Statin-Induced Muscle Necrosis in the Rat: Distribution, Development, and Fibre Selectivity
| Autor: | Kevin J. Randall, Alan M. Marsden, F. Russell Westwood, Robert C. Scott, Alison L. Bigley |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
0301 basic medicine
Simvastatin medicine.medical_specialty Statin Necrosis Pyridines 040301 veterinary sciences medicine.drug_class Myotoxin Administration Oral Oxidative phosphorylation Myosins Mitochondrion Biology Toxicology Pathology and Forensic Medicine 0403 veterinary science 03 medical and health sciences Internal medicine medicine Animals Rats Wistar Muscle Skeletal Molecular Biology Dose-Response Relationship Drug Muscular system Cerivastatin 04 agricultural and veterinary sciences Cell Biology Rats Muscle Fibers Slow-Twitch 030104 developmental biology Endocrinology Biochemistry Muscle Fibers Fast-Twitch Female Hydroxymethylglutaryl-CoA Reductase Inhibitors medicine.symptom Biomarkers medicine.drug |
| Zdroj: | Toxicologic Pathology. 33:246-257 |
| ISSN: | 1533-1601 0192-6233 |
| DOI: | 10.1080/01926230590908213 |
| Popis: | Simvastatin and cerivastatin have been used to investigate the development of statin-induced muscle necrosis in the rat. This was similar for both statins and was treatment-duration dependent, only occurring after 10 days had elapsed even if the dose was increased, and still occurring after this time when dosing was terminated earlier as a result of morbidity. It was then widespread and affected all areas of the muscular system. However, even when myotoxicity was severe, particular individual muscles and some types of fibres within affected muscles were spared consistently. Fibre typing of spared muscles and of acutely necrotic fibres within affected muscles indicated a differential fibre sensitivity to statin-induced muscle necrosis. The fibres showed a necrotic response to statin administration that matched their oxidative/glycolytic metabolic nature: Least sensitive →I ↔ IIA ↔ IID ↔ IIB ← most sensitive. Type I and IIB fibres represent metabolic extremes of a continuum of metabolic properties through the fibre types with type I fibres most oxidative in metabolism and type IIB fibres most glycolytic. In addition, in some (nonnecrotic) glycolytic fibres from muscles showing early multifocal single fibre necrosis the only subcellular alterations present in isolation of any other changes were mitochondrial. These changes were characterised by an increased incidence of vacuolation and the formation of myelinoid vesicular bodies that accumulated in the subsarcolemmal areas. These findings suggest an important early involvement of mitochondria in selective glycolytic muscle fibre necrosis following inhibition of the enzyme HMG-CoA reductase. |
| Databáze: | OpenAIRE |
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