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Analysis of statin-induced rhabdomyolysis

Research Project

Project/Area Number 20790210
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field General pharmacology
Research InstitutionFukushima Medical University

Principal Investigator

SAKAMOTO Kazuho  Fukushima Medical University, 医学部, 講師 (80433150)

Project Period (FY) 2008 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2008: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
KeywordsHMG-CoA還元酵素阻害薬 / 副作用 / 横紋筋融解症 / 低分子量G蛋白質 / 小胞輸送 / 蛋白質ゲラニルゲラニル化 / 骨格筋 / ミトコンドリア / トランスポーター / スタチン / 高脂血症
Research Abstract

We investigated the mechanism behind the statin-induced adverse effects on skeletal muscle. (1) Fluvastatin inactivated Rab1 by inhibiting translocation of Rab1 from cytoplasm to sarcolemma in cultured myofibers. Brefeldin A, a specific inhibitor of ER-to-Golgi traffic, mimicked statin-induced vacuolation and cell death. Thus, we conclude that Rab1 inactivation is involved in statin-induced myofiber vacuolation and death. (2) We investigated the mechanism of statin-induced muscle weakness. Myofibers cultured with fluvastatin showed reduced contractility in response to caffeine, which stimulates Ca^<2+> release from sarcoplasmic reticulum. We also observed attenuation of Ca^<2+> release and ATP in statin-treated myofibers. GGPP supplementation with fluvastatin prevented ATP reduction, indicating that inactivation of small GTPases is also critical for the ATP reduction. (3) We examined drug transporters (Oatps) responsible for statin-induced myotoxicity. Skeletal myofibers were more sensitive to hydrophilic pravastatin and lipophilic fluvastatin than fibroblasts and myoblasts. RT-PCR analysis revealed that Oatp1a4/2b1, which take up statins into cells, are expressed in skeletal muscles. Therefore, I conclude that drug transporters in sarcolemma are necessary for the induction of myotoxicity by statins.

Report

(3 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • Research Products

    (36 results)

All 2010 2009 2008

All Journal Article (7 results) (of which Peer Reviewed: 7 results) Presentation (29 results)

  • [Journal Article] Involvement of Na+/Ca2+ exchanger in migration and contraction of rat cultured tendon fibroblasts.2009

    • Author(s)
      Sakamoto K, Owada Y, Shikama Y, Wada I, Waguri S, Iwamoto T, Kimura J
    • Journal Title

      J Physiol 587

      Pages: 5345-5359

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Lysophosphatidylcholine increases Na+/Ca2+ exchanger expression via RhoB-geranylgeranylation in H9c2 cells.2009

    • Author(s)
      Maeda S, Sakamoto K, Matsuoka I, Iwamoto T, Kimura J
    • Journal Title

      J Pharmacol Sci. 109

      Pages: 565-72

    • NAID

      10025735890

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Na+-Ca2+ exchanger expression and its modulation.2009

    • Author(s)
      Kimura J, Ono T, Sakamoto K, Ito E, Watanabe S, Maeda S, Shikama Y, Yatabe MS, Matsuoka I
    • Journal Title

      Biol Pharm Bull 32(3)

      Pages: 325-331

    • NAID

      110007122757

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Involvement of Na^+/Ca^<2+> exchanger in migration and contraction of rat cultured tendon fibroblasts2009

    • Author(s)
      Sakamoto K, Owada Y, Shikama Y, Wada I, Waguri S, Kimura J
    • Journal Title

      Journal of Physiology (London) 587

      Pages: 5345-5359

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Inhibitory effects of isoliquiritigenin and licorice extract on voltage-dependent K+ currents in H9c2 cells.2008

    • Author(s)
      Noguchi C, Yang J, Sakamoto K, Maeda R, Takahashi K, Takasugi H, Ono T, Murakawa M, Kimura J
    • Journal Title

      J Pharmacol Sci. 108

      Pages: 439-445

    • NAID

      10025732683

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Involvement of organic anion transporting polypeptides in the toxicity of hydrophilic pravastatin and lipophilic fluvastatin in rat skeletal myofibres.2008

    • Author(s)
      Sakamoto K, Mikami H, Kimura J
    • Journal Title

      Br J Pharmacol 154

      Pages: 1482-1490

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Involvement of organic anion transporting polypeptides in the toxicity of hydrophilic pravastatin and lipophilic fluvastatin in rat skeletal myofibres2008

    • Author(s)
      Sakamoto Kazuho
    • Journal Title

      British Journal of Pharmacology 154

      Pages: 1482-1490

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] スタチン誘発性骨格筋毒性への小胞体-ゴルジ体間輸送の関与2010

    • Author(s)
      坂本多穂、和栗聡、木村純子
    • Organizer
      第83回日本薬理学会年会
    • Place of Presentation
      大阪
    • Year and Date
      2010-03-16
    • Related Report
      2009 Final Research Report
  • [Presentation] フルバスタチンによるラット骨格筋収縮障害の発症機序2010

    • Author(s)
      田中祥子, 坂本多穂, 小野委成, 木村純子
    • Organizer
      第83回日本薬理学会年会
    • Place of Presentation
      大阪
    • Year and Date
      2010-03-16
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチン誘発性骨格筋毒性への小胞体-ゴルジ体間輸送の関与2010

    • Author(s)
      坂本多穂、和栗聡、木村純子
    • Organizer
      第83回 日本薬理学会年会
    • Place of Presentation
      大阪市
    • Year and Date
      2010-03-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] Disturbance of endoplasmic reticulum-to-Golgi trafficking is involved in statin-induced skeletal myopathy2010

    • Author(s)
      Kazuho Sakamoto, Satoshi Waguri, Junko Kimura
    • Organizer
      Biophysical Society 54th Annual Meeting
    • Place of Presentation
      San Francisco
    • Year and Date
      2010-02-24
    • Related Report
      2009 Annual Research Report 2009 Final Research Report
  • [Presentation] スタチンによる骨格筋毒性への小胞輸送障害の関与2009

    • Author(s)
      坂本多穂、和栗聡、木村純子
    • Organizer
      筋生理の集い
    • Place of Presentation
      東京
    • Year and Date
      2009-12-19
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチンによる骨格筋毒性への小胞輸送障害の関与2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      筋生理の集い
    • Place of Presentation
      東京都
    • Year and Date
      2009-12-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] スタチンによる骨格筋毒性に小胞輸送障害が関与する2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      生理研セミナー「イオンチャネル・トランスポーターと心血管機能:細胞機能の分子機序とその統合的理解」
    • Place of Presentation
      岡崎
    • Year and Date
      2009-11-26
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチンによる骨格筋毒性に小胞輸送障害が関与する2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      生理研セミナー「イオンチャネル・トランスポーターと心血管機能:細胞機能の分子機序とその統合的理解」
    • Place of Presentation
      岡崎市
    • Year and Date
      2009-11-26
    • Related Report
      2009 Annual Research Report
  • [Presentation] スタチンによる骨格筋毒性への有機アニオントランスポーターの関与2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      第420回福島医学会学術研究集会
    • Place of Presentation
      福島
    • Year and Date
      2009-10-22
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチン誘発性骨格筋毒性へのトランスポーターの関与2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      第420回 福島医学会
    • Place of Presentation
      福島市
    • Year and Date
      2009-10-22
    • Related Report
      2009 Annual Research Report
  • [Presentation] 高脂血症薬スタチンによるラット骨格筋の収縮障害にATP低下が関与する2009

    • Author(s)
      田中祥子, 坂本多穂, 小野委成, 木村純子
    • Organizer
      第60回日本薬理学会北部会
    • Place of Presentation
      富山
    • Year and Date
      2009-09-26
    • Related Report
      2009 Final Research Report
  • [Presentation] 1型Na+/Ca2+交換輸送体ノックダウンによるラットアキレス腱由来筋線維芽細胞の機能変化2009

    • Author(s)
      坂本多穂, 木村純子
    • Organizer
      第60回日本薬理学会北部会
    • Place of Presentation
      富山
    • Year and Date
      2009-09-26
    • Related Report
      2009 Final Research Report
  • [Presentation] 1型Na^+/Ca^<2+>交換輸送体ノックダウンによるラットアキレス腱由来筋線維芽細胞の機能変化2009

    • Author(s)
      坂本多穂、木村純子
    • Organizer
      第60回 日本薬理学会北部会
    • Place of Presentation
      富山市
    • Year and Date
      2009-09-26
    • Related Report
      2009 Annual Research Report
  • [Presentation] 高脂血症薬スタチンによるラット骨格筋収縮障害にATP低下が関与する2009

    • Author(s)
      田中祥子、坂本多穂、小野委成、木村純子
    • Organizer
      第60回 日本薬理学会北部会
    • Place of Presentation
      富山市
    • Year and Date
      2009-09-26
    • Related Report
      2009 Annual Research Report
  • [Presentation] Na+/Ca2+ exchanger is involved in migration and contraction of rat tenocytes2009

    • Author(s)
      Kazuho Sakamoto, Yuki Owada, Yayoi Shikama, Ikuo Wada, Satoshi Waguri, Takahiro Iwamoto, Junko Kimura
    • Organizer
      the XXXVI International Congress of Physiological Sciences
    • Place of Presentation
      Kyoto
    • Year and Date
      2009-07-28
    • Related Report
      2009 Final Research Report
  • [Presentation] Na^+/Ca^<2+> exchanger is involved in migration and contraction of rat tenocytes2009

    • Author(s)
      Kazuho Sakamoto, Yuki Owada, Yayoi Shikama, Ikuo Wada, Satoshi Waguri, Junko Kimura
    • Organizer
      the XXXVI International Congress of Physiological Sciences
    • Place of Presentation
      京都市
    • Year and Date
      2009-07-28
    • Related Report
      2009 Annual Research Report
  • [Presentation] スタチンによる初代培養骨格筋線維の収縮抑制とその機構2009

    • Author(s)
      田中祥子, 坂本多穂, 小野委成, 木村純子
    • Organizer
      第36回日本トキシコロジー学会学術年会
    • Place of Presentation
      盛岡
    • Year and Date
      2009-07-07
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチンによる初代培養ラット骨格筋線維の収縮抑制とその機構2009

    • Author(s)
      田中祥子、坂本多穂、小野委成、木村純子
    • Organizer
      第36回 日本トキシコロジー学会学術年会
    • Place of Presentation
      盛岡市
    • Year and Date
      2009-07-07
    • Related Report
      2009 Annual Research Report
  • [Presentation] 初代培養骨格筋をもちいたフルバスタチン誘発性骨格筋収縮障害の解明2009

    • Author(s)
      田中祥子, 坂本多穂, 小野委成, 木村純子
    • Organizer
      第82回日本薬理学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-03-17
    • Related Report
      2009 Final Research Report 2008 Annual Research Report
  • [Presentation] ラット腱細胞におけるNa+/Ca2+交換輸送体の発現と機能2009

    • Author(s)
      坂本多穂、大和田有紀、色摩弥生、和田郁夫、和栗聡、岩本隆宏、木村純子
    • Organizer
      第82回日本薬理学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-03-16
    • Related Report
      2009 Final Research Report
  • [Presentation] ラット腱細胞におけるNa^+/Ca^<2+>交換輸送体の発現と機能2009

    • Author(s)
      坂本多穂
    • Organizer
      第82回日本薬理学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2009-03-16
    • Related Report
      2008 Annual Research Report
  • [Presentation] ラット腱細胞でのNa+/Ca2+交換輸送体の発現と機能2008

    • Author(s)
      坂本多穂、大和田有紀、色摩弥生、和田郁夫、和栗聡、岩本隆宏、木村純子
    • Organizer
      トランスポーターワークショップ福岡
    • Place of Presentation
      福岡
    • Year and Date
      2008-11-02
    • Related Report
      2009 Final Research Report
  • [Presentation] ラット腱細胞におけるNa^+-Ca^<2+>交換輸送体の発現と機能の解明2008

    • Author(s)
      坂本多穂
    • Organizer
      トランスポーターワークショップ福岡
    • Place of Presentation
      福岡
    • Year and Date
      2008-11-02
    • Related Report
      2008 Annual Research Report
  • [Presentation] スタチンによる初代培養ラット骨格筋線維の収縮抑制の機序2008

    • Author(s)
      田中祥子
    • Organizer
      第415回福島医学会学術研究集会
    • Place of Presentation
      福島
    • Year and Date
      2008-10-23
    • Related Report
      2008 Annual Research Report
  • [Presentation] ラット腱線維芽細胞におけるNa+/Ca2+交換輸送体の発現と機能2008

    • Author(s)
      坂本多穂、大和田有紀、色摩弥生、和田郁夫、和栗聡、岩本隆宏、木村純子
    • Organizer
      第59回日本薬理学会北部会
    • Place of Presentation
      仙台
    • Year and Date
      2008-09-27
    • Related Report
      2009 Final Research Report
  • [Presentation] ラット腱線維芽細胞におけるNa^+/Ca^<2+>交換輸送体の発現と機能2008

    • Author(s)
      坂本多穂
    • Organizer
      第59回日本薬理学会北部会
    • Place of Presentation
      仙台
    • Year and Date
      2008-09-27
    • Related Report
      2008 Annual Research Report
  • [Presentation] ラット培養細胞のNa^+Ca^<2+>交換輸送体は創傷治癒に関与する2008

    • Author(s)
      坂本多穂
    • Organizer
      トランスポーターワークショップ鶴岡
    • Place of Presentation
      鶴岡
    • Year and Date
      2008-09-27
    • Related Report
      2008 Annual Research Report
  • [Presentation] スタチン誘発性ラット骨格筋毒性に対する薬物トランスポーターの寄与2008

    • Author(s)
      坂本多穂、三上博嗣、木村純子
    • Organizer
      第35回日本トキシコロジー学会学術年会
    • Place of Presentation
      東京
    • Year and Date
      2008-06-26
    • Related Report
      2009 Final Research Report
  • [Presentation] スタチン誘発性ラット骨格筋毒性に対する薬物トランスポ-タ-の関与2008

    • Author(s)
      坂本多穂
    • Organizer
      第35回日本トキシコロジー学会学術年会
    • Place of Presentation
      東京
    • Year and Date
      2008-06-26
    • Related Report
      2008 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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