Inflammatory myopathy associated with statins: report of three cases

被引:6
作者
Kuncova, Klara [1 ,2 ]
Sedlackova, Marie [3 ]
Vencovsky, Jiri [4 ]
Mann, Herman [4 ]
Tomcik, Michal [4 ]
Wenchich, Laszlo [5 ]
Zamecnik, Josef [1 ,2 ]
机构
[1] Charles Univ Prague, Fac Med 2, Dept Pathol & Mol Med, Prague 15006 5, Czech Republic
[2] Charles Univ Prague, Univ Hosp Motol, Prague 15006 5, Czech Republic
[3] Thomayer Hosp, Dept Rheumatol & Rehabil, Prague 4, Czech Republic
[4] Charles Univ Prague, Fac Med 1, Inst Rheumatol, Dept Rheumatol, Prague 2, Czech Republic
[5] Charles Univ Prague, Fac Med 1, Dept Pediat, Prague 2, Czech Republic
关键词
Drug-induced myopathy; Muscle biopsy; Inflammatory myopathy; Statins; COA REDUCTASE INHIBITORS; MEDIATED NECROTIZING MYOPATHY; RETICULUM STRESS-RESPONSE; INDUCED DERMATOMYOSITIS; AUTOIMMUNE MYOSITIS; POLYMYOSITIS; SIMVASTATIN; ACTIVATION; MUTATIONS; THERAPY;
D O I
10.3109/14397595.2013.852848
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Statins are well-established lipid-lowering drugs that reduce morbidity and mortality due to cardiovascular disease and cause adverse effects relatively rarely. It is still unclear whether statins are capable of inducing an immune-mediated response directed against skeletal muscle. Here, we present the cases of three patients who developed inflammatory myopathy in the course of statin treatment. Moreover, multiple mitochondrial DNA deletions were found in two of them. The ability of statins to induce an immune-mediated response and their interactions with mitochondrial metabolism pathways are discussed.
引用
收藏
页码:366 / 371
页数:6
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