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The Effect of Statin Therapy on Inflammatory Biomarkers: A Systematic Review

The Effect of Statin Therapy on Inflammatory Biomarkers: A Systematic Review

Source : https://www.cureus.com/articles/68322-the-effect-of-statin-therapy-on-inflammatory-biomarkers-a-systematic-review

3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) reductase inhibitors are commonly used drugs in the management of elevated lipid levels and cardiovascular disease. In cardiovascular diseases, among other common chronic conditions, inflammatory biomarkers are used to monitor disease progression and the risk of recurrent adverse events. We explored whether or not there was a positive effect on these biomarkers using HMG-CoA reductase inhibitors.

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    Article Highlights
    • Source: Cureus
    • Conclusion/Relevance: “Statins have been shown to exhibit a positive effect on lipid levels in addition to an anti-inflammatory effect. High-intensity statins, in particular atorvastatin, have demonstrated good anti-inflammatory effects with a reduction in adverse cardiac events. Although limited evidence was found as to the efficacy of rosuvastatin, the benefits are still expected to be seen as with atorvastatin. Low and moderate-intensity statins also show significant reductions in inflammatory biomarkers. It has also been seen that dual anti-lipid therapy, in addition to other anti-inflammatory agents combined with statin therapy, provides a significant reduction in systemic inflammation. It is important to continue exploring the use of statins as a mainstay of management, not only for their anti-lipid benefits but also for anti-inflammatory benefits through long-term therapy.”
    • In the current systematic review, researchers analyzed 12 published articles based on RCTs to determine whether drug therapy with different statins resulted in anti-inflammatory effects in addition to positive effects on lipid reduction, as well as cardiovascular risk.
    • The researchers found that statin therapy—especially high-intensity—exerted anti-inflammatory effects. There was, however, limited data on the use of rosuvastatin and other high-intensity therapies.
    • Importantly, many patients receiving lipid-lowering therapy with statins are likely to be on other atherosclerotic cardiovascular disease protective agents such as aspirin, clopidogrel, and so forth.
    • One limitation of the research synthesized was short durations of study. Statins are usually used long-term. Looking forward, the anti-inflammatory effects of statins would best be examined via studies with longer durations—especially in the case of lower-intensity statins.

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