Fluvastin therapy affects TAFI concentration in kidney transplant recipients

Transpl Int. 2003 Jan;16(1):53-7. doi: 10.1007/s00147-002-0495-9. Epub 2002 Dec 10.

Abstract

Thrombin activatable fibrinolysis inhibitor (TAFI) is a glycoprotein, linking coagulation and fibrinolysis. Recently, attention has been drawn to the beneficial effects of statins on haemostasis in kidney patients prone to dyslipidaemia and with a high risk of cardiovascular death. The purpose of this study was to assess whether fluvastatin affects TAFI concentration in renal transplant recipients. We evaluated thrombin-antithrombin (TAT) complexes, prothrombin fragments 1+2, thrombomodulin, plasmin-antiplasmin (PAP) complexes, TAFI, P-selectin, and lipoprotein (a), 1, 2, and 3 months before and after fluvastatin treatment and in normolipaemic kidney transplant recipients and healthy volunteers. Cholesterol and LDL fell significantly as soon as 1 month after treatment had begun and remained lowered during the therapy. TAFI and prothrombin fragments 1+2 decreased significantly after 3 months of fluvastatin administration, whereas P-selectin decreased significantly after 2 months and remained significantly lower after 3 months of this therapy. We can conclude that fluvastatin is an effective hypolipaemic agent that favourably affects haemostasis.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antithrombin III
  • Carboxypeptidase B2 / blood*
  • Fatty Acids, Monounsaturated / administration & dosage*
  • Female
  • Fibrinolysin / metabolism
  • Fluvastatin
  • Hemostasis / drug effects
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage*
  • Hyperlipidemias / blood
  • Hyperlipidemias / drug therapy*
  • Indoles / administration & dosage*
  • Kidney Transplantation*
  • Lipids / blood
  • Male
  • Middle Aged
  • P-Selectin / blood
  • Peptide Fragments / blood
  • Peptide Hydrolases / blood
  • Protein Precursors / blood
  • Prothrombin

Substances

  • Fatty Acids, Monounsaturated
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Indoles
  • Lipids
  • P-Selectin
  • Peptide Fragments
  • Protein Precursors
  • antithrombin III-protease complex
  • Fluvastatin
  • prothrombin fragment 1
  • prothrombin fragment 2
  • Antithrombin III
  • Prothrombin
  • Peptide Hydrolases
  • Carboxypeptidase B2
  • Fibrinolysin