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Erschienen in: Archives of Dermatological Research 6/2013

01.08.2013 | Review Article

Rational for statin use in psoriatic patients

verfasst von: Jerzy Mosiewicz, Aldona Pietrzak, Grażyna Chodorowska, Marcin Trojnar, Jacek Szepietowski, Kristian Reich, Manfredi Rizzo

Erschienen in: Archives of Dermatological Research | Ausgabe 6/2013

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Abstract

Psoriasis represents a common skin disease which is clinically manifested by chronic cutaneous lesions. It has been observed that psoriasis is associated with an increased risk of cardiovascular diseases, which is contributed to the inappropriate lipid metabolism. Statins are commonly used in clinical practice to lower cholesterol concentration and, accordingly, decrease the individual risk of developing a cardiovascular episode. There have been reports that statin administration could also result in better management of psoriasis. The observed beneficial effects are contributed to the effects on lipid metabolism, including that in skin, as well as anti-inflammatory and immunomodulatory properties of statins. Simvastatin and atorvastatin were found to improve the clinical outcome in patients with psoriatic skin lesions. Clinically, the effectiveness of this novel treatment was confirmed by the significant reduction in PASI score. To date several cases have been reported in which atorvastatin or pravastatin worsened psoriasis. Based on these results, it seems that statins represent a promising class of medications which could be extensively used in psoriasis.
Literatur
1.
Zurück zum Zitat Aronson PJ, Friedman DB (1992) Pharmacologic doses of lovastatin do not predictably affect the course of psoriasis. Arch Dermatol 128(1):124PubMedCrossRef Aronson PJ, Friedman DB (1992) Pharmacologic doses of lovastatin do not predictably affect the course of psoriasis. Arch Dermatol 128(1):124PubMedCrossRef
2.
3.
Zurück zum Zitat Bellosta S, Paoletti R, Corsini A (2004) Safety of statins: focus on clinical pharmacokinetics and drug interactions. Circulation 109(23 Suppl 1):III50–III57PubMed Bellosta S, Paoletti R, Corsini A (2004) Safety of statins: focus on clinical pharmacokinetics and drug interactions. Circulation 109(23 Suppl 1):III50–III57PubMed
4.
Zurück zum Zitat Boehncke WH, Boehncke S, Schön MP (2010) Managing comorbid disease in patients with psoriasis. BMJ 340:b5666PubMedCrossRef Boehncke WH, Boehncke S, Schön MP (2010) Managing comorbid disease in patients with psoriasis. BMJ 340:b5666PubMedCrossRef
5.
Zurück zum Zitat Brauchli YB, Jick SS, Meier CR (2011) Statin use and risk of first-time psoriasis diagnosis. J Am Acad Dermatol 65:77–83PubMedCrossRef Brauchli YB, Jick SS, Meier CR (2011) Statin use and risk of first-time psoriasis diagnosis. J Am Acad Dermatol 65:77–83PubMedCrossRef
6.
Zurück zum Zitat Charo IF, Ransohoff RM (2006) The many roles of chemokines and chemokine receptors in inflammation. N Engl J Med 354:610–621PubMedCrossRef Charo IF, Ransohoff RM (2006) The many roles of chemokines and chemokine receptors in inflammation. N Engl J Med 354:610–621PubMedCrossRef
7.
Zurück zum Zitat Cozzani E, Scaparro M, Parodi A (2009) A case of psoriasis worsened by atorvastatin. J Dermatol Case Rep 3:60–61PubMed Cozzani E, Scaparro M, Parodi A (2009) A case of psoriasis worsened by atorvastatin. J Dermatol Case Rep 3:60–61PubMed
8.
Zurück zum Zitat Duncan RE, El-Sohemy A, Archer MC (2005) Statins and cancer development. Can Epidemiol Biom Prev 14(8):1897–1898CrossRef Duncan RE, El-Sohemy A, Archer MC (2005) Statins and cancer development. Can Epidemiol Biom Prev 14(8):1897–1898CrossRef
9.
Zurück zum Zitat Egesi A, Sun G, Khachemoune A, Rashid RM (2010) Statins in skin: research and rediscovery, from psoriasis to sclerosis. J Drugs Dermatol 9(8):921–927PubMed Egesi A, Sun G, Khachemoune A, Rashid RM (2010) Statins in skin: research and rediscovery, from psoriasis to sclerosis. J Drugs Dermatol 9(8):921–927PubMed
10.
Zurück zum Zitat Faghihi T, Radfar M, Mehrabian Z, Ehsani AH, Rezaei Hemami M (2011) Atorvastatin for the treatment of plaque-type psoriasis. Pharmacotherapy 31:1045–1050PubMedCrossRef Faghihi T, Radfar M, Mehrabian Z, Ehsani AH, Rezaei Hemami M (2011) Atorvastatin for the treatment of plaque-type psoriasis. Pharmacotherapy 31:1045–1050PubMedCrossRef
11.
Zurück zum Zitat Gelfand JM, Neimann AL, Shin DB, Wang X, Margolis DJ, Troxel AB (2006) Risk of myocardial infarction in patients with psoriasis. JAMA 296:1735–1741PubMedCrossRef Gelfand JM, Neimann AL, Shin DB, Wang X, Margolis DJ, Troxel AB (2006) Risk of myocardial infarction in patients with psoriasis. JAMA 296:1735–1741PubMedCrossRef
12.
Zurück zum Zitat Ghazizadeh R, Tosa M, Ghazizadeh M (2011) Clinical improvement in psoriasis with treatment of associated hyperlipidemia. Am J Med Sci 341(5):394–398PubMedCrossRef Ghazizadeh R, Tosa M, Ghazizadeh M (2011) Clinical improvement in psoriasis with treatment of associated hyperlipidemia. Am J Med Sci 341(5):394–398PubMedCrossRef
13.
Zurück zum Zitat Gottlieb AB, Dann F (2009) Comorbidities in patients with psoriasis. Am J Med 122:1150–1159PubMedCrossRef Gottlieb AB, Dann F (2009) Comorbidities in patients with psoriasis. Am J Med 122:1150–1159PubMedCrossRef
14.
Zurück zum Zitat Goldminz AM, Au SC, Kim N, Gottlieb AB, Lizzul PF (2012) NF-κB: an essential transcription factor in psoriasis. J Dermatol Sci 69(2):89–94PubMedCrossRef Goldminz AM, Au SC, Kim N, Gottlieb AB, Lizzul PF (2012) NF-κB: an essential transcription factor in psoriasis. J Dermatol Sci 69(2):89–94PubMedCrossRef
15.
Zurück zum Zitat Greenwood J, Steinman L, Zamvil SS (2006) Statin therapy and autoimmune disease: from protein prenylation to immunomodulation. Nat Rev Immunol 6:358–370PubMedCrossRef Greenwood J, Steinman L, Zamvil SS (2006) Statin therapy and autoimmune disease: from protein prenylation to immunomodulation. Nat Rev Immunol 6:358–370PubMedCrossRef
16.
Zurück zum Zitat Gressier L, Pruvost-Balland C, Dubertret L, Viguier M (2009) Atorvastatin-induced drug reaction with eosinophilia and systemic symptoms (DRESS). Ann Dermatol Venereol 136:50–53PubMedCrossRef Gressier L, Pruvost-Balland C, Dubertret L, Viguier M (2009) Atorvastatin-induced drug reaction with eosinophilia and systemic symptoms (DRESS). Ann Dermatol Venereol 136:50–53PubMedCrossRef
17.
Zurück zum Zitat Grip O, Janciauskiene S, Bredberg A (2008) Use of atorvastatin as an anti-inflammatory treatment in Crohn’s disease. Br J Pharmacol 155:1085–1092PubMedCrossRef Grip O, Janciauskiene S, Bredberg A (2008) Use of atorvastatin as an anti-inflammatory treatment in Crohn’s disease. Br J Pharmacol 155:1085–1092PubMedCrossRef
18.
Zurück zum Zitat Hilgendorff A, Muth H, Parviz B, Staubitz A, Haberbosch W, Tillmanns W et al (2003) Statins differ in their ability to block NF-kappaB activation in human blood monocytes. Int J Clin Pharmacol Ther 41(2003):397–401PubMed Hilgendorff A, Muth H, Parviz B, Staubitz A, Haberbosch W, Tillmanns W et al (2003) Statins differ in their ability to block NF-kappaB activation in human blood monocytes. Int J Clin Pharmacol Ther 41(2003):397–401PubMed
19.
Zurück zum Zitat Jacobi TC, Highet A (2003) A clinical dilemma while treating hypercholesterolaemia in psoriasis. Br J Dermatol 149:1305–1306PubMedCrossRef Jacobi TC, Highet A (2003) A clinical dilemma while treating hypercholesterolaemia in psoriasis. Br J Dermatol 149:1305–1306PubMedCrossRef
20.
21.
Zurück zum Zitat Kim N, Thrash B, Menter A (2010) Comorbidities in psoriasis patients. Semin Cutan Med Surg 29:10–15PubMedCrossRef Kim N, Thrash B, Menter A (2010) Comorbidities in psoriasis patients. Semin Cutan Med Surg 29:10–15PubMedCrossRef
22.
Zurück zum Zitat Kim TG, Byamba D, Wu WH, Lee MG (2011) Statins inhibit chemotactic interaction between CCL20 and CCR6 in vitro: possible relevance to psoriasis treatment. Exp Dermatol 20(10):855–857PubMedCrossRef Kim TG, Byamba D, Wu WH, Lee MG (2011) Statins inhibit chemotactic interaction between CCL20 and CCR6 in vitro: possible relevance to psoriasis treatment. Exp Dermatol 20(10):855–857PubMedCrossRef
23.
Zurück zum Zitat Kwatra SG (2011) Statins differ significantly in their anti-inflammatory activity. J Am Acad Dermatol 65(6):1229 Author reply 1229–30PubMedCrossRef Kwatra SG (2011) Statins differ significantly in their anti-inflammatory activity. J Am Acad Dermatol 65(6):1229 Author reply 1229–30PubMedCrossRef
24.
Zurück zum Zitat Lin SL, Chien CW, Han CL, Chen ES, Kao SH, Chen YJ, Liao F (2010) Temporal proteomics profiling of lipid rafts in CCR6-activated T cells reveals the integration of actin cytoskeleton dynamics. J Proteome Res 9:283–297PubMedCrossRef Lin SL, Chien CW, Han CL, Chen ES, Kao SH, Chen YJ, Liao F (2010) Temporal proteomics profiling of lipid rafts in CCR6-activated T cells reveals the integration of actin cytoskeleton dynamics. J Proteome Res 9:283–297PubMedCrossRef
25.
Zurück zum Zitat Montanaro S, Lhiaubet-Vallet V, Iesce MI, Previtera L, Miranda MA (2009) A mechanistic study on the phototoxicity of atorvastatin: singlet oxygen generation by a phenanthrene-like photoproduct. Chem Res Toxicol 22:173–178PubMedCrossRef Montanaro S, Lhiaubet-Vallet V, Iesce MI, Previtera L, Miranda MA (2009) A mechanistic study on the phototoxicity of atorvastatin: singlet oxygen generation by a phenanthrene-like photoproduct. Chem Res Toxicol 22:173–178PubMedCrossRef
26.
27.
Zurück zum Zitat Namazi MR (2004) Statins: novel additions to the dermatologic arsenal? Exp Dermatol 13(6):337–339PubMedCrossRef Namazi MR (2004) Statins: novel additions to the dermatologic arsenal? Exp Dermatol 13(6):337–339PubMedCrossRef
28.
Zurück zum Zitat Naseri M, Hadipour A, Sepaskhah M, Namazi MR (2010) The remarkable beneficial effect of adding oral simvastatin to topical betamethasone for treatment of psoriasis: a double-blind, randomized, placebo-controlled study. Niger J Med 19:58–61PubMed Naseri M, Hadipour A, Sepaskhah M, Namazi MR (2010) The remarkable beneficial effect of adding oral simvastatin to topical betamethasone for treatment of psoriasis: a double-blind, randomized, placebo-controlled study. Niger J Med 19:58–61PubMed
29.
Zurück zum Zitat Noël B (2007) Lupus erythematosus and other autoimmune diseases related to statin therapy: a systematic review. J Eur Acad Dermatol Venereol 21(1):17–24PubMedCrossRef Noël B (2007) Lupus erythematosus and other autoimmune diseases related to statin therapy: a systematic review. J Eur Acad Dermatol Venereol 21(1):17–24PubMedCrossRef
30.
Zurück zum Zitat Prospective Studies Collaboration, Lewington S, Whitlock G, Clarke R, Sherliker P, Emberson J, Halsey J et al (2007) Blood cholesterol and vascular mortality by age, sex, and blood pressure: a meta-analysis of individual data from 61 prospective studies with 55,000 vascular deaths. Lancet 370(9602):1829–1839PubMedCrossRef Prospective Studies Collaboration, Lewington S, Whitlock G, Clarke R, Sherliker P, Emberson J, Halsey J et al (2007) Blood cholesterol and vascular mortality by age, sex, and blood pressure: a meta-analysis of individual data from 61 prospective studies with 55,000 vascular deaths. Lancet 370(9602):1829–1839PubMedCrossRef
31.
Zurück zum Zitat Qi XF, Kim DH, Yoon YS, Li JH, Jin D, Teng YC et al (2009) Fluvastatin inhibits expression of the chemokine MDC/CCL22 induced by interferon-γ in HaCaT cells, a human keratinocyte cell line. Br J Pharmacol 157:1441–1450PubMedCrossRef Qi XF, Kim DH, Yoon YS, Li JH, Jin D, Teng YC et al (2009) Fluvastatin inhibits expression of the chemokine MDC/CCL22 induced by interferon-γ in HaCaT cells, a human keratinocyte cell line. Br J Pharmacol 157:1441–1450PubMedCrossRef
32.
Zurück zum Zitat Raychaudhuri SP, Farber EM (2001) The prevalence of psoriasis in the world. J Eur Acad Dermatol Venereol 15:16–17PubMedCrossRef Raychaudhuri SP, Farber EM (2001) The prevalence of psoriasis in the world. J Eur Acad Dermatol Venereol 15:16–17PubMedCrossRef
33.
Zurück zum Zitat Reich K, Langley RG, Lebwohl M, Szapary P, Guzzo C, Yeilding N et al (2011) Cardiovascular safety of ustekinumab in patients with moderate to severe psoriasis: results of integrated analyses of data from phase II and III clinical studies. Br J Dermatol 164(4):862–872PubMedCrossRef Reich K, Langley RG, Lebwohl M, Szapary P, Guzzo C, Yeilding N et al (2011) Cardiovascular safety of ustekinumab in patients with moderate to severe psoriasis: results of integrated analyses of data from phase II and III clinical studies. Br J Dermatol 164(4):862–872PubMedCrossRef
34.
Zurück zum Zitat Reiter M, Wirth S, Pourazim A, Baghestanian M, Minar E, Bucek RA (2005) Statin therapy has no significant effect on skin tissue cholesterol: results from a prospective randomized trial. Clin Chem 51:252–254PubMedCrossRef Reiter M, Wirth S, Pourazim A, Baghestanian M, Minar E, Bucek RA (2005) Statin therapy has no significant effect on skin tissue cholesterol: results from a prospective randomized trial. Clin Chem 51:252–254PubMedCrossRef
35.
Zurück zum Zitat Rizzo M, Spinas GA, Rini GB, Berneis K (2010) Is diabetes the cost to pay for a greater cardiovascular prevention? Int J Cardiol 144(2):309–310PubMedCrossRef Rizzo M, Spinas GA, Rini GB, Berneis K (2010) Is diabetes the cost to pay for a greater cardiovascular prevention? Int J Cardiol 144(2):309–310PubMedCrossRef
36.
Zurück zum Zitat Schachter M (2005) Chemical, pharmacokinetic and pharmacodynamic properties of statins: an update. Fundam Clin Pharmacol 19:117–125PubMedCrossRef Schachter M (2005) Chemical, pharmacokinetic and pharmacodynamic properties of statins: an update. Fundam Clin Pharmacol 19:117–125PubMedCrossRef
37.
Zurück zum Zitat Schmutz JL, Barbaud A, Tréchot P (2008) Effets secondaires cutanés des bstatines. Ann Dermatol Venereol 135:253–254PubMedCrossRef Schmutz JL, Barbaud A, Tréchot P (2008) Effets secondaires cutanés des bstatines. Ann Dermatol Venereol 135:253–254PubMedCrossRef
38.
Zurück zum Zitat Shirinsky IV, Shirinsky VS (2007) Efficacy of simvastatin in plaque psoriasis: a pilot study. J Am Acad Dermatol 57(3):529–531PubMedCrossRef Shirinsky IV, Shirinsky VS (2007) Efficacy of simvastatin in plaque psoriasis: a pilot study. J Am Acad Dermatol 57(3):529–531PubMedCrossRef
39.
Zurück zum Zitat Späh F (2008) Inflammation in atherosclerosis and psoriasis: common pathogenic mechanisms and the potential for an integrated treatment approach. Br J Dermatol 159(Suppl 2):10–17PubMedCrossRef Späh F (2008) Inflammation in atherosclerosis and psoriasis: common pathogenic mechanisms and the potential for an integrated treatment approach. Br J Dermatol 159(Suppl 2):10–17PubMedCrossRef
40.
Zurück zum Zitat Tablazon IL, Al-Dabagh A, Davis SA, Feldman SR (2013) Risk of cardiovascular disorders in psoriasis patients: current and future. Am J Clin Dermatol 14(1):1–7PubMedCrossRef Tablazon IL, Al-Dabagh A, Davis SA, Feldman SR (2013) Risk of cardiovascular disorders in psoriasis patients: current and future. Am J Clin Dermatol 14(1):1–7PubMedCrossRef
41.
42.
Zurück zum Zitat Tapon N, Hall A (1997) Rho, Rac and Cdc42 GTPases regulate the organization of the actin cytoskeleton. Curr Opin Cell Biol 9(1):86–92PubMedCrossRef Tapon N, Hall A (1997) Rho, Rac and Cdc42 GTPases regulate the organization of the actin cytoskeleton. Curr Opin Cell Biol 9(1):86–92PubMedCrossRef
43.
Zurück zum Zitat Taylor F, Ward K, Moore TH, Burke M, Davey Smith G, Casas JP et al (2011) Statins for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 1:CD004816PubMed Taylor F, Ward K, Moore TH, Burke M, Davey Smith G, Casas JP et al (2011) Statins for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 1:CD004816PubMed
44.
Zurück zum Zitat Vasiuk IuA, Perlamutrov IuN, Shkol’nik MN, Shkol’nik EL (2010) Possibilities of atorvastatin in complex management of extensive psoriasis in patients with arterial hypertension. Kardiologiia 50(3):37–46PubMed Vasiuk IuA, Perlamutrov IuN, Shkol’nik MN, Shkol’nik EL (2010) Possibilities of atorvastatin in complex management of extensive psoriasis in patients with arterial hypertension. Kardiologiia 50(3):37–46PubMed
45.
Zurück zum Zitat Waehre T, Damås JK, Gullestad L, Holm AM, Pedersen TR, Arnesen KE et al (2003) Hydroxymethylglutaryl coenzyme a reductase inhibitors down-regulate chemokines and chemokine receptors in patients with coronary artery disease. J Am Coll Cardiol 41:1460–1467PubMedCrossRef Waehre T, Damås JK, Gullestad L, Holm AM, Pedersen TR, Arnesen KE et al (2003) Hydroxymethylglutaryl coenzyme a reductase inhibitors down-regulate chemokines and chemokine receptors in patients with coronary artery disease. J Am Coll Cardiol 41:1460–1467PubMedCrossRef
46.
Zurück zum Zitat Weitz-Schmidt G, Welzenbach K, Brinkmann V, Kamata T, Kallen J, Bruns C et al (2001) Statins selectively inhibit leukocyte function antigen-1 by binding to a novel regulatory integrin site. Nat Med 7:687–692PubMedCrossRef Weitz-Schmidt G, Welzenbach K, Brinkmann V, Kamata T, Kallen J, Bruns C et al (2001) Statins selectively inhibit leukocyte function antigen-1 by binding to a novel regulatory integrin site. Nat Med 7:687–692PubMedCrossRef
47.
Zurück zum Zitat Yamamoto M, Ikeda M, Kodama H, Sano S (2008) Transition of psoriasiform drug eruption to psoriasis de novo evidenced by histopathology. J Dermatol 35:732–736PubMedCrossRef Yamamoto M, Ikeda M, Kodama H, Sano S (2008) Transition of psoriasiform drug eruption to psoriasis de novo evidenced by histopathology. J Dermatol 35:732–736PubMedCrossRef
Metadaten
Titel
Rational for statin use in psoriatic patients
verfasst von
Jerzy Mosiewicz
Aldona Pietrzak
Grażyna Chodorowska
Marcin Trojnar
Jacek Szepietowski
Kristian Reich
Manfredi Rizzo
Publikationsdatum
01.08.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Dermatological Research / Ausgabe 6/2013
Print ISSN: 0340-3696
Elektronische ISSN: 1432-069X
DOI
https://doi.org/10.1007/s00403-013-1374-1

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