TumorDiagnostik & Therapie 2018; 39(09): 595-599
DOI: 10.1055/a-0754-4796
Thieme Onkologie aktuell
© Georg Thieme Verlag KG Stuttgart · New York

Statine als Therapie bei Lebererkrankungen?

Statins as a therapy of chronic liver disease?
Tilman Sauerbruch
Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Germany
,
Robert Schierwagen
Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Germany
,
Jonel Trebicka
Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
26 October 2018 (online)

Zusammenfassung

Statine vermindern die Cholesterinkonzentration im Plasma und senken damit das Risiko der koronaren Herzerkrankung. Darüber hinaus haben sie weitere sogenannte pleiotrope Effekte. Es gibt Hinweise, dass sich dies bei verschiedenen Lebererkrankungen positiv auswirken könnte.

Abstract

Statins have proven effects in the primary and secondary prevention of coronary disease. Besides lowering LDL-cholesterol beneficial pleiotropic consequences of statin therapy are increasingly discussed. Retrospective analyses of large cohort studies have shown favorable effects on the sequels of chronic viral induced liver disease and of non alcoholic fatty liver disease. These findings are substantiated by experimental work showing that statins reduce inflammation, fibrosis and proliferation in the diseased liver. Prospective controlled trials are necessary to elucidate whether, when and where statins have a role in the therapeutic armamentarium for liver disease.

 
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