An overview of statin-associated proteinuria.

Abstract:

:Statins are an established therapeutic modality for the treatment of hypercholesterolemia. Although they generally exhibit a good efficacy and tolerability profile, their reputation has been tarnished as a result of reports of myotoxicity and, more recently, observations of proteinuria. The increased incidence of proteinuria with rosuvastatin was of particular concern, and raised questions about the renoprotective actions of statins. Different hypotheses have been put forward to explain the mechanisms of statin-induced proteinuria. The multifarious effects of statins, independent of their effects on cholesterol-lowering, form the basis of such hypotheses. However, rosuvastatin-associated proteinuria is transient and reversible and even at the highest dose did not affect renal function after prolonged treatment. It would appear that clinically relevant proteinuria is not associated solely with rosuvastatin and might represent a minor class effect of statins with a fairly low incidence. However, definitive proof of this assertion will need to be provided by rigorous testing.

journal_name

Drug Discov Today

journal_title

Drug discovery today

authors

Tiwari A

doi

10.1016/j.drudis.2006.03.017

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

458-64

issue

9-10

eissn

1359-6446

issn

1878-5832

pii

S1359-6446(06)00061-4

journal_volume

11

pub_type

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