Sharjah Institute of Medical Research, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Department of Cardiology, King Fahad Cardiac Center, King Saud University Medical City, Riyadh, Saudi Arabia.
Expert Rev Respir Med. 2022 Jan;16(1):17-24. doi: 10.1080/17476348.2021.1987890. Epub 2021 Oct 28.
Asthma is a chronic inflammatory disease of the airways, which is usually characterized by remodeling, hyperresponsiveness and episodic obstruction of the airways. The underlying chronic airway inflammation leads to pathological restructuring of both the large and small airways. Since the effects of current asthma medications on airway remodeling have been met with contradictions, many therapeutic agents have been redirected from their primary use for the treatment of asthma. Such treatments, which could target several signaling molecules implicated in the inflammatory and airway remodeling processes of asthma, would be an ideal choice.
Statins are effective serum cholesterol-lowering agents that were found to have potential anti-inflammatory and anti-remodeling properties. Literature search was done for the past 10 years to include research and review articles in the field of statins and asthma complications. In this review, we discuss the role of statins in airway tissue remodeling and their potential therapeutic modalities in asthma.
With improved understanding of the role of statins in airway remodeling and inflammation, statins represent a potential therapeutic option for various asthma phenotypes. Further research is warranted to optimize statins for asthma therapy through inhalation as a possible route of administration.
哮喘是一种气道慢性炎症性疾病,通常表现为气道重塑、高反应性和间歇性气道阻塞。潜在的慢性气道炎症导致大、小气道的病理性重构。由于目前哮喘药物对气道重塑的作用存在矛盾,许多治疗药物已从最初用于哮喘治疗的用途转向其他用途。针对哮喘炎症和气道重塑过程中涉及的多个信号分子的治疗药物将是一种理想的选择。
他汀类药物是有效的血清胆固醇降低剂,具有潜在的抗炎和抗重塑特性。对过去 10 年的文献进行了检索,包括他汀类药物和哮喘并发症领域的研究和综述文章。在这篇综述中,我们讨论了他汀类药物在气道组织重塑中的作用及其在哮喘中的潜在治疗方式。
随着对他汀类药物在气道重塑和炎症中作用的认识不断提高,他汀类药物为各种哮喘表型提供了一种潜在的治疗选择。需要进一步研究通过吸入作为一种可能的给药途径来优化他汀类药物用于哮喘治疗。