Impact of Statin Therapy on Plasma Uric Acid Concentrations: A Systematic Review and Meta-Analysis

Drugs. 2016 Jun;76(9):947-56. doi: 10.1007/s40265-016-0591-2.

Abstract

Purpose: The aim of this study was to ascertain the effect size of statins in modulating plasma uric acid concentrations.

Data sources: A search was undertaken of the MEDLINE, SCOPUS, Web of Science and Google Scholar electronic databases.

Study selection: Studies meeting the following criteria were included: (i) randomized controlled trials with either a parallel or crossover design; (ii) investigated the impact of statin therapy on plasma uric acid concentrations; and (iii) presentation of sufficient information on uric acid values at baseline and at the end of follow-up in each group, or presenting the net change.

Data synthesis: The present meta-analysis suggested a significant reduction in plasma uric acid levels following statin therapy; however, this does not seem to be a class effect as subgroup analysis revealed a significant reduction with atorvastatin and simvastatin only, and not with pravastatin and rosuvastatin.

Conclusions: Atorvastatin and simvastatin, but not the other statins, can reduce serum uric acid levels.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Atorvastatin / therapeutic use
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Hyperuricemia / drug therapy*
  • Randomized Controlled Trials as Topic
  • Simvastatin / therapeutic use
  • Uric Acid / blood*

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Uric Acid
  • Atorvastatin
  • Simvastatin