PMID- 18973470 OWN - NLM STAT- MEDLINE DCOM- 20090220 LR - 20181201 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 116 IP - 1 DP - 2009 Jan TI - Statins for heart failure: still caught in no man's land? PG - 37-9 LID - 10.1042/CS20080530 [doi] AB - Statins are well-known for their ability to lower serum cholesterol levels, but have properties beyond mere cholesterol reduction, including an improvement in endothelial dysfunction, release of endothelial progenitor cells, anti-inflammatory properties and a number of antitumour activities. In the present issue of Clinical Science, Stumpf et al. show that a 4-week treatment course with the lipophilic statin atorvastatin ameliorates left ventricular remodelling and function, reduces serum levels of TNF-alpha (tumour necrosis factor-alpha), IL (interleukin)-6 and MCP-1 (monocyte chemoattractant protein-1), and increases both serum and myocardial levels of IL-10. The authors hypothesize that this shift from a pro- to an anti-inflammatory response might be beneficial in the clinical setting, because patients with low levels of IL-10 may fare worse than those with higher levels. In light of the recent setbacks with rosuvastatin in large-scale clinical trials, this notion requires further investigation, but highlights the need to identify those patients with heart failure who are likely to benefit from statin therapy. FAU - von Haehling, Stephan AU - von Haehling S AD - Applied Cachexia Research, Department of Cardiology, Charite Medical School, Campus Virchow-Klinikum, D-13353 Berlin, Germany. stephan.von.haehling@web.de LA - eng PT - Comment PT - Journal Article PT - Review PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Heptanoic Acids) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Inflammation Mediators) RN - 0 (Pyrroles) RN - A0JWA85V8F (Atorvastatin) SB - IM CON - Clin Sci (Lond). 2009 Jan;116(1):45-52. PMID: 18459941 MH - Anti-Inflammatory Agents, Non-Steroidal/therapeutic use MH - Atorvastatin MH - Evidence-Based Medicine MH - Heart Failure/*drug therapy MH - Heptanoic Acids/therapeutic use MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*therapeutic use MH - Inflammation Mediators/blood MH - Pyrroles/therapeutic use RF - 30 EDAT- 2008/11/01 09:00 MHDA- 2009/02/21 09:00 CRDT- 2008/11/01 09:00 PHST- 2008/11/01 09:00 [pubmed] PHST- 2009/02/21 09:00 [medline] PHST- 2008/11/01 09:00 [entrez] AID - CS20080530 [pii] AID - 10.1042/CS20080530 [doi] PST - ppublish SO - Clin Sci (Lond). 2009 Jan;116(1):37-9. doi: 10.1042/CS20080530.