Statins - Are they anticonvulsant?

被引:28
作者
Banach, Monika [1 ]
Czuczwar, Stanislaw J. [2 ,3 ]
Borowicz, Kinga K. [1 ]
机构
[1] Med Univ Lublin, Dept Pathophysiol, Expt Neuropathophysiol Unit, Lublin, Poland
[2] Med Univ Lublin, Dept Pathophysiol, Lublin, Poland
[3] Inst Rural Hlth, Dept Physiopathol, Lublin, Poland
关键词
Statins; HMGCoA inhibitors; Epilepsy; Seizures; Neuroprotection; HIPPOCAMPAL CELL-DEATH; NITRIC-OXIDE; CORTICAL-NEURONS; INDUCED SEIZURES; INDUCED EXCITOTOXICITY; ATORVASTATIN TREATMENT; REDUCTASE INHIBITION; ANTIEPILEPTIC DRUGS; BRAIN CHOLESTEROL; LIPID RAFTS;
D O I
10.1016/j.pharep.2014.02.026
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Statins are the most popular and effective lipid-lowering medications beneficial in hypercholesterolemias and prevention of cardiovascular diseases. Growing evidence supports theory that statins exhibit neuroprotective action in acute stroke, Alzheimer's disease, Parkinson's disease, multiple sclerosis or epilepsy. Hereby, we present available experimental data regarding action of this group of drugs on seizure activity and neuronal cell death. The most commonly examined statins, such as atorvastatin and simvastatin, display anticonvulsant action with only inconsiderable exceptions. However, the mechanism of this effect remains unexplained. Simvastatin, as a lipophilic statin, which can pass blood-brain barrier easily, was recommended as the best candidate for an anticonvulsant agent. Nevertheless, it is still indistinct, whether the protective activity of statins depends on cholesterol lowering properties or its pleiotropic characteristics. One of the most interesting of 3-hydroxy-3-methylglutaryl-coenzyme A inhibitor's actions involves influence on nitric oxide metabolism. (C) 2014 Institute of Pharmacology, Polish Academy of Sciences. Published by Elsevier Urban & Partner Sp. Z o.o. All rights reserved.
引用
收藏
页码:521 / 528
页数:8
相关论文
共 41 条
[1]  
[Anonymous], FRONT ENDOCRINOL LAU
[2]   Nitric Oxide, Epileptic Seizures, and Action of Antiepileptic Drugs [J].
Banach, Monika ;
Piskorska, Barbara ;
Czuczwar, Stanislaw J. ;
Borowicz, Kinga K. .
CNS & NEUROLOGICAL DISORDERS-DRUG TARGETS, 2011, 10 (07) :808-819
[3]  
Bazan NG, 2002, PROG BRAIN RES, V135, P175
[4]   Neuroprotective effects of atorvastatin against glutamate-induced excitotoxicity in primary cortical neurones [J].
Bösel, J ;
Gandor, F ;
Harms, C ;
Synowitz, M ;
Harms, U ;
Djoufack, PC ;
Megow, D ;
Dirnagl, U ;
Hörtnagl, H ;
Fink, KB ;
Endres, M .
JOURNAL OF NEUROCHEMISTRY, 2005, 92 (06) :1386-1398
[5]   Statins and their influence on brain cholesterol [J].
Cibickova, L'ubica .
JOURNAL OF CLINICAL LIPIDOLOGY, 2011, 5 (05) :373-379
[6]   Selection of antiepileptic drug polytherapy based on mechanisms of action: The evidence reviewed [J].
Deckers, CLP ;
Czuczwar, SJ ;
Hekster, YA ;
Keyser, A ;
Kubova, H ;
Meinardi, H ;
Patsalos, PN ;
Renier, WO ;
Van Rijn, CM .
EPILEPSIA, 2000, 41 (11) :1364-1374
[7]   Cholesterol metabolism in the brain [J].
Dietschy, JM ;
Turley, SD .
CURRENT OPINION IN LIPIDOLOGY, 2001, 12 (02) :105-112
[8]   Statin use and risk of epilepsy A nested case-control study [J].
Etminan, Mahyar ;
Samii, Ali ;
Brophy, James M. .
NEUROLOGY, 2010, 75 (17) :1496-1500
[9]   Differential effects of atorvastatin treatment and withdrawal on pentylenetetrazol-induced seizures [J].
Funck, Vinicius Rafael ;
de Oliveira, Clarissa Vasconcelos ;
Pereira, Leticia Meier ;
Rambo, Leonardo Magno ;
Ribeiro, Leandro Rodrigo ;
Freire Royes, Luiz Fernando ;
Ferreira, Juliano ;
Guerra, Gustavo Petri ;
Furian, Ana Flavia ;
Oliveira, Mauricio Schneider ;
Mallmann, Carlos Augusto ;
de Mello, Carlos Fernando ;
Oliveira, Mauro Schneider .
EPILEPSIA, 2011, 52 (11) :2094-2104
[10]   Lovastatin induces apoptosis of spontaneously immortalized rat brain neuroblasts:: Involvement of nonsterol isoprenoid biosynthesis inhibition [J].
García-Román, N ;
Alvarez, AM ;
Toro, MJ ;
Montes, A ;
Lorenzo, MJ .
MOLECULAR AND CELLULAR NEUROSCIENCE, 2001, 17 (02) :329-341