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首页> 外文期刊>Current opinion in lipidology >Mechanisms for the anti-inflammatory effects of statins.
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Mechanisms for the anti-inflammatory effects of statins.

机译:他汀类药物抗炎作用的机制。

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PURPOSE OF REVIEW: Statins have diverse effects on the cellular mediators of inflammation and immunity that may be partially responsible for their efficacy in preventing cardiovascular disease, and which have encouraged their use in treating immune/inflammatory diseases. We discuss a selection of recently published studies that provide new insights into the mechanisms by which statins exert anti-inflammatory effects. RECENT FINDINGS: Statins have a variety of direct effects on the gene expression and function of cells of both the innate and adaptive immune systems, including endothelial cells, macrophages, dendritic cells and T cells. Many of these effects are related to statin blockade of GTPase isoprenylation, as has been shown in older literature, although newly identified cell type-specific downstream pathways of GTPase have been described. Recently published analyses of data from clinical trials have also provided further evidence that statin therapy has anti-inflammatory effects and benefits independent of lowering cholesterol. SUMMARY: Ongoing research continues to strengthen the case that statins can modulate immune responses by several mechanisms, independent of lowering blood cholesterol. A major challenge for investigators will be to determine how to take advantage of these new mechanistic insights to improve treatment of cardiovascular disease and primary immune/inflammatory disorders.
机译:审查目的:他汀类药物对炎症和免疫的细胞介质具有多种作用,这可能部分归因于其预防心血管疾病的功效,并鼓励了它们在治疗免疫/炎症疾病中的用途。我们讨论了一系列最近发表的研究,这些研究为他汀类药物发挥抗炎作用的机制提供了新见解。最近的发现:他汀类药物对先天性和适应性免疫系统的细胞的基因表达和功能有多种直接影响,包括内皮细胞,巨噬细胞,树突状细胞和T细胞。如较早的文献所表明的,尽管已经描述了新鉴定的细胞类型特异性的GTPase下游途径,但许多这些作用与他汀类药物阻断GTPase异戊二烯化有关。最近发表的对来自临床试验数据的分析也提供了进一步的证据,证明他汀类药物疗法具有抗炎作用,且有益效果与降低胆固醇无关。简介:正在进行的研究继续加强了他汀类药物可以通过多种机制调节免疫反应的情况,而这些机制与降低胆固醇无关。研究人员面临的主要挑战是确定如何利用这些新的机制见解来改善对心血管疾病和原发性免疫/炎性疾病的治疗。

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