Hypocholesterolemia and Statins in Multiple Myeloma

I. Yavaşoğlu, A. Turgutkaya
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Abstract

Statins are lipid-lowering agents. They also have immunomodulatory, anti-inflammatory, anti-angiogenic, and anti-proliferative functions. In this context, they are demonstrated to have beneficial effects on mortality in several malignancies including esophageal, breast, lung, liver, pancreatic, endometrial, and colorectal cancers. Multiple myeloma is considered as an incurable plasma cell disorder with current therapy; however due to the current knowledge about the correlation between cholesterol-lowering agents and myeloma; it’s suggested to have lower mortality rates for patients using statins.  Patients with multiple myeloma usually have a low cholesterol level which is often underestimated by clinicians. Hereby we aimed to summarize the myeloma-hypocholesterolemia relationship and emphasize the importance of statins as an inexpensive and beneficial approach for these patients.
多发性骨髓瘤的低胆固醇血症和他汀类药物
他汀类药物是降脂剂。它们还具有免疫调节、抗炎、抗血管生成和抗增殖功能。在这种情况下,它们被证明对几种恶性肿瘤的死亡率有有益的影响,包括食道癌、乳腺癌、肺癌、肝癌、胰腺癌、子宫内膜癌和结直肠癌。多发性骨髓瘤被认为是目前治疗无法治愈的浆细胞疾病;然而,由于目前对降胆固醇药物与骨髓瘤之间相关性的认识;建议使用他汀类药物的患者死亡率较低。多发性骨髓瘤患者通常有较低的胆固醇水平,这常常被临床医生低估。因此,我们旨在总结骨髓瘤与低胆固醇血症的关系,并强调他汀类药物作为一种廉价且有益的治疗方法对这些患者的重要性。
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