Improving effect of ethyl eicosapentanoate on statin-induced rhabdomyolysis in Eisai hyperbilirubinemic rats

Biochem Biophys Res Commun. 2006 Feb 3;340(1):215-20. doi: 10.1016/j.bbrc.2005.11.179. Epub 2005 Dec 9.

Abstract

The effect of ethyl eicosapentanoate (EPA-E) on statin-induced rhabdomyolysis was investigated by co-administration of EPA-E and pravastatin (PV), as a typical statin, to Eisai hyperbilirubinemic rats (EHBR). It was confirmed that the plasma PV concentration was not affected by simultaneous administration of EPA-E, and there was no cumulative increase of PV during prolonged co-administration of EPA-E and PV. Muscular degeneration was prominent (incidence 5/5; average grade 3.5 (range 2-4)) in EHBR treated with PV alone at 200 mg/kg/day for 14 days, but co-administration of EPA-E at doses of 100, 300, and 1000 mg/kg/day decreased the average grades to 1.4 (range 0.3-3.0), 0.5 (0.2-1.0), and 0.6 (0.0-1.7), respectively. Creatine phosphokinase (CPK) and myoglobin levels in plasma were well correlated with the grade of skeletal muscle degeneration. Thus, EPA-E appears to reduce the severity of statin-induced rhabdomyolysis.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Disease Models, Animal*
  • Dose-Response Relationship, Drug
  • Drug Combinations
  • Eicosapentaenoic Acid / administration & dosage
  • Eicosapentaenoic Acid / analogs & derivatives*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage
  • Hyperbilirubinemia / complications*
  • Hyperbilirubinemia / physiopathology*
  • Muscle, Skeletal / drug effects*
  • Muscle, Skeletal / physiopathology*
  • Platelet Aggregation Inhibitors / administration & dosage
  • Pravastatin
  • Rats
  • Rhabdomyolysis / chemically induced
  • Rhabdomyolysis / diagnosis
  • Rhabdomyolysis / physiopathology*
  • Rhabdomyolysis / prevention & control*
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Drug Combinations
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Platelet Aggregation Inhibitors
  • eicosapentaenoic acid ethyl ester
  • Eicosapentaenoic Acid
  • Pravastatin