓毒症中作用的试验进行综述。