Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2003-8-19
pubmed:abstractText
The statins reduce cholesterol synthesis through inhibition of HMG-CoA (3-hydroxy-3-methylglutaryl-CoA) reductase and are widely prescribed for hyperlipidaemia to reduce the risk of atherosclerotic complications. The beneficial effect of lipid lowering by statins in the treatment of coronary heart disease has been demonstrated in large clinical trials. However, statins appear to have additional benefits on vascular function above and beyond their lipid lowering effects. Through inhibition of L-mevalonate synthesis, statins also prevent the synthesis of isoprenoid intermediates, including farnesylpyrophosphate and geranylgeranylpyrophosphate. Isoprenylation is important in the post-translational modification of a variety of proteins, including the small GTPases Rho, Rac and Ras, and hence plays an integral role in cellular signalling. Moreover, interference with isoprenylation underlies many of the beneficial actions of the statins on vascular endothelium, which include increased endothelial nitric oxide synthase expression, pro-angiogenic effects, increased fibrinolytic activity, immunomodulatory and anti-inflammatory actions, including increased resistance to complement. This has led to interest in the use of this class of drugs outside the realm of cardiovascular disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0143-5221
pubmed:author
pubmed:issnType
Print
pubmed:volume
105
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
251-66
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12793855-Aged, pubmed-meshheading:12793855-Antioxidants, pubmed-meshheading:12793855-Cholesterol, pubmed-meshheading:12793855-Complement System Proteins, pubmed-meshheading:12793855-Coronary Disease, pubmed-meshheading:12793855-Cytokines, pubmed-meshheading:12793855-Endothelium, Vascular, pubmed-meshheading:12793855-Fibrinolysis, pubmed-meshheading:12793855-Graft Rejection, pubmed-meshheading:12793855-Humans, pubmed-meshheading:12793855-Hydroxymethylglutaryl-CoA Reductase Inhibitors, pubmed-meshheading:12793855-Hyperlipidemias, pubmed-meshheading:12793855-Leukocytes, pubmed-meshheading:12793855-Middle Aged, pubmed-meshheading:12793855-Neovascularization, Pathologic, pubmed-meshheading:12793855-Nitric Oxide, pubmed-meshheading:12793855-Randomized Controlled Trials as Topic, pubmed-meshheading:12793855-Thrombosis
pubmed:year
2003
pubmed:articleTitle
Statins and their role in vascular protection.
pubmed:affiliation
British Heart Foundation Cardiovascular Medicine Unit, National Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, London W12 ONN, UK. justin.mason@imperial.ac.uk
pubmed:publicationType
Journal Article, Review, Research Support, Non-U.S. Gov't