Title | Statins and bone formation: proposed methods of implementing statins innovation in osteoporosis | ||
Authors | M. Mironidou-Tzouveleki and Ch. Dokos
A’ Laboratory of Pharmacology, Medical School, Aristotle University, Thessaloniki, Greece |
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Citation | Mironidou-Tzouveleki, M., Dokos, C.: Statins and bone formation: proposed methods of implementing statins innovation in osteoporosis, Epitheorese Klin. Farmakol. Farmakokinet. 22(2): 254-255 (2008) | ||
Publication Date | 23-25 May 2008 | ||
Full Text Language | English | ||
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Keywords | Statins, bone formation, osteoporosis, skin patches, nanocarriers, route of administration. | ||
Other Terms | Review article | ||
Summary | Statins are well validated class of agents that is used to modulate lipid levels in blood. Experimental studies indicate that they exhibit beneficial properties beyond lowering cholesterol levels. It seems that they have anti-inflammatory, angiogenetic, antithrombotic, antioxidant, antiproliferative, anti-tumor and bone formation properties. Lipophilic statins (simvastatin, lovastatin and cerivastatin) are highly absorbed by skeletal bone tissue, increase mRNA levels of BMP-2 and bone formation biochemical markers. According to these data prenylation of specific G-heterotrimeric proteins is the basic proposed mechanism for statins bone formation properties. However clinical results are still controversial. Factors such as low biodistribution of statins (extended first passage metabolism by hepatic enzymes), obesity status, lipophilicity/hydrophilicity of statins, the genetic background of patient (mutations of drug metabolism’s hepatic enzymes), concomitant therapies (e.g. vitamin D), the amount of lipid lowering, the degree and duration of pro-hyperlipidemia seem to have hardly any clinical study. Statins act in a primary stage of cholesterol synthesis like bisphosphonates so it is proposed creating agents of chemical structure similar to prototype statins. Skin patches and nanocarriers may be helpful for better biodistribution of statins in bone. | ||
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Online ISSN 1011-6575
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Articles published in this Journal are Indexed or Abstracted in: • Chemical Abstracts • Elsevier’s Bibliographic Databases: Scopus, EMBASE, EMBiology, Elsevier BIOBASE SCImago Journal and Country Rank Factor
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