USE OF STATINS FOR THE TREATMENT OF NON-INFECTIOUS UVEITIS

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Abstract

Inhibitors of inhibitors of 3-hydroxy-3-methylglutaryl coenzyme A reductase or statins, are used for the treatment of cardiovascular diseases and dyslipidemia. Immunomodulating and anti-infl ammatory properties of statins provide a rationale for their use in various autoimmune diseases including noninfectious uveitis. In this article we present literature data on the use of statins in the experimental models of non-infectious uveitis and on the epidemiological studies showing prophylactic eff ect of statins against uveitis. In our pilot, open-label, randomized study we demonstrated effi cacy and safety of treatment of uveitis with simvastatin in addition to conventional treatment. In conclusion, current data provide a rationale for a randomized, placebo controlled study of statins in uveitis.

About the authors

A. A. Biryukova

S. N. Fyodorov Eye Microsurgery Complex, Novosibirsk Branch

Author for correspondence.
Email: fake@neicon.ru

PhD student, ophthalmologist,

Novosibirsk

Russian Federation

I. V. Shirinsky

Federal State Budgetary Scientifi c Institution Research Institute of Fundamental and Clinical Immunology

Email: ivan.shirinsky@gmail.com

leading research scientist, MD, PhD, Laboratory of Clinical Immunopharmacology,

Novosibirsk

Russian Federation

References

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  2. Harry R., Gegg M., Hankey D., Zambarakji H., Pryce G., Baker D., Calder V., Adamson P., Greenwood J. Suppression of autoimmune retinal disease by lovastatin does not require Th2 cytokine induction. J Immunol 2005, 174(4):2327–2335.
  3. Kohno H., Sakai T., Saito S., Okano K., Kitahara K. Treatment of experimental autoimmune uveoretinitis with atorvastatin and lovastatin. Exp Eye Res 2007, 84(3):569–576.
  4. Borkar D. S., Tham V. M., Shen E., Parker J. V., Uchida A., Vinoya A. C., Acharya N. R. Association between statin use and uveitis: results from the Pacifi c Ocular Infl ammation study. Am J Ophthalmol 2015, 159(4):707–713.
  5. Shirinsky I. V., Biryukova A. A., Shirinsky V. S. Simvastatin as an Adjunct to Conventional Therapy of Noninfectious Uveitis: A Randomized, Open-Label Pilot Study. Curr Eye Res 2017, 42(12):1713–1718.

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Copyright (c) 2019 Biryukova A.A., Shirinsky I.V.

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