Statins as inhibitors of 3-hydroxy-3-methyl glutaryl coenzyme A reductase are widely used as cholesterol-lowering drugs. Recent studies provide evidence that the anti-inflammatory activity of statins, which is independent of their cholesterol-lowering effects, may have potential therapeutic implications for neuroinflammatory diseases such as multiple sclerosis (MS), Alzheimer's disease and brain tumors, as well as traumatic spinal cord and brain injuries. Studies with animal models of MS suggest that, in addition to immunomodulatory activities similar to the ones observed with approved MS medications, statin treatment also protects the BBB, protects against neurodegeneration and may also promote neurorepair. Although the initial human studies on statin treatment for MS are encouraging, prospective randomized clinical studies will be required to evaluate their efficacy in the larger patient population.
Keywordsblood-brain barrier; immunomodulation; inflammation; multiple sclerosis; neurodegeneration; neuroinflammatory diseases; neurorepair; pleotropic effects; statins Multiple sclerosis (MS) is a chronic CNS disease with a chronic inflammatory response directed against the myelin antigens [1,2]. Immunological studies indicate that autoreactive CD4 + and CD8 + lymphocytes migrate into the CNS following antigen recognition in the peripheral circulation. Once in the CNS, T cells undergo reactivation by abundant myelin antigens and perpetuate an inflammatory response that leads to demyelination and axonal loss †Author for correspondence