title: A small-molecule screening strategy to identify suppressors of statin myopathy.
abstract: The reduction of plasma low-density lipoprotein levels by HMG-CoA reductase inhibitors, or statins, has had a revolutionary impact in medicine, but muscle-related side effects remain a dose-limiting toxicity in many patients. We describe a chemical epistasis approach that can be useful in refining the mechanism of statin muscle toxicity, as well as in screening for agents that suppress muscle toxicity while preserving the ability of statins to increase the expression of the low-density lipoprotein receptor. Using this approach, we identified one compound that attenuates the muscle side effects in both cellular and animal models of statin toxicity, likely by influencing Rab prenylation. Our proof-of-concept screen lays the foundation for truly high-throughput screens that could help lead to the development of clinically useful adjuvants that can one day be co-administered with statins.
authors: Bridget K
authors: BK
authors: Wagner
authors: Tamara J
authors: TJ
authors: Gilbert
authors: Jun-ichi
authors: J
authors: Hanai
authors: Shintaro
authors: S
authors: Imamura
authors: Nicole E
authors: NE
authors: Bodycombe
authors: Robin S
authors: RS
authors: Bon
authors: Herbert
authors: H
authors: Waldmann
authors: Paul A
authors: PA
authors: Clemons
authors: Vikas P
authors: VP
authors: Sukhatme
authors: Vamsi K
authors: VK
authors: Mootha
mesh_terms: D000818:Animals; D002227:Carbazoles / Q000494:pharmacology; D002460:Cell Line; D057166:High-Throughput Screening Assays / Q000379:methods*; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects*; D015394:Molecular Structure; D008970:Molecular Weight; D018485:Muscle Fibers, Skeletal / Q000187:drug effects / Q000473:pathology; D009135:Muscular Diseases / Q000139:chemically induced* / Q000473:pathology / Q000517:prevention & control*; D015027:Zebrafish
chemical_list: D002227:Carbazoles; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; C081021:Go 6976