Effect of fluvastatin on proteinuria in patients with immunoglobulin A nephropathy

Michele Buemi, Alessandro Allegra, Francesco Corica, Carmela Aloisi, MariaStella Giacobbe, Giuseppina Pettinato, Andrea Corsonello, Massimino Senatore, Nicola Frisina

Research output: Contribution to journalArticlepeer-review

Abstract

3-Hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors are established drugs for the treatment of hypercholesterolemia, but several studies have shown that benefits obtained with these drugs are not causally related only to regression of cholesterol lowering: Moreover, in experimental models of progressive renal disease, statins have reduced the extent of glomerulosclerosis. This study evaluated the antiproteinuric effect of a daily dose of 40 mg fluvastatin for 6 months in moderately proteinuric patients with immunoglobulin A nephropathy, stable renal function, and no indicators of poor long-term prognosis. The effects of therapy were evaluated on the basis of 24-hour proteinuria (total proteinuria and albuminuria), albuminemia, creatinine clearance, cholesterols and triglyceride values. Renal function remained stable in all patients. A significant decrease in proteinuria was observed after 6 months of therapy and persisted for all the observations. An increase in serum albumin was observed after 6 months of therapy. This study suggests that there is an antiproteinuric effect of HMG- CoA reductase inhibitors in moderately proteinuric patients with immunoglobulin A nephropathy.

Original languageEnglish
Pages (from-to)427-431
Number of pages5
JournalClinical Pharmacology and Therapeutics
Volume67
Issue number4
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Pharmacology

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