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他汀类药物在肝病防治中的应用

刘路 韩涛 周冷潇

引用本文:
Citation:

他汀类药物在肝病防治中的应用

DOI: 10.3969/j.issn.1001-5256.2017.05.041
详细信息
  • 中图分类号: R575

Application of statins in prevention and treatment of liver diseases

  • 摘要:

    他汀类药物作为重要的降脂药物被广泛应用,研究已证实他汀类药物对于肝病患者来说是安全的。近年来有关他汀类药物在多种肝病包括丙型肝炎、脂肪性肝病、肝硬化和肝细胞癌防治领域的研究日益增多。研究发现除降脂功能外,他汀类药物还具有多种功能,包括抗炎、调节免疫、抗增殖、抗氧化以及改善血管内皮功能、抑制血小板聚集等,其在肝病防治中的作用值得进一步研究和探讨。

     

  • [1]SIRTORI CR.The pharmacology of statins[J].Pharmacologica Res, 2014, 88 (9) :3-11.
    [2]KEYSER CE, KOEHLER EM, SCHOUTEN JN, et al.Statin therapy is associated with a reduced risk of non-alcoholic fatty liver in overweight individuals[J].Dig Liver Dis, 2014, 46 (8) :720-725.
    [3]YE J, WANG C, SUMPTER R, et al.Disruption of hepatitis C virus RNA replication through inhibition of hosprotein geranylgeranylation[J].Proc Natl Acad Sci USA, 2003, 100 (26) :15865-15870.
    [4]COREY KE, KANE E, MUNROE C, et al.Hepatitis C virus infection and its clearance alter circulating lipids:implications for long-term follow-up[J].Hepatology, 2009, 50 (4) :103-107.
    [5]ZHU Q, LI N, HAN Q, et al.Statin therapy improves response to interferon alfa and ribavirin in chronic hepatitis C:a systematic review and meta-analysis[J].Antiviral Res, 2013, 98 (3) :373-379.
    [6]KONDO C, ATSUKAWA M, TSUBOTA A, et al.An open-labe randomized controlled study of pegylated interferon/ribavirin combination therapy for chronic hepatitis C with versus without fluvastatin[J].J Viral Hepat, 2012, 19 (9) :615-622.
    [7]HARRISON SA, ROSSARO L, HU KQ, et al.Serum cholestero and statin use predict virological response to pegintereron and ribavirin therapy[J].Hepatology, 2010, 52 (3) :864-874.
    [8]PRASHANT P, FADI R, OELURIND O.Sustained virologic response and other potential enotype-specific roles of statins among patients with hepatitis C-related chronic liver diseases[J].Clin Res Hepato Gastroenterol, 2015, 39 (5) :555-565.
    [9]MOHANTY A, TATE J, GARCIA-TSAO G.Statins are Associated with a decreased risk of decompensation and death in veterans with hepatitis C-related compensated cirrhosis[J].Gastroenterology, 2016, 150 (2) :430-440.
    [10]SIMON T, BONILLA H, YAN P, et al.Atorvastatin and fluvastatin are associated with dose-dependent reductions in cirrhosis and HCC, among patients with HCV[J].Hepatology, 2016, 64 (1) :47-57.
    [11]BADER T, KORBA B.Simvastatin potentiates the anti-hepatitis Bvirus activity of FDA-approved nucleoside analogue inhibitors in vitro[J].Antiviral Res, 2010, 86 (3) :241-245.
    [12]TSAN YT, LEE CH, WANG JD, et al.Statins and the risk of hepatocellular carcinoma in patients with hepatitis B virus infection[J].J Clin Oncol, 2012, 30 (6) :623-630.
    [13]CHEN CI, KUAN CF, FANG YA, et al.Cancer risk in HBV patients with statin and metformin use:a population-based cohor study[J].Medicine (Baltimore) , 2015, 94 (6) :e462.
    [14]HUANG YW, LEE CL, YANG SS, et al.Statins Reduce the risk o cirrhosis and its decompensation in chronic hepatitis B patients:Anationwide cohort study[J].Am J Gastroenterol, 2016, 111 (7) :976-985.
    [15]ALAEI-ANDABILI SH, ALAVIAN SM.Regulatory T cells are the most important determinant factor of hepatitis B infection prognosis:a systematic review and meta-analysis[J].Vaccine, 2012, 30 (38) :5595-5602.
    [16]OKETANI M, IDO A, NAKAYAMA N, et al.Etiology and prognosis of fulminant hepatitis and late-onset hepatic failure in Japan:summary of the annual nationwide survey between 2004 and 2009[J].Hepato Res, 2013, 43 (2) :97-105.
    [17]GODSTEN MR, MASCITELLI L, PEZZETTA F.The double-edged sword of statin immunomodulation[J].Int J Cardiol, 2009, 135 (1) :128-130.
    [18]WU DC.Hepatitis B virus reactivation associated with atorvastatin[J].Int J Cardiol, 2013, 17 (11) :e1069-e1070.
    [19]MARRONE G, MAESO-DIAZ R, GARCIA-CADENA G, et al.KLF2 exerts antifibrotic and vasoprotective effects in cirrhotic rat livers:behind the molecular mechanisms of statins[J].Gut, 2015, 64 (9) :1434-1443.
    [20]VILLA E, CAMMA C, MARIETTA M, et al.Enoxaparin prevents portal vein thrombosis and liver decompensation in patients with advanced cirrhosis[J].Gastroenterology, 2012, 143 (5) :1253-1260.
    [21]ANSTEE QM, WRIGHT M, GOLDIN R, et al.Parenchymal extinction:coagulation and hepatic fibrogenesis[J].Clin Liver Dis, 2009, 13 (1) :117-126.
    [22]LOTSCH F, KONIGSBRUGGE O, POSCH F, et al.Statins are associated with low risk of venous thromboembolism in patients with cancer:a prospective and observational cohort study[J].Thromb Res, 2014, 134 (5) :1008-1013.
    [23]SAHEBKAR A, SERBAN C, URSONIU S, et al.The impact of statin therapy on plasma levels of von Willebrand factor antigen.Systematic review and meta-analysis of randomised placebo-controlled trials[J].Thromb Haemost, 2016, 115 (3) :520-532.
    [24]RAY K.Liver:Sussing out statins in cirrhosis-KLF2 is the key[J].Nat Rev Gastroenterol Hepatol, 2015, 12 (2) :64.
    [25]MOTZKUS-FEAGANS C, PAKYZ AL, RATLIFF SM, et al.Statin use and infections in veterans with cirrhosis[J].Aliment Pharmacol Ther, 2013, 38 (6) :611-618.
    [26]JANDA S, YOUNG A, FITZGERALD JM, et al.The effect of statins on mortality from severe infections and sepsis:a systematic review and meta-analysis[J].J Crit Care, 2010, 25 (4) :656, e7-e22.
    [27]PATEL JM, SNAITH C, THICKETT DR, et al.Randomized doubleblind placebo-controlled trial of 40 mg/day of atorvastatin in reducing the severity of sepsis in ward patients (ASEPSIS Trial) [J].J Crit Care, 2012, 16 (6) :r231.
    [28]KUMAR S, GRACE ND, QAMAR AA.Statin use in patients with cirrhosis:a retrospective cohort study[J].Dig Dis Sci, 2014, 59 (8) :1958-1965.
    [29]CABRERA L, ABRALDES JG.Statins:the panacea of cirrhosis?[J].Curr Hepatol Rep, 2016, 15 (1) :1-7.
    [30]ZAFRA C, ABRALDES JG, TURNES J, et al.Simvastatin enhances hepatic nitric oxide production and decreases the hepatic vascular tone in patients with cirrhosis[J].Gastroenterology, 2004, 126 (3) :749-755.
    [31]ABRALDER JG, ALBILLOS A, BANARES R, et al.Simvastatin lowers portal pressure in patients with cirrhosis and portal hypertension:a randomized controlled trial[J].Gastroenterology, 2009, 136 (5) :1651-1658.
    [32]ABRALDES JG, VILLANUEVAL C, ARACIL C, et al.Addition of simvastatin to standard therapy for the prevention of variceal rebleeding does not reduce rebleeding but increases survival in patients with cirrhosis[J].Gastroenterology, 2016, 150 (5) :1160-1170.
    [33]AKOFERL B, LEPENNEC V, CHICHE L, et al.Hepatocellular cancer in the non-cirrhotic liver[J].J Visc Surg, 2011, 148 (1) :3-11.
    [34]SINGH S, SINGH PP, ROBERT LR, et al.Chemopreventive strategies in hepatocellular carcinoma[J].Nat Rev Gastroenterol Hepatol, 2014, 11 (1) :45-54.
    [35]SINGH S, SINGH PP, SINGH AG, et al.Statins are associated with a reduced risk of hepatocellular cancer:a systematic review and meta-analysis[J].Gastroenterology, 2013, 144 (2) :323-332.
    [36]HSIANG JC, WONG GL, TSE YK, et al.Statin and the risk of hepatocellular carcinoma and death in a hospital-based hepatitis B-infected population:a propensity score landmark analysis[J].JHepatol, 2015, 63 (5) :1190-1197.
    [37]JEON CY, GOODMAN MT, COOK-WIENS G, et al.Statin use and survival with early-stage hepatocellular carcinoma[J].Cancer Epidemiol Biomarkers Prev, 2016, 25 (4) :686-692.
    [38]KAWATA S, YAMASAKI E, NAGASE T, et al.Effect of pravastatin on survival in patients with advanced hepatocellular carcinoma.A randomized controlled trial[J].Br J Cancer, 2001, 84 (7) :886-891.
    [39]GRAF H, JUNGST C, STRAUB G, et al.Chemoembolization combined with pravastatin improves survival in patients with hepatocellular carcinoma[J].Digestion, 2008, 78 (1) :34-38.
    [40]SHAO JY, LEE FP, CHANG CL, et al.Statin-based palliative therapy for hepatocellular carcinoma[J].Medicine (Baltimore) , 2015, 94 (42) :e1801.
    [41]CASH WJ, O’NEILL S, O’DONNELL ME, et al.Randomized controlled trial assessing the effect of simvastatin in primary biliary cirrhosis[J].Liver Int, 2013, 33 (8) :1-9.
    [42]BAYS H, COHEN DE, CHALASANI N, et al.An assessment by the statin liver safety task force:2014 up-date[J].J Clin Lipidol, 2014, 8 (3) :s47-s57.
    [43]TIKKANT MJ, FAYYAD R, PAERGEMAN O, et al.Effect of intensive lipid lowering with atorvastatin on cardiovascular outcomes in coronary heart disease patients with mild-to-moderate baseline elevations in alanine aminotransferase levels[J].Int J Cardiol, 2013, 168 (4) :3846-3852.
    [44]LEWIS JH, MORTENSEN ME, ZWEIG S, et al.Efficacy and safety of high-dose pravastatin in hypercholesterolemic patients with well-compensated chronic liver disease:results of a prospective, randomized, double-blind, placebo-controlled, multicenter trial[J].Hepatology, 2007, 46 (5) :1453-1463.
    [45]FORSTER T, BUDOFF MJ, SAAB S, et al.Atorvastatin and ntioxidants for the treatment of nonalcoholic fatty liver disease:the St.Francis Heart Study random-ized clinical trial[J].Am J Gastroenterol, 2011, 106 (1) :71-77.
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  • 出版日期:  2017-05-20
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