Effects of statins on oxidative stress

M Ilker Yilmaz1, Y Baykal, M Kilic

  • 1Department of Internal Medicine, Gülhane School of Medicine, Etlik-Ankara, Turkey.

Insights

Fluvastatin therapy improved antioxidant status in hypercholesterolemia (HC) patients by reducing oxidative stress and enhancing antioxidant enzymes. This suggests fluvastatin

Area of Science:

  • Biochemistry
  • Clinical Medicine
  • Nutritional Science

Background:

  • Hypercholesterolemia (HC) is linked to oxidative stress from free oxygen radicals and low antioxidant enzyme activity.
  • Trace elements are crucial cofactors for antioxidant enzymes, but their combined role with the antioxidant system in HC patients is understudied.

Purpose of the Study:

  • To investigate the antioxidative system and trace element status in hypercholesterolemic patients undergoing fluvastatin therapy.
  • To evaluate the impact of fluvastatin on oxidative stress markers and antioxidant enzyme activities.

Main Methods:

  • Measured erythrocyte malondialdehyde (MDA), copper zinc-superoxide dismutase (CuZn-SOD), and glutathione peroxidase (GSH-Px) activities.
  • Assessed erythrocyte copper (Cu), iron (Fe), and zinc (Zn) levels in 35 HC patients and 27 controls.
  • Analyzed plasma lipid levels and oxidative state before and after 3 months of fluvastatin treatment.

Main Results:

  • HC patients exhibited higher MDA levels and lower CuZn-SOD and GSH-Px activities compared to controls.
  • Erythrocyte iron levels were elevated, while copper and zinc levels were reduced in HC patients.
  • Fluvastatin treatment led to significant improvements in the oxidative state.

Conclusions:

  • Fluvastatin demonstrates notable antioxidant properties in hypercholesterolemic patients.
  • These antioxidant effects may play a significant role in managing dyslipidemia through improved endothelial function.

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