# Rosuvastatin as a Supplemental Treatment for the Clinical Symptoms of Nephropathia Epidemica: A Pilot Clinical Study

**Authors:** Venera Shakirova, Maria Markelova, Yuriy Davidyuk, Robert J. Stott-Marshall, Toshana L. Foster, Svetlana Khaiboullina, Albert Rizvanov, Ekaterina Martynova

PMC · DOI: 10.3390/v16020306 · Viruses · 2024-02-17

## TL;DR

This pilot study shows that rosuvastatin may help reduce symptoms and improve lab results in patients with Nephropathia Epidemica, a type of kidney disease.

## Contribution

The study is the first to investigate rosuvastatin as a potential treatment for Nephropathia Epidemica.

## Key findings

- Rosuvastatin reduced the duration of fever and symptoms like back pain and headache in NE patients.
- Rosuvastatin significantly lowered LDL-C levels and proinflammatory cytokines IL-1β and IL-8.
- NE patients showed altered levels of kidney toxicity markers like albumin and osteopontin.

## Abstract

Nephropathis epidemica (NE), a mild form of hemorrhagic fever with renal syndrome (HFRS), is an acute zoonotic disease endemic in the Republic of Tatarstan. This study aimed to assess the impact of rosuvastatin on the clinical and laboratory results of NE. A total of 61 NE patients and 30 controls were included in this study; 22 NE patients and 7 controls received a daily dose of rosuvastatin (10 mg) for ten consecutive days. Serum samples were collected on days 1, 5, and 10 after admission to the hospital. These samples were analyzed to determine the levels of lipids, cytokines, and kidney toxicity markers. Our findings indicate that rosuvastatin reduced the duration of the second wave of fever and alleviated back pain and headache symptoms. Additionally, low-density lipoprotein cholesterol (LDL-C) serum levels were significantly decreased on days 5 and 10 upon rosuvastatin treatment. Furthermore, rosuvastatin decreased the levels of cytokines in the serum, particularly proinflammatory cytokines IL-1β and IL-8. NE patients had significantly altered levels of the kidney toxicity markers albumin and osteopontin. The data from our study provide evidence supporting the therapeutic potential of rosuvastatin in NE cases.

## Linked entities

- **Proteins:** IL1B (interleukin 1 beta), CXCL8 (C-X-C motif chemokine ligand 8), LOC100189571 (uncharacterized LOC100189571)
- **Chemicals:** rosuvastatin (PubChem CID 446157)

## Full-text entities

- **Genes:** ALB (albumin) [NCBI Gene 213] {aka FDAHT, HSA, PRO0883, PRO0903, PRO1341}, SPP1 (secreted phosphoprotein 1) [NCBI Gene 6696] {aka BNSP, BSPI, ETA-1, OPN}, IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, CXCL8 (C-X-C motif chemokine ligand 8) [NCBI Gene 3576] {aka GCP-1, GCP1, IL8, LECT, LUCT, LYNAP}
- **Diseases:** HFRS (MESH:D006480), fever (MESH:D005334), back pain (MESH:D001416), headache (MESH:D006261), kidney toxicity (MESH:D007674), zoonotic (MESH:D015047)
- **Chemicals:** Rosuvastatin (MESH:D000068718), lipids (MESH:D008055)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10892398/full.md

## References

74 references — full list in the complete paper: https://tomesphere.com/paper/PMC10892398/full.md

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Source: https://tomesphere.com/paper/PMC10892398