Therapeutic potential of statins in multiple sclerosis: immune modulation, neuroprotection and neurorepair

Author:

Markovic-Plese Silva1,Singh Avtar K2,Singh Inderjit3

Affiliation:

1. University of North Carolina at Chapel Hill, Department of Neurology, Department of Microbiology & Immunology, Chapel Hill, NC, USA.

2. Department of Pathology & Department of Pediatrics & Laboratory Medicine, Ralph H Johnson VA Medical Center & Medical University of South Carolina, Charleston, SC, USA

3. Medical University of South Carolina, Darby Children’s Research Institute, Charleston, SC 29425, USA.

Abstract

Statins as inhibitors of 3-hydroxy-3-methyl glutaryl coenzyme A reductase are widely used as cholesterol-lowering drugs. Recent studies provide evidence that the anti-inflammatory activity of statins, which is independent of their cholesterol-lowering effects, may have potential therapeutic implications for neuroinflammatory diseases such as multiple sclerosis (MS), Alzheimer’s disease and brain tumors, as well as traumatic spinal cord and brain injuries. Studies with animal models of MS suggest that, in addition to immunomodulatory activities similar to the ones observed with approved MS medications, statin treatment also protects the BBB, protects against neurodegeneration and may also promote neurorepair. Although the initial human studies on statin treatment for MS are encouraging, prospective randomized clinical studies will be required to evaluate their efficacy in the larger patient population.

Publisher

Future Medicine Ltd

Subject

Clinical Neurology,Neurology

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