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‣ Endothelial progenitor cells in diabetic patients with myocardial infarction – Can statins improve their function?

António, Natália; Soares, Ana; Fernandes, Rosa; Soares, Francisco; Lopes, Ana; Carvalheiro, Tiago; Paiva, Artur; Providência, Luís A.; Gonçalves, Lino; Ribeiro, Carlos Fontes
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
371.5646%
The effect of statins on endothelial progenitor cells (EPCs) function derived from diabetic patients (DMpts) with acute myocardial infarction (AMI) is unknown. In this study we assess the response of early and late EPCs from diabetic versus non-diabetic patients (NDMpts) with AMI to statins. EPCs were obtained from 10 diabetic and 10 age-matched non-diabetic male patients with AMI. For each patient, cultures of early and late EPCs were performed under 4 different conditions: normal glucose concentration (control); high glucose concentration; normal glucose concentration with atorvastatin supplementation and normal glucose concentration with pravastatin supplementation. To compare the effect of these treatments on EPC function in DMpts versus NDMpts, we performed in vitro: EPC colony-forming units (CFU) assay; cell cycle analysis; viability assessment and expression of the surface markers CXCR4, CD133, CD34 and KDR. Under control conditions, CFU numbers were reduced in DMpts-derived EPCs when compared to those of NDMpts (1.4±0.8 vs 2.6±1.2 CFU/well, P=0.021). When early EPCs from DMpts were cultured in the presence of statins, CFU capacity was restored, surmounting that of NDMpts under control conditions. Statins significantly improved viability of early EPCs and delayed the onset of late EPCs senescence...

‣ ABCA1 expression and statins: inhibitory effect in peripheral blood mononuclear cells

GENVIGIR, Fabiana D. V.; HIRATA, Mario H.; HIRATA, Rosario D. C.
Fonte: FUTURE MEDICINE LTD Publicador: FUTURE MEDICINE LTD
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
357.93324%
The ATP-binding cassette transporter A1 (ABCA1) has an essential role in the formation of nascent high-density lipoprotein particles and also participates in the cholesterol efflux from macrophages in the artery wall. Several substances, such as statins, or even gene variants are able to modulate ABCA1 expression. There is strong evidence that statin treatment downregulates the ABCA1 expression in nonloaded macrophages. Interestingly, in cholesterol-loaded macrophages, which are more relevant to atherogenesis, this effect is lost. We observed an inhibitory effect of atorvastatin in peripheral blood mononuclear cells of hypercholesterolemic individuals. Moreover, in these individuals, the ABCA1 -14C > T polymorphism was associated with high baseline gene-expression levels. Other studies are needed to evaluate how relevant these findings are to the formation of arterial foam cells in vivo.

‣ Effects of statins on matrix metalloproteinases and their endogenous inhibitors in human endothelial cells

IZIDORO-TOLEDO, Tatiane C.; GUIMARAES, Danielle A.; BELO, Vanessa A.; GERLACH, Raquel F.; TANUS-SANTOS, Jose Eduardo
Fonte: SPRINGER Publicador: SPRINGER
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
369.2373%
Statins exert anti-inflammatory effects and downregulate matrix metalloproteinases (MMPs) expression, thus contributing to restore cardiovascular homeostasis in cardiovascular diseases. We aimed at comparing the effects of different statins (simvastatin, atorvastatin, and pravastatin) on MMP-2, MMP-9, tissue inhibitors of metalloproteinases (TIMP)-1, TIMP-2, and MMP-9/TIMP-1 and MMP-2/TIMP-2 ratios released by human umbilical vein endothelial cells (HUVEC) stimulated by phorbol myristate acetate (PMA). HUVECs were incubated with statins (0.1-10 mu M) for 12 h before stimulation with PMA 100 nM. Monolayers were used to perform cell viability assays and the supernatants were collected to determine MMPs and TIMPs levels by gelatin zymography and/or enzyme immunoassay. While treatment with PMA increased MMP-9 and TIMP-1 levels (by 556% and 159%, respectively; both P < 0.05), it exerted no effects on MMP-2 and TIMP-2 levels. Simvastatin and atorvastatin, but not pravastatin, attenuated PMA-induced increases in MMP-9 levels (P < 0.05). Only atorvastatin decreased baseline MMP-2 levels significantly (P < 0.05). We found no effects on TIMP-2 levels. Simvastatin and atorvastatin, but not pravastatin, decreased MMP-9/TIMP-1 ratio significantly (both P < 0.05)...

‣ Validação de métodos para análise de estatinas em medicamentos; Validation of methods for analysis of statins in tablets

Gomes, Fabio Pereira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 16/05/2008 Português
Relevância na Pesquisa
365.4085%
As estatinas são substâncias que inibem a síntese de colesterol. Por não existir métodos analíticos simples e de baixo custo para determinação quantitativa de pravastatina sódica, fluvastatina sódica, atorvastatina cálcica e rosuvastatina cálcica, o objetivo desta pesquisa foi desenvolver, validar e comparar os métodos por cromatografia líquida de alta eficiência e espectrofotometria direta e derivada no ultravioleta para a determinação quantitativa de estatinas em comprimidos. Os métodos cromatográficos foram realizados em coluna LiChrospher® RP-18 com fase móvel composta de metanol-água e pH ajustado a 3,0 com ácido fosfórico. Os métodos espectrofotométricos foram validados utilizando NaOH 0,1 M como solvente. A análise estatística com os testes t e F, não mostraram diferença significativa entre os métodos propostos ao nível de confiança de 95%. Os métodos são simples, eficientes e podem ser utilizados em análises de rotina para o controle de qualidade de estatinas em comprimidos.; The statins are substances that inhibit the synthesis of cholesterol. There is no simple and low cost analytical methods for quantitative determination of pravastatin sodium, fluvastatin sodium, atorvastatin calcium and rosuvastatin calcium; the objective of this research was to develop...

‣ Análise de estatinas em plasma humano por cromatografia gasosa acoplada à espectrometria de massas utilizando SPME e derivatização in situ no preparo de amostra; Analysis of statins in human plasma by gas chromatography / mass spectrometry using SPME and in situ derivatization in sample preparation

Sattolo, Natalia Meinl Schmiedt
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 18/03/2011 Português
Relevância na Pesquisa
365.4085%
A monitorização terapêutica permite a individualização do regime de dosagem, assegurando a eficácia clínica e minimizando os efeitos adversos dos fármacos prescritos. Atualmente, as estatinas têm sido monitoradas, pois, embora eficazes e muito utilizadas, apresentam alguns efeitos adversos não desejáveis. Neste trabalho, as técnicas SPME e cromatografia gasosa acoplada à espectrometria de massas (GC-MS) foram avaliadas para a análise de estatinas (fluvastatina, simvastatina e atorvastatina) em plasma humano para fins de monitorização terapêutica. As condições de extração e derivatização foram otimizadas empregando planejamento experimental e avaliando a influência dos principais parâmetros envolvidos. Para otimização das condições de extração avaliou-se parâmetros como tempo e temperatura de extração, pH, volume de solução tampão e força iônica; e para otimização das condições de derivatização avaliou-se parâmetros como volume de reagente derivatizante, volume de agente pareador iônico e pH. A extração foi realizada utilizando fibras de PDMS-DVB, e a dessorção feita termicamente no injetor do cromatógrafo a gás. O método desenvolvido foi validado segundo normas da ANVISA, apresentando linearidade na faixa de 20 a 500 ng mL-1...

‣ Eficácia das estatinas utilizadas na prevenção secundária de eventos cardiovasculares na síndrome coronariana aguda: revisão sistemática; Effectiveness of statins used in secondary prevention of cardiovascular events in Acute Coronary Syndrome: Systematic Review

Rodrigues, Adriano Rogerio Baldacin
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 23/05/2012 Português
Relevância na Pesquisa
369.2373%
Contexto: a eficácia dos inibidores da 3-hidróxi-3-metilglutaril-coenzima (HMG-CoA) redutase (estatinas) na prevenção primária e secundária na doença cardiovascular é bem estabelecida na literatura. Contudo os benefícios destes fármacos na prevenção secundária de mortalidade e eventos cardiovasculares no paciente com Síndrome Coronariana Aguda (SCA), ainda não foram completamente esclarecidos. Objetivo: analisar os benefícios do uso das estatinas comparadas a placebo ou cuidados usuais nos pacientes com SCA quanto a redução de mortalidade (por todas as causas), infarto agudo do miocárdio (fatal e não-fatal), intervenção coronária percutânea, revascularização cirúrgica do miocárdio e hospitalização. Base de Dados: trata-se de uma revisão sistemática finalizada em 29 de Janeiro de 2012, cuja seleção dos ensaios clínicos controlados e randomizados (ECCR) foi realizada nas bases de dados eletrônicas PubMed/MEDLINE, EMBASE, Cochrane Central, LILACS e Banco de Teses - CAPES. Coleta de Dados: a extração das informações sobre características basais dos estudos incluídos, avaliação da qualidade metodológica e desfechos não combinados foi realizada por dois investigadores de forma independente. Resultados: foram incluídos na metanálise 18 ECCR...

‣ Análise de estatinas em plasma humano utilizando microextração por dispositivo preenchido com sorvente (MEPS) e cromatografia líquida acoplada à espectrometria de massas sequencial (LC-MS/MS); Determination of statins in human plasma using microextraction in packed syringe (MEPS) and liquid chromatography-tandem mass spectrometry (LC-MS/MS)

Ortega, Scarlet Nere
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 20/09/2013 Português
Relevância na Pesquisa
362.38965%
As elevadas taxas de colesterol plasmático representam um grande risco à saúde, uma vez que podem causar doenças cardiovasculares. Para o tratamento e prevenção da dislipidemia são utilizados medicamentos reguladores do colesterol, como as estatinas. Embora eficazes e extensamente utilizados, esses fármacos apresentam efeitos adversos se administrados na dosagem errada. Assim, faz-se necessário o desenvolvimento de um método de monitorização terapêutica a fim de se ajustar a concentração desses compostos no sangue. Este trabalho visa o desenvolvimento de um método para análise de pravastatina (PRA), atorvastatina (AT), fluvastatina (FLV) e sinvastatina (SV) em plasma humano usando cromatografia líquida acoplada à espectrometria de massas (LC-MS). Na etapa de preparo de amostras, de forma inédita, utilizou-se a técnica microextração por sorvente empacotado (MEPS) para a análise de plasma humano contendo quatro estatinas. Para a otimização das condições de extração avaliaram-se, por experimentos univariados, parâmetros como fase extratora, composição do solvente de eluição e de lavagem. Outros fatores como volume de amostra, ciclos de amostragem, ciclos de eluição e etapas de eluição foram avaliados empregando-se planejamento experimental multivariado. A extração foi realizada utilizando-se uma fase estacionária C18 Chromabond como sorvente. O método MEPS-LC-MS/MS desenvolvido foi validado baseando-se nas recomendações da agência nacional de vigilância sanitária (ANVISA) e apresentou linearidade...

‣ Estatinas como coadjuvantes nos tratamentos da doença de Chagas e leishmanioses; Statins as coadjuvant to treatment of Chagas disease and Leishmaniasis

Rodrigues, Kelly Cristina
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 31/01/2014 Português
Relevância na Pesquisa
367.5888%
As doenças denominadas como negligenciadas têm causado nos últimos anos uma preocupação muito acentuada na comunidade científica e para as autoridades de saúde, relacionada às suas terapêuticas, no sentido de que os medicamentos existentes não se apresentam totalmente eficazes, além de determinarem efeitos colaterais extremamente elevados. Nesse perfil se encaixam a doença de Chagas e as Leishmanioses, etiologias determinadas respectivamente por Trypanosoma cruzi e parasitas do gênero Leishmania. Como proposta de encontrarmos uma alternativa para o tratamento dessas parasitoses, avaliamos o potencial terapêutico de três estatinas (sinvastatina, pravastatina e mevastatina), comercialmente encontradas para o tratamento de níveis elevados de colesterol e triglicérides, baseado no princípio de que a rota bioquímica para a formação de colesterol é semelhante à do ergosterol, componente da membrana plasmática desses protozoários. Foram realizadas avaliações in vitro e in vivo das estatinas puras e de suas associações com o benzonidazol, medicamento de referência no tratamento da doença de Chagas e com a anfotericina B, medicamento de referência no tratamento das leishmanioses, partindo do pressuposto que a substituição do benzonidazol / anfotericina B ou a diminuição de suas doses em combinação com as estatinas...

‣ Effects of statins on matrix metalloproteinases and their endogenous inhibitors in human endothelial cells

IZIDORO-TOLEDO, Tatiane C.; GUIMARAES, Danielle A.; BELO, Vanessa A.; GERLACH, Raquel F.; TANUS-SANTOS, Jose Eduardo
Fonte: SPRINGER Publicador: SPRINGER
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
369.2373%
Statins exert anti-inflammatory effects and downregulate matrix metalloproteinases (MMPs) expression, thus contributing to restore cardiovascular homeostasis in cardiovascular diseases. We aimed at comparing the effects of different statins (simvastatin, atorvastatin, and pravastatin) on MMP-2, MMP-9, tissue inhibitors of metalloproteinases (TIMP)-1, TIMP-2, and MMP-9/TIMP-1 and MMP-2/TIMP-2 ratios released by human umbilical vein endothelial cells (HUVEC) stimulated by phorbol myristate acetate (PMA). HUVECs were incubated with statins (0.1-10 mu M) for 12 h before stimulation with PMA 100 nM. Monolayers were used to perform cell viability assays and the supernatants were collected to determine MMPs and TIMPs levels by gelatin zymography and/or enzyme immunoassay. While treatment with PMA increased MMP-9 and TIMP-1 levels (by 556% and 159%, respectively; both P < 0.05), it exerted no effects on MMP-2 and TIMP-2 levels. Simvastatin and atorvastatin, but not pravastatin, attenuated PMA-induced increases in MMP-9 levels (P < 0.05). Only atorvastatin decreased baseline MMP-2 levels significantly (P < 0.05). We found no effects on TIMP-2 levels. Simvastatin and atorvastatin, but not pravastatin, decreased MMP-9/TIMP-1 ratio significantly (both P < 0.05)...

‣ The Use of Statins in People at Risk of Developing Diabetes Mellitus: Evidence and Guidance for Clinical Practice

Sattar, N; Ginsberg, H; Ray, K; Chapman, MJ; Arca, M; Averna, M; Betteridge, DJ; Bhatnagar, D; Bilianou, E; Carmena, R; Ceska, R; Corsini, A; Erbel, R; Flynn, P; Garcia-Moll, X; Gumprecht, J; Ishibashi, S; Jambart, S; Kastelein, J; Maher, V; Marques da Si
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
Relevância na Pesquisa
370.52742%
Reducing low-density lipoprotein cholesterol (LDL-C) levels using statins is associated with significant reductions in cardiovascular (CV) events in a wide range of patient populations. Although statins are generally considered to be safe, recent studies suggest they are associated with an increased risk of developing Type 2 diabetes (T2D). This led the US Food and Drug Administration (FDA) to change their labelling requirements for statins to include a warning about the possibility of increased blood sugar and HbA1c levels and the European Medicines Agency (EMA) to issue guidance on a small increased risk of T2D with the statin class. This review examines the evidence leading to these claims and provides practical guidance for primary care physicians on the use of statins in people with or at risk of developing T2D. Overall, evidence suggests that the benefits of statins for the reduction of CV risk far outweigh the risk of developing T2D, especially in individuals with higher CV risk. To reduce the risk of developing T2D, physicians should assess all patients for T2D risk prior to starting statin therapy, educate patients about their risks, and encourage risk-reduction through lifestyle changes. Whether some statins are more diabetogenic than others requires further study. Statin-treated patients at high risk of developing T2D should regularly be monitored for changes in blood glucose or HbA1c levels...

‣ The Use of Statins in People at Risk of Developing Diabetes Mellitus: Evidence and Guidance for Clinical Practice

Sattar, N; Ginsberg, H; Ray, K; Chapman, MJ; Arca, M; Averna, M; Betteridge, DJ; Bhatnagar, D; Bilianou, E; Carmena, R; Ceska, R; Corsini, A; Erbel, R; Flynn, P; Garcia-Moll, X; Gumprecht, J; Ishibashi, S; Jambart, S; Kastelein, J; Maher, V; Marques da Si
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
Relevância na Pesquisa
370.52742%
Reducing low-density lipoprotein cholesterol (LDL-C) levels using statins is associated with significant reductions in cardiovascular (CV) events in a wide range of patient populations. Although statins are generally considered to be safe, recent studies suggest they are associated with an increased risk of developing Type 2 diabetes (T2D). This led the US Food and Drug Administration (FDA) to change their labelling requirements for statins to include a warning about the possibility of increased blood sugar and HbA1c levels and the European Medicines Agency (EMA) to issue guidance on a small increased risk of T2D with the statin class. This review examines the evidence leading to these claims and provides practical guidance for primary care physicians on the use of statins in people with or at risk of developing T2D. Overall, evidence suggests that the benefits of statins for the reduction of CV risk far outweigh the risk of developing T2D, especially in individuals with higher CV risk. To reduce the risk of developing T2D, physicians should assess all patients for T2D risk prior to starting statin therapy, educate patients about their risks, and encourage risk-reduction through lifestyle changes. Whether some statins are more diabetogenic than others requires further study. Statin-treated patients at high risk of developing T2D should regularly be monitored for changes in blood glucose or HbA1c levels...

‣ Can statins improve outcome in colorectal surgery?: Part I

Santos Jr,Júlio César M
Fonte: Sociedade Brasileira de Coloproctologia Publicador: Sociedade Brasileira de Coloproctologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2012 Português
Relevância na Pesquisa
371.5646%
Statins are recommended for people who have high serum cholesterol, and this role of statins has been well documented. However, some activities of statins, independent of their lipid-lowering effect, in conditions such as systemic inflammatory response syndrome, nephropathy, and other anti-inflammatory activities that reduce proinflammatory cytokines, are called "pleiotropic" effects of statins. For this reason, many candidates for surgical treatment are users of statins. As a result, benefits are observed in these patients, such as minimized postoperative complications, especially in cardiac or coronary surgery. This study was designed with the purpose of determining the current status of the use of statins as an adjuvant in the prevention of postoperative complications in colorectal surgery. Ongoing studies and future researches will help clarify the potential impact of statins on the prophylaxis of postoperative complications.

‣ Are Statins Anti-Inflammatory?

Blake, Gavin J.; Ridker, Paul M.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
357.93324%
Large scale clinical trials demonstrate significant reductions in cardiovascular event rates with statin therapy. The observed benefit of statin therapy, however, may be larger in these trials than that expected on the basis of lipid lowering alone. Emerging evidence from both clinical trials and basic science studies suggest that statins have anti-inflammatory properties, which may additionally lead to clinical efficacy. Measurement of markers of inflammation such as high sensitivity C-reactive protein in addition to lipid parameters may help identify those patients who will benefit most from statin therapy.

‣ The role of statins in vascular disease

Laws, P.; Spark, J.; Cowled, P.; Fitridge, R.
Fonte: W B Saunders Co Ltd Publicador: W B Saunders Co Ltd
Tipo: Artigo de Revista Científica
Publicado em //2004 Português
Relevância na Pesquisa
369.2373%
Background: Recent publications have highlighted the benefits of statins in non-cardiac occlusive disease but also the failure of vascular surgeons to recognise and treat the risk factors for atherosclerosis, in particular hypercholesterolaemia. The aim of this review is to clarify the current experimental and clinical evidence for the use of statins in vascular disease. Methods: Literature compiled from an extensive search of Medline and the Cochrane database has been used for the basis of this review. Results: Experimental and clinical evidence consistently reports that statins improve endothelial dysfunction, are anti-inflammatory, anti-proliferative, anti-thrombogenic and anti-proteolytic. These effects are known to inhibit atherogenesis and improve plaque stability. Independent groups support the use of statins in the prevention of both primary and secondary cardiac events. The National Stroke association recommends their use to reduce strokes following myocardial infarction and the Heart Protection Study reports benefits in patients with non-cardiac occlusive disease. Conclusions: There is substantial evidence advocating the use of statins in patients with clinically significant vascular disease. In the future this may evolve to include those patients at risk from neointimal hyperplasia...

‣ The potential immunomodulatory effects of the statins in uveitis.

Ooi, Kenneth Gek-Jin
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2006 Português
Relevância na Pesquisa
362.38965%
The aim of this study was to delineate the patterns of cytokine expression which occur in various forms of immune-mediated uveitis in order to better understand their origins. Further, the study investigated the potential immunomodulatory role of the group of compounds known as the statins as adjunctive or steroid-sparing therapy in uveitis. The data recorded provides evidence for the potential of statins in the treatment of uveitis as a steroid-sparing monotherapy or as part of combination therapy.; Thesis (M.S.) -- University of Adelaide, School of Medicine, 2006; Title page, table of contents and abstract only. The complete thesis in print form is available from the University of Adelaide Library.

‣ Prescription and adherence to statins of patients with coronary artery disease and hypercholesterolemia

Mansur,Antonio P.; Mattar,André P. L.; Tsubo,Cristiane E.; Simão,Danielle T.; Yoshi,Fábio R.; Daci,Kuang
Fonte: Sociedade Brasileira de Cardiologia - SBC Publicador: Sociedade Brasileira de Cardiologia - SBC
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2001 Português
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371.5646%
OBJECTIVE: Statins have proved to be safe and effective in the secondary prevention of coronary artery disease, but the level of prescription and the reasons for nonadherence to treatment in many coronariopathy treatment centers has not been determined. The purpose of this study was to identify reasons for nonadherence to statin therapy. METHODS: We analyzed 207 consecutive patients with coronary artery disease and hypercholesterolemia (total cholesterol > or = 200mg/dL or LDL - cholesterol > or = 130mg/dL). Patients' average age was 61.7±10 year; 111 (53.6%) male were and 94 (46.6%) were female. We analyzed the level of prescription and adherence to treatment with statins. RESULTS: Statins were prescribed for 139 (67%) patients, but only 85 (41%) used the drug. In spite of being indicated, statins were not prescribed in 68 (33%) patients. Of 54 (26%) patients, nonadherent to statins, 67% did not use the drug due to its high cost, 31% due to the lack of instruction, and only 2% due to side effects. Total cholesterol (260.3±42.2 vs 226.4±51.9; p<0.0001) and LDL cholesterol (174.6±38.1 vs 149.6±36.1; p<0.0001) were lower in patients on medication. HDL-cholesterol increased from 37.6±9.6 to 41.5±12.9mg/dL (p=0.02), and triglycerides were not modified in patients using statins. CONCLUSION: The prescription of statins in patients with coronary artery disease and dyslipidemia is high; however...

‣ Association of Statins with Sensory and Autonomic Ganglionopathy

Novak, Peter; Pimentel, Daniela A.; Sundar, Banu; Moonis, Majaz; Qin, Lan; Novak, Vera
Fonte: Frontiers Media S.A. Publicador: Frontiers Media S.A.
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
369.2373%
Objective: To examine if statins have an effect on small nerve fibers. Methods: This retrospective study evaluated the effect of statins in pure small-fiber neuropathy (SFN). Outcome measures were symptom scales (numbness, tingling, and autonomic symptoms), skin biopsies assessing epidermal nerve fiber density (ENFD), sweat gland nerve fiber density (SGNFD), and quantitative autonomic testing. Results: One hundred and sixty participants with pure SFN were identified. Eighty participants (women/men, age ± SD 33/47, 68.1 ± 11.6 years old) were on statins for 53.5 ± 28.7 months to treat dyslipidemia and they were age and gender matched with 80 participants (33/47, 68.1 ± 9.5) that were off statins. ANOVA showed reduced ENFD/SGNFD at the proximal leg in the statin group [(count/mm) 8.3 ± 3.6/51.3 ± 14.2] compared to the off statin group (10.4 ± 3.8, p = 0.0008/56.4 ± 12.7, p = 0.018). There was no difference in ENFD/SGNFD at the distal leg in the statin group (4.9 ± 3.2/39.8 ± 15.7) compared to the off statin group (5.9 ± 3.4, p = 0.067/41.8 ± 15.9, p = 0.426). Statins did not affect symptom scales and the outcome of autonomic testing. Conclusion: Statin use is associated with degeneration of sensory and autonomic fibers. The pattern of abnormalities...

‣ Anticoagulants and Statins As Pharmacological Agents in Free Flap Surgery: Current Rationale

Pršić, Adnan; Kiwanuka, Elizabeth; Caterson, Stephanie A.; Caterson, Edward J.
Fonte: Open Science Company, LLC Publicador: Open Science Company, LLC
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
365.4085%
Microvascular free flaps are key components of reconstructive surgery, but despite their common use and usual reliability, flap failures still occur. Many pharmacological agents have been utilized to minimize risk of flap failure caused by thrombosis. However, the challenge of most antithrombotic therapy lies in providing patients with optimal antithrombotic prophylaxis without adverse bleeding effects. There is a limited but growing body of evidence suggesting that the vasoprotective and anti-inflammatory actions of statins can be beneficial for free flap survival. By inhibiting mevalonic acid, the downstream effects of statins include reduction of inflammation, reduced thrombogenicity, and improved vasodilation. This review provides a summary of the pathophysiology of thrombus formation and the current evidence of anticoagulation practices with aspirin, heparin, and dextran. In addition, the potential benefits of statins in the perioperative management of free flaps are highlighted.

‣ Major diet-drug interactions affecting the kinetic characteristics and hypolipidaemic properties of statins

Vaquero,M. P.; Sánchez Muniz,F. J.; Jiménez Redondo,S.; Prats Oliván,P.; Higueras,F. J.; Bastida,S.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/04/2010 Português
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Concomitant administration of statins with food may alter statin pharmacokinetics or pharmacodynamics, increasing the risk of adverse reactions such as myopathy or rhabdomyolysis or reducing their pharmacological action. This paper reviews major interactions between statins and dietary compounds. Consumption of pectin or oat bran together with Lovastatin reduces absorption of the drug, while alcohol intake does not appear to affect the efficacy and safety of Fluvastatin treatment. Grapefruit juice components inhibit cytochrome P-4503A4, reducing the presystemic metabolism of drugs such as Simvastatin, Lovastatin and Atorvastatin. Follow-up studies on the therapeutic effect of statins in patients consuming a Mediterranean-style diet are necessary to assure the correct prescription because the oil-statin and minor oil compound-statin possible interactions have been only briefly studied. Preliminary study suggests that olive oil can increase the hypolipaemiant effect of Simvastatin with respect sunflower oil. The consumption of polyunsaturated rich oils, throughout the cytochrome P- 450 activation could decrease the half-life of some statins and therefore their hypolipaemic effects. The statins and n-3 fatty acids combined therapy gives rise to pharmacodinamic interaction that improves the lipid profile and leads greater cardioprotection. Although statins are more effective in high endogenous cholesterol production subjects and plant sterols are more effective in high cholesterol absorption efficacy subjects...

‣ The use of statins in patients with chronic kidney disease not in dialysis: A scientific review

Carneiro,António Vaz
Fonte: Sociedade Portuguesa de Nefrologia Publicador: Sociedade Portuguesa de Nefrologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 Português
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Chronic kidney disease is a major risk factor for the incidence and severity of coronary artery disease. Patients with CKD present accelerated atherosclerosis and are prone to serious heart disease, including heart failure, before they ever reach dialysis. They have a worse cardiovascular (CV) prognosis then other patients after acute myocardial infarction (AMI), and after revascularisation. The main aim of this review article is the presentation and discussion of the best available evidence on the use of statins in patients with hyperlipidaemia and CKD not on dialysis. This paper is not based on a systematic review of the best clinical evidence on the subject of statins and CKD. It is a scientific review based on recent studies (randomised controlled trials, systematic reviews and observational studies) on risk modulation with lipid-lowering drugs in CKD. The evidence on which this paper is based was identified by searching the best available secondary sources as well as primary databases if needed. There are a series of statements that can be made on the effects of statins in patients with CKD not on dialysis. Firstly, the combination ezetimibe/simvastatin reduces AMI, non-haemorrhagic stroke and revascularisation in these patients...