Statins, inflammation, and sepsis: hypothesis

Chest. 2003 Aug;124(2):740-3. doi: 10.1378/chest.124.2.740.

Abstract

Sepsis and septic shock are complex inflammatory syndromes. Multiple cellular activation processes are involved, and many humoral cascades are triggered. Statins have anti-inflammatory properties. Our preliminary observations indicate that patients receiving therapy with statins may have a lower incidence of severe sepsis. We hypothesize that statins have a strong protective effect against sepsis by virtue of diverse anti-inflammatory effects that are independent of their lipid-lowering ability.

MeSH terms

  • Acute-Phase Reaction* / etiology
  • Acute-Phase Reaction* / metabolism
  • Acute-Phase Reaction* / physiopathology
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Nitric Oxide / physiology
  • Sepsis* / drug therapy
  • Sepsis* / mortality
  • Sepsis* / physiopathology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Nitric Oxide