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Statin Use is Associated with a Significant Reduction in Cholesterol Content of Erythrocyte Membranes. A Novel Pleiotropic Effect?

Purpose High cholesterol content of erythrocyte membranes (CEM) levels is present in patients with acute coronary syndromes (ACS). Intraplaque hemorrhage and erythrocyte lysis contribute to the deposition of cholesterol on the atherosclerotic plaque and to plaque rupture. With the present study we a...

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Published in:Cardiovascular drugs and therapy 2009-12, Vol.23 (6), p.471-480
Main Authors: Tziakas, Dimitrios N., Chalikias, Georgios K., Stakos, Dimitrios, Tentes, Ioannis K., Thomaidi, Adina, Chatzikyriakou, Sofia, Mitrousi, Konstantina, Kortsaris, Alexandros X., Carlos Kaski, Juan, Boudoulas, Harisios, Konstantinides, Stavros
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creator Tziakas, Dimitrios N.
Chalikias, Georgios K.
Stakos, Dimitrios
Tentes, Ioannis K.
Thomaidi, Adina
Chatzikyriakou, Sofia
Mitrousi, Konstantina
Kortsaris, Alexandros X.
Carlos Kaski, Juan
Boudoulas, Harisios
Konstantinides, Stavros
description Purpose High cholesterol content of erythrocyte membranes (CEM) levels is present in patients with acute coronary syndromes (ACS). Intraplaque hemorrhage and erythrocyte lysis contribute to the deposition of cholesterol on the atherosclerotic plaque and to plaque rupture. With the present study we assessed the effect of statin therapy on CEM levels, a novel marker of coronary artery disease (CAD) instability during a 1-year follow-up in CAD patients. Methods 212 consecutive eligible (158 men, 62 ± 10 years) patients undergoing diagnostic coronary angiography for the assessment of angina pectoris were assessed. The study population comprised of 84 chronic stable angina (CSA) patients and 128 ACS patients. All study participants were commenced on statin treatment in equipotent doses and were followed for up to 1 year (at  − 1,  − 3,  − 6 and  − 12 months). Results Repeated measurements analysis of variance after appropriate adjustment showed a significant decrease ( p  
doi_str_mv 10.1007/s10557-009-6202-7
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A Novel Pleiotropic Effect?</title><source>Springer Nature</source><creator>Tziakas, Dimitrios N. ; Chalikias, Georgios K. ; Stakos, Dimitrios ; Tentes, Ioannis K. ; Thomaidi, Adina ; Chatzikyriakou, Sofia ; Mitrousi, Konstantina ; Kortsaris, Alexandros X. ; Carlos Kaski, Juan ; Boudoulas, Harisios ; Konstantinides, Stavros</creator><creatorcontrib>Tziakas, Dimitrios N. ; Chalikias, Georgios K. ; Stakos, Dimitrios ; Tentes, Ioannis K. ; Thomaidi, Adina ; Chatzikyriakou, Sofia ; Mitrousi, Konstantina ; Kortsaris, Alexandros X. ; Carlos Kaski, Juan ; Boudoulas, Harisios ; Konstantinides, Stavros</creatorcontrib><description>Purpose High cholesterol content of erythrocyte membranes (CEM) levels is present in patients with acute coronary syndromes (ACS). Intraplaque hemorrhage and erythrocyte lysis contribute to the deposition of cholesterol on the atherosclerotic plaque and to plaque rupture. With the present study we assessed the effect of statin therapy on CEM levels, a novel marker of coronary artery disease (CAD) instability during a 1-year follow-up in CAD patients. Methods 212 consecutive eligible (158 men, 62 ± 10 years) patients undergoing diagnostic coronary angiography for the assessment of angina pectoris were assessed. The study population comprised of 84 chronic stable angina (CSA) patients and 128 ACS patients. All study participants were commenced on statin treatment in equipotent doses and were followed for up to 1 year (at  − 1,  − 3,  − 6 and  − 12 months). Results Repeated measurements analysis of variance after appropriate adjustment showed a significant decrease ( p  &lt; 0.001) in CEM content during follow up. CEM levels were decreasing at each time point (1 month : 100 ug/mg 95%CI 94.3–105.6, 3 months : 78.1 ug/mg 95%CI 73.2–83, 6 months : 67.2 ug/mg 95%CI 63.1–71.2, 1 year : 45.3 ug/mg 95%CI 42.2–48.3) compared to admission (112.1 ug/mg 95% CI 105.9–118.3) and to all previous measurements. Conclusions The present study showed, that use of statins is associated with a reduction in CEM, an emerging marker of clinical instability and plaque vulnerability in CAD patients. The pleiotropic effects of statins at the cell membrane level represent a promising novel direction for research in CAD.</description><identifier>ISSN: 0920-3206</identifier><identifier>EISSN: 1573-7241</identifier><identifier>DOI: 10.1007/s10557-009-6202-7</identifier><identifier>PMID: 19838647</identifier><identifier>CODEN: CDTHET</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acute Coronary Syndrome - drug therapy ; Biological and medical sciences ; Cardiology ; Cardiology. Vascular system ; Cardiovascular system ; Cholesterol - blood ; Coronary Angiography ; Coronary heart disease ; Disorders of blood lipids. Hyperlipoproteinemia ; Erythrocyte Membrane - drug effects ; Heart ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic diseases ; Middle Aged ; Pharmacology. Drug treatments</subject><ispartof>Cardiovascular drugs and therapy, 2009-12, Vol.23 (6), p.471-480</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-2521fdfcd1bb439fa6099a8c1114cb918ed4bdfe1a10895f5a28afb1cdc56c0b3</citedby><cites>FETCH-LOGICAL-c400t-2521fdfcd1bb439fa6099a8c1114cb918ed4bdfe1a10895f5a28afb1cdc56c0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22292822$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19838647$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tziakas, Dimitrios N.</creatorcontrib><creatorcontrib>Chalikias, Georgios K.</creatorcontrib><creatorcontrib>Stakos, Dimitrios</creatorcontrib><creatorcontrib>Tentes, Ioannis K.</creatorcontrib><creatorcontrib>Thomaidi, Adina</creatorcontrib><creatorcontrib>Chatzikyriakou, Sofia</creatorcontrib><creatorcontrib>Mitrousi, Konstantina</creatorcontrib><creatorcontrib>Kortsaris, Alexandros X.</creatorcontrib><creatorcontrib>Carlos Kaski, Juan</creatorcontrib><creatorcontrib>Boudoulas, Harisios</creatorcontrib><creatorcontrib>Konstantinides, Stavros</creatorcontrib><title>Statin Use is Associated with a Significant Reduction in Cholesterol Content of Erythrocyte Membranes. A Novel Pleiotropic Effect?</title><title>Cardiovascular drugs and therapy</title><addtitle>Cardiovasc Drugs Ther</addtitle><addtitle>Cardiovasc Drugs Ther</addtitle><description>Purpose High cholesterol content of erythrocyte membranes (CEM) levels is present in patients with acute coronary syndromes (ACS). Intraplaque hemorrhage and erythrocyte lysis contribute to the deposition of cholesterol on the atherosclerotic plaque and to plaque rupture. With the present study we assessed the effect of statin therapy on CEM levels, a novel marker of coronary artery disease (CAD) instability during a 1-year follow-up in CAD patients. Methods 212 consecutive eligible (158 men, 62 ± 10 years) patients undergoing diagnostic coronary angiography for the assessment of angina pectoris were assessed. The study population comprised of 84 chronic stable angina (CSA) patients and 128 ACS patients. All study participants were commenced on statin treatment in equipotent doses and were followed for up to 1 year (at  − 1,  − 3,  − 6 and  − 12 months). Results Repeated measurements analysis of variance after appropriate adjustment showed a significant decrease ( p  &lt; 0.001) in CEM content during follow up. CEM levels were decreasing at each time point (1 month : 100 ug/mg 95%CI 94.3–105.6, 3 months : 78.1 ug/mg 95%CI 73.2–83, 6 months : 67.2 ug/mg 95%CI 63.1–71.2, 1 year : 45.3 ug/mg 95%CI 42.2–48.3) compared to admission (112.1 ug/mg 95% CI 105.9–118.3) and to all previous measurements. Conclusions The present study showed, that use of statins is associated with a reduction in CEM, an emerging marker of clinical instability and plaque vulnerability in CAD patients. The pleiotropic effects of statins at the cell membrane level represent a promising novel direction for research in CAD.</description><subject>Acute Coronary Syndrome - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Cholesterol - blood</subject><subject>Coronary Angiography</subject><subject>Coronary heart disease</subject><subject>Disorders of blood lipids. Hyperlipoproteinemia</subject><subject>Erythrocyte Membrane - drug effects</subject><subject>Heart</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Pharmacology. 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A Novel Pleiotropic Effect?</atitle><jtitle>Cardiovascular drugs and therapy</jtitle><stitle>Cardiovasc Drugs Ther</stitle><addtitle>Cardiovasc Drugs Ther</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>23</volume><issue>6</issue><spage>471</spage><epage>480</epage><pages>471-480</pages><issn>0920-3206</issn><eissn>1573-7241</eissn><coden>CDTHET</coden><abstract>Purpose High cholesterol content of erythrocyte membranes (CEM) levels is present in patients with acute coronary syndromes (ACS). Intraplaque hemorrhage and erythrocyte lysis contribute to the deposition of cholesterol on the atherosclerotic plaque and to plaque rupture. With the present study we assessed the effect of statin therapy on CEM levels, a novel marker of coronary artery disease (CAD) instability during a 1-year follow-up in CAD patients. Methods 212 consecutive eligible (158 men, 62 ± 10 years) patients undergoing diagnostic coronary angiography for the assessment of angina pectoris were assessed. The study population comprised of 84 chronic stable angina (CSA) patients and 128 ACS patients. All study participants were commenced on statin treatment in equipotent doses and were followed for up to 1 year (at  − 1,  − 3,  − 6 and  − 12 months). Results Repeated measurements analysis of variance after appropriate adjustment showed a significant decrease ( p  &lt; 0.001) in CEM content during follow up. CEM levels were decreasing at each time point (1 month : 100 ug/mg 95%CI 94.3–105.6, 3 months : 78.1 ug/mg 95%CI 73.2–83, 6 months : 67.2 ug/mg 95%CI 63.1–71.2, 1 year : 45.3 ug/mg 95%CI 42.2–48.3) compared to admission (112.1 ug/mg 95% CI 105.9–118.3) and to all previous measurements. Conclusions The present study showed, that use of statins is associated with a reduction in CEM, an emerging marker of clinical instability and plaque vulnerability in CAD patients. The pleiotropic effects of statins at the cell membrane level represent a promising novel direction for research in CAD.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19838647</pmid><doi>10.1007/s10557-009-6202-7</doi><tpages>10</tpages></addata></record>
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source Springer Nature
subjects Acute Coronary Syndrome - drug therapy
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular system
Cholesterol - blood
Coronary Angiography
Coronary heart disease
Disorders of blood lipids. Hyperlipoproteinemia
Erythrocyte Membrane - drug effects
Heart
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic diseases
Middle Aged
Pharmacology. Drug treatments
title Statin Use is Associated with a Significant Reduction in Cholesterol Content of Erythrocyte Membranes. A Novel Pleiotropic Effect?
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