Gut Microbes (Dec 2024)

A gut feeling of statin

  • Jianqing She,
  • Lizhe Sun,
  • Yue Yu,
  • Heze Fan,
  • Xia Li,
  • Xinyu Zhang,
  • Xiaozhen Zhuo,
  • Manyun Guo,
  • Junhui Liu,
  • Peining Liu,
  • Gulinigaer Tuerhongjiang,
  • Bin Du,
  • Hongbing Li,
  • Jun Yu,
  • Zuyi Yuan,
  • Yue Wu

DOI
https://doi.org/10.1080/19490976.2024.2415487
Journal volume & issue
Vol. 16, no. 1

Abstract

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Statins, known as HMG-CoA reductase inhibitors, are widely utilized to reduce blood cholesterol levels and possess pleiotropic effects, including the influence on inflammation and macrophage proliferation. Despite their significant impact in diminishing the incidence of cardiovascular events and mortality, individual responses to statin therapy vary considerably. Understanding this variability is essential for optimizing treatment outcomes and minimizing adverse effects. The gut microbiota, a complex ecosystem of microorganisms within the gastrointestinal tract, plays a critical role in human health and disease. Emerging evidence has linked the gut microbiota to drug metabolism and response, with the potential to modulate the efficacy of statin therapy and its side effects. This review provides a comprehensive overview of the interaction between the gut microbiota and statins. It discusses how the gut microbiota can influence the therapeutic effects and side effects of statins and examines the mechanisms by which the gut microbiota affect statin response and cardiovascular diseases.

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