WebANTI-HMGCR ANTIBODY AND EPIDEMIOLOGY. HMGCR is a glycoprotein catalyzing the conversion of HMG-CoA to mevalonic acid, an essential step in cholesterol biosynthesis .HMGCR is inhibited by statins (HMGCR inhibitors), which suppress serum cholesterol levels and markedly reduce overall cardiovascular events .The cytoplasmic catalytic domain of … WebMay 13, 2024 · It is unclear whether anti-HMGCR antibodies mediated the myositis or were simply associations. Nor is it certain that prior statin exposure predisposed to the irAE. One possibility is that statin-induced myopathy caused increased exposure of muscle antigens (HMGCR; Hit 1), and then ICI administration caused immune recognition of this newly ...
Statin-associated autoimmune myopathy - Wikipedia
WebHMGCR (3-hydroxy-3-methylglutaryl-coenzyme A reductase) is a key enzyme in the production of cholesterol. Patients who have anti-HMGCR antibodies and use statin medications to control high cholesterol may unknowingly develop this type of statin … WebPatients who have anti-HMGCR antibodies and use statin medications to control high cholesterol may develop statin-induced necrotizing myopathy. Those who know they have this antibody should never take statins. Nevertheless, some patients develop necrotizing … city on the hill boulder co
Cureus Statin-Induced Myositis with Concomitant Myocarditis
WebFeb 11, 2024 · Statins are commonly used lipid lowering agents which play a pivotal role in reducing cardiovascular morbidity and mortality. Often well tolerated, these HMG-CoA reductase (HMGCR) inhibitors can sometimes cause severe muscle weakness and elevated creatinine kinase (CK) often labeled as statin intolerance or statin induced myopathy. WebThe differential included statin-induced necrotizing autoimmune myopathy (SINAM), polymyositis, dermatomyositis, antisynthetase syndrome, inclusion body myositis, drug-induced myositis, and paraneoplastic syndrome. Investigations On admission, her creatine phosphokinase (CPK) level was 9,259 IU/l. WebDec 31, 2024 · Although myositis is listed as a potential side effect of some statins, it is considered rare. That said, we have received a surprising number of reports of statin-induced myositis. Most have not resolved as successfully as well as the gentleman who … do to it archive