title: Statins as potential therapeutic agents in multiple sclerosis.
abstract: 3-Hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitors (ie, statins) are oral cholesterol-lowering drugs. Statins are well tolerated and have an excellent safety record. These agents competitively inhibit HMG CoA reductase, which is the enzyme that catalyzes the conversion of HMG CoA to L-mevalonate. Although L-mevalonate is a key intermediate in cholesterol synthesis, several of its metabolites are involved in post-translational modification of specific proteins involved in cell proliferation and differentiation. Thus, independent of their cholesterol-reducing properties, statins have important pleiotropic biologic effects. Recent reports indicate that statins have anti-inflammatory and neuroprotective properties. Whether statins will be of clinical benefit for patients with multiple sclerosis and other neurodegenerative diseases of the central nervous system will only be known after they are evaluated in prospective randomized clinical trials.
authors.affiliation: Department of Neurology, University of California-San Francisco, 521 Parnassus Avenue, C-440, San Francisco, CA 94143-0114, USA.
authors.forename: Olaf
authors.initials: O
authors.lastname: Stüve
authors.forename: Thomas
authors.initials: T
authors.lastname: Prod'homme
authors.forename: Sawsan
authors.initials: S
authors.lastname: Youssef
authors.forename: Shannon
authors.initials: S
authors.lastname: Dunn
authors.forename: Oliver
authors.initials: O
authors.lastname: Neuhaus
authors.forename: Martin
authors.initials: M
authors.lastname: Weber
authors.forename: Hans-Peter
authors.initials: HP
authors.lastname: Hartung
authors.forename: Lawrence
authors.initials: L
authors.lastname: Steinman
authors.forename: Scott S
authors.initials: SS
authors.lastname: Zamvil
mesh_terms: D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use*; D009103:Multiple Sclerosis / Q000188:drug therapy* / Q000276:immunology / Q000503:physiopathology
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors