Inflammatory Bowel Disease and Statins

Aim. To present up-to-date information on the possibility of using statins in patients with inflammatory bowel disease (IBD).Highlights. Statins exhibit immunomodulatory effects, which are of particular importance with regard to IBD treatment. Experimental studies, which demonstrate positive effects...

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Main Authors: V. V. Genkel, I. I. Shaposhnik
Format: Article
Language:Russian
Published: Gastro LLC 2020-04-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
Subjects:
Online Access:https://www.gastro-j.ru/jour/article/view/303
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author V. V. Genkel
I. I. Shaposhnik
author_facet V. V. Genkel
I. I. Shaposhnik
author_sort V. V. Genkel
collection DOAJ
description Aim. To present up-to-date information on the possibility of using statins in patients with inflammatory bowel disease (IBD).Highlights. Statins exhibit immunomodulatory effects, which are of particular importance with regard to IBD treatment. Experimental studies, which demonstrate positive effects of statins on various characteristics of the IBD course, were reviewed. The use of statins led to a decrease in the histological activity in models with DSS- and TNBSinduced colitis. Pravastatin was shown to decrease both the epithelial permeability and crypts. Simvastatin changed the composition of the intestinal microflora, which had a potential anti-inflammatory effect. According to the results of clinical studies, atorvastatin administration to IBD patients resulted in a statistically significant decrease in the serum markers of inflammation and the activity index of ulcerative colitis. Retrospective clinical studies demonstrated different effects of statins on the risk of IBD.Conclusions. A number of potentially protective effects of statins on inflammatory bowel diseases have been identified. However, well-planned randomised clinical trials are needed to evaluate the effects of statins in IBD.
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spelling doaj.art-f4313eb012f1450e8daf6956f54623132024-03-25T16:53:08ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-04-0130171310.22416/1382-4376-2020-30-1-7-13347Inflammatory Bowel Disease and StatinsV. V. Genkel0I. I. Shaposhnik1South-Ural State Medical UniversitySouth-Ural State Medical UniversityAim. To present up-to-date information on the possibility of using statins in patients with inflammatory bowel disease (IBD).Highlights. Statins exhibit immunomodulatory effects, which are of particular importance with regard to IBD treatment. Experimental studies, which demonstrate positive effects of statins on various characteristics of the IBD course, were reviewed. The use of statins led to a decrease in the histological activity in models with DSS- and TNBSinduced colitis. Pravastatin was shown to decrease both the epithelial permeability and crypts. Simvastatin changed the composition of the intestinal microflora, which had a potential anti-inflammatory effect. According to the results of clinical studies, atorvastatin administration to IBD patients resulted in a statistically significant decrease in the serum markers of inflammation and the activity index of ulcerative colitis. Retrospective clinical studies demonstrated different effects of statins on the risk of IBD.Conclusions. A number of potentially protective effects of statins on inflammatory bowel diseases have been identified. However, well-planned randomised clinical trials are needed to evaluate the effects of statins in IBD.https://www.gastro-j.ru/jour/article/view/303statinsinflammatory bowel diseaseinflammationcolorectal cancerulcerative colitiscrohn's disease
spellingShingle V. V. Genkel
I. I. Shaposhnik
Inflammatory Bowel Disease and Statins
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
statins
inflammatory bowel disease
inflammation
colorectal cancer
ulcerative colitis
crohn's disease
title Inflammatory Bowel Disease and Statins
title_full Inflammatory Bowel Disease and Statins
title_fullStr Inflammatory Bowel Disease and Statins
title_full_unstemmed Inflammatory Bowel Disease and Statins
title_short Inflammatory Bowel Disease and Statins
title_sort inflammatory bowel disease and statins
topic statins
inflammatory bowel disease
inflammation
colorectal cancer
ulcerative colitis
crohn's disease
url https://www.gastro-j.ru/jour/article/view/303
work_keys_str_mv AT vvgenkel inflammatoryboweldiseaseandstatins
AT iishaposhnik inflammatoryboweldiseaseandstatins