The clinical use of HMG CoA-reductase inhibitors and the associated depletion of coenzyme Q10. A review of animal and human publications
| Autor: | Peter H. Langsjoen, Alena M. Langsjoen |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Statin
medicine.drug_class Ubiquinone Clinical Biochemistry Coenzymes Pharmacology Biochemistry chemistry.chemical_compound Pharmacotherapy medicine Animals Humans chemistry.chemical_classification Coenzyme Q10 Heart Failure Clinical Trials as Topic biology Cholesterol business.industry General Medicine Cholesterol LDL medicine.disease United States chemistry Heart failure HMG-CoA reductase Dietary Supplements biology.protein Molecular Medicine lipids (amino acids peptides and proteins) Coenzyme Q10 deficiency Hydroxymethylglutaryl-CoA Reductase Inhibitors Essential nutrient business |
| Zdroj: | BioFactors (Oxford, England). 18(1-4) |
| ISSN: | 0951-6433 |
| Popis: | The depletion of the essential nutrient CoQ10 by the increasingly popular cholesterol lowering drugs, HMG CoA reductase inhibitors (statins), has grown from a level of concern to one of alarm. With ever higher statin potencies and dosages, and with a steadily shrinking target LDL cholesterol, the prevalence and severity of CoQ10 deficiency is increasing noticeably. An estimated 36 million Americans are now candidates for statin drug therapy. Statin-induced CoQ10 depletion is well documented in animal and human studies with detrimental cardiac consequences in both animal models and human trials. This drug-induced nutrient deficiency is dose related and more notable in settings of pre-existing CoQ10 deficiency such as in the elderly and in heart failure. Statin-induced CoQ10 deficiency is completely preventable with supplemental CoQ10 with no adverse impact on the cholesterol lowering or anti-inflammatory properties of the statin drugs. We are currently in the midst of a congestive heart failure epidemic in the United States, the cause or causes of which are unclear. As physicians, it is our duty to be absolutely certain that we are not inadvertently doing harm to our patients by creating a wide-spread deficiency of a nutrient critically important for normal heart function. |
| Databáze: | OpenAIRE |
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