View of statins as antimicrobials in cardiovascular risk modification

Cardiovasc Res. 2014 Jun 1;102(3):362-74. doi: 10.1093/cvr/cvu058. Epub 2014 Mar 12.

Abstract

Atherosclerosis is a complex arterial pathological development underlying heart attack and stroke and a leading cause of death in developed and now also in developing countries. The primary processes that lead to the inflammatory lipid-laden proliferative lesion, obstructing the blood flow, and referred to as atherosclerotic plaque are dyslipidaemia and inflammation. Here, we will review one of the most efficient classes of drugs indicated for management of cardiovascular disease (CVD), statins. We will assess their pleiotropic effects that emerged from CVD applications, focusing this review specifically on plausible antimicrobial activity. Only recently gaining strength, the recognition of possible antibacterial activity may extend the statin applicability for vascular as well as to other critical inflammatory conditions.

Keywords: Atherosclerosis; Inflammation; Microbial infection; Statins.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Anti-Infective Agents / pharmacology*
  • Atherosclerosis / etiology
  • Atherosclerosis / prevention & control
  • Bacterial Infections / complications
  • C-Reactive Protein / analysis
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Periodontitis / drug therapy
  • Sepsis / drug therapy

Substances

  • Anti-Infective Agents
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • C-Reactive Protein