Statin action favors normalization of the plasma lipidome in the atherogenic mixed dyslipidemia of MetS: potential relevance to statin-associated dysglycemia
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The impact of statin treatment on the abnormal plasma lipidome of mixed dyslipidemic patients with metabolic syndrome (MetS), a group at increased risk of developing diabetes, was evaluated. Insulin-resistant hypertriglyceridemic hypertensive obese males (n = 12) displaying MetS were treated with pitavastatin (4 mg/day) for 180 days; healthy normolipidemic age-matched nonobese males (n = 12) acted as controls. Statin treatment substantially normalized triglyceride (-41%), remnant cholesterol (-55%), and LDL-cholesterol (-39%), with minor effect on HDL-cholesterol (+4%). Lipidomic analysis, normalized to nonHDL-cholesterol in order to probe statin-induced differences in molecular composition independently of reduction in plasma cholesterol, revealed increment in 132 of 138 lipid species that were subnormal at baseline and significantly shifted toward the control group on statin treatment. Increment in alkyl- and alkenylphospholipids (plasmalogens) was prominent, and consistent with significant statin-induced increase in plasma polyunsaturated fatty acid levels. Comparison of the statin-mediated lipidomic changes in MetS with the abnormal plasma lipidomic profile characteristic of prediabetes and T2D in the Australian Diabetes, Obesity, and Lifestyle Study and San Antonio Family Heart Study cohorts by hypergeometric analysis revealed a significant shift toward the lipid profile of controls, indicative of a marked trend toward a normolipidemic phenotype. Pitavastatin attenuated the abnormal plasma lipidome of MetS patients typical of prediabetes and T2D.
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Comparing the effects on coronary heart disease of modifying bone mineral density implied by genetic variants in the SOST gene to the effects implied by other BMD associated genetic variants across the genome found very similar disease associations, suggesting that BMD increasing therapies in general, including sclerostin inhibitors, are likely to increase risk of coronary heart disease rather než
“Very similar disease associations were found suggesting that BMD increasing therapies in general, including sclerostin inhibitors, are likely to increase risk of CHD (rather than representing a case of target-mediated pleiotropy, i.e. an effect specific to sclerostin inhibition; see Box 5 for definition).”
From Integrating genomics with biomarkers and therapeutic targets to invigorate cardiovascular drug development (2021) · cites this paper as [73]
Genetic evidence suggested that increasing bone mineral density via sclerostin inhibition was likely to increase risk of coronary heart disease.
“However, genetic evidence suggested that increasing BMD via sclerostin inhibition was likely to increase risk of CHD 73 .”
From Integrating genomics with biomarkers and therapeutic targets to invigorate cardiovascular drug development (2021) · cites this paper as [73]
BMD-associated variants in SOST (used as a genetic instrument for sclerostin inhibition) show higher risk of CVD.
“BMD-associated variants in SOST (used as a genetic instrument for sclerostin inhibition) show higher risk of CVD 73”
From Integrating genomics with biomarkers and therapeutic targets to invigorate cardiovascular drug development (2021) · cites this paper as [73]
Early evidence from RCTs of drugs that modify sclerostin suggest potential excess risk of CVD.
“Early evidence from RCTs of drugs that modify sclerostin suggest potential excess risk of CVD 73”
From Integrating genomics with biomarkers and therapeutic targets to invigorate cardiovascular drug development (2021) · cites this paper as [73]
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- Authors
- Meikle, P. J., Wong, G., Tan, R., Giral, P., Robillard, P., Orsoni, A., Hounslow, N., Magliano, D. J., Shaw, J. E., Curran, J. E., Blangero, J., Kingwell, B. A., & Chapman, M. J.
- Affiliations
- Baker Heart and Diabetes Institute (AU)
- Inserm (FR)
- Kowa (United Kingdom) (GB)
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Meikle, Peter J.
- ORCID
- Venue
- Journal of Lipid Research
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 56
- Issue
- 12
- Pages
- 2381-2392
- ISSN
- 0022-2275 (ISSN-L)
- PMC
- PMC4655992
- OpenAlex
- W2178177197
- Cited by
- 65
- References
- 44
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 9 · 2020: 9 · 2019: 4 · 2018: 7 · 2017: 7 · 2016: 3
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Lipid Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- ScholarWorks @ UTRGV (The University of Texas Rio Grande Valley) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kowa Company
- Institut National de la Santé et de la Recherche Médicale
- State Government of Victoria
- National Institutes of Health
- Medical Research Council
- National Health and Medical Research Council
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK088972)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- statins, pitavastatin, metabolic syndrome, mixed dyslipidemia, plasma lipidome, lipidomics, triglycerides, remnant cholesterol, LDL cholesterol, HDL cholesterol, plasmalogens, polyunsaturated fatty acids, insulin resistance, hypertriglyceridemia, hypertension, obesity, prediabetes, type 2 diabetes
- MeSH terms
- Adult, Aged, Cholesterol, Female, Humans, Lipoproteins, Cholesterol, HDL, Cholesterol, LDL, Male, Middle Aged, Triglycerides, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Metabolic Syndrome, Glucose Metabolism Disorders, Dyslipidemias, Atherosclerosis
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