Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes

Henri K Parson, Meredith A Bundy, Charlotte B Dublin, Amanda L Boyd, James F Paulson, Aaron I VinikLeonard R. Strelitz Diabetes Center, Department of Internal Medicine Eastern Virginia Medical School, Norfolk, Virginia, USAAbstract: Rosuvastatin is known to reduce low-density lipoprotein (LDL)-chole...

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Autor principal: Parson H
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Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:9cbf4e31e9d74840b13e6430fc1dd6b92021-12-02T02:35:03ZPleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes1178-7007https://doaj.org/article/9cbf4e31e9d74840b13e6430fc1dd6b92010-01-01T00:00:00Zhttps://www.dovepress.com/pleiotropic-effects-of-rosuvastatin-on-microvascular-function-in-type--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Henri K Parson, Meredith A Bundy, Charlotte B Dublin, Amanda L Boyd, James F Paulson, Aaron I VinikLeonard R. Strelitz Diabetes Center, Department of Internal Medicine Eastern Virginia Medical School, Norfolk, Virginia, USAAbstract: Rosuvastatin is known to reduce low-density lipoprotein (LDL)-cholesterol and improve endothelial function. In addition to lipid-lowering, statins may exert pleiotropic (nonlipid lowering) effects on microvascular function. We compared the neurophysiological and vascular responses of dietary control and treatment with 10 mg of rosuvastatin in 16 subjects with neuropathy and established type 2 diabetes. Skin blood flow (SkBF) measurements were measured at baseline, after 18 weeks of diet, and after 18 weeks of diet and treatment with rosuvastatin in response to local warming and ischemia reperfusion. The study results show that total cholesterol (196.50 ± 8.02 to 134.88 ± 10.86 mg/dL) and LDL-cholesterol (114 ± 10.4 to 63.4 ± 8.48 mg/dL) decreased significantly after 18 weeks of rosuvastatin, but not after 18 weeks of diet. Neuropathy scores decreased from 8.34 ± 1.26 at baseline to 6.00 ± 0.90 after rosuvastatin treatment. Basal SkBF was significantly different from baseline, 6.81 ± 0.42 to 9.92 ± 0.78 after rosuvastatin treatment (P ≤ 0.001). These results indicate that rosuvastatin therapy positively changed basal SkBF and measures of neurovascular function. Although there was a profound lipid lowering, it is not clear that this mediated the increases in SkBF and decreases in neuropathy scores.Keywords: neurovascular function, rosuvastatin, diabetesParson HDove Medical Pressarticleneurovascular functionrosuvastatinand diabetesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 3, Pp 19-26 (2010)
institution DOAJ
collection DOAJ
language EN
topic neurovascular function
rosuvastatin
and diabetes
Specialties of internal medicine
RC581-951
spellingShingle neurovascular function
rosuvastatin
and diabetes
Specialties of internal medicine
RC581-951
Parson H
Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
description Henri K Parson, Meredith A Bundy, Charlotte B Dublin, Amanda L Boyd, James F Paulson, Aaron I VinikLeonard R. Strelitz Diabetes Center, Department of Internal Medicine Eastern Virginia Medical School, Norfolk, Virginia, USAAbstract: Rosuvastatin is known to reduce low-density lipoprotein (LDL)-cholesterol and improve endothelial function. In addition to lipid-lowering, statins may exert pleiotropic (nonlipid lowering) effects on microvascular function. We compared the neurophysiological and vascular responses of dietary control and treatment with 10 mg of rosuvastatin in 16 subjects with neuropathy and established type 2 diabetes. Skin blood flow (SkBF) measurements were measured at baseline, after 18 weeks of diet, and after 18 weeks of diet and treatment with rosuvastatin in response to local warming and ischemia reperfusion. The study results show that total cholesterol (196.50 ± 8.02 to 134.88 ± 10.86 mg/dL) and LDL-cholesterol (114 ± 10.4 to 63.4 ± 8.48 mg/dL) decreased significantly after 18 weeks of rosuvastatin, but not after 18 weeks of diet. Neuropathy scores decreased from 8.34 ± 1.26 at baseline to 6.00 ± 0.90 after rosuvastatin treatment. Basal SkBF was significantly different from baseline, 6.81 ± 0.42 to 9.92 ± 0.78 after rosuvastatin treatment (P ≤ 0.001). These results indicate that rosuvastatin therapy positively changed basal SkBF and measures of neurovascular function. Although there was a profound lipid lowering, it is not clear that this mediated the increases in SkBF and decreases in neuropathy scores.Keywords: neurovascular function, rosuvastatin, diabetes
format article
author Parson H
author_facet Parson H
author_sort Parson H
title Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
title_short Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
title_full Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
title_fullStr Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
title_full_unstemmed Pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
title_sort pleiotropic effects of rosuvastatin on microvascular function in type 2 diabetes
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/9cbf4e31e9d74840b13e6430fc1dd6b9
work_keys_str_mv AT parsonh pleiotropiceffectsofrosuvastatinonmicrovascularfunctionintype2diabetes
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