Do Statins Affect Viral Infections Encountered by International Travelers?

Statins are among the most frequently prescribed medications. In addition to their well-established effectiveness in lowering total cholesterol, LDL, and triglycerides, statins have been described to have immunomodulatory and anti-inflammatory properties and have been associated with improved endoth...

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Main Authors: Chinmay T. Jani, Christian Mouchati, Nour Abdallah, Ruchi Jani, Loukas Kakoullis, Lin H. Chen
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Tropical Medicine and Infectious Disease
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Online Access:https://www.mdpi.com/2414-6366/10/3/73
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author Chinmay T. Jani
Christian Mouchati
Nour Abdallah
Ruchi Jani
Loukas Kakoullis
Lin H. Chen
author_facet Chinmay T. Jani
Christian Mouchati
Nour Abdallah
Ruchi Jani
Loukas Kakoullis
Lin H. Chen
author_sort Chinmay T. Jani
collection DOAJ
description Statins are among the most frequently prescribed medications. In addition to their well-established effectiveness in lowering total cholesterol, LDL, and triglycerides, statins have been described to have immunomodulatory and anti-inflammatory properties and have been associated with improved endothelial functions. Given the common use of statins, we sought to evaluate the effect of statins on some viral infections encountered by residents in tropical areas or by international travelers. A literature search was performed in PubMED/MEDLINE focusing on keywords that included statins and the viruses of interest, including SARS-CoV-2, influenza, yellow fever, dengue, Zika, tick-borne encephalitis, hemorrhagic fever viruses, hepatitis A, norovirus, hepatitis B, hepatitis C, measles, and herpesviruses; findings were synthesized for each virus into a summary. The effects of statins on viral infections vary depending on the specific virus. While some studies indicate potential benefits in chronic HBV and HCV infections, evidence regarding SARS-CoV-2 and influenza remains inconclusive due to mixed findings from observational studies and randomized controlled trials. The role of statins in other viral infections is largely unexplored, with preclinical data available for only a few viruses. Given the conflicting evidence, further prospective studies and randomized controlled trials are warranted to elucidate statins’ role in viral infections, particularly in modulating inflammation, endothelial dysfunction, and immune responses. Future research should aim to define the optimal patient populations, target viruses, statin types, and treatment durations that may confer benefits in specific viral infections.
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spelling doaj-art-01abc19aada84dc09d3bf874ca266ef72025-08-20T03:44:05ZengMDPI AGTropical Medicine and Infectious Disease2414-63662025-03-011037310.3390/tropicalmed10030073Do Statins Affect Viral Infections Encountered by International Travelers?Chinmay T. Jani0Christian Mouchati1Nour Abdallah2Ruchi Jani3Loukas Kakoullis4Lin H. Chen5Division of Medical Oncology, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL 33136, USADivision of Neurology, University of Connecticut, Farmington, CT 06030, USADepartment of Medicine, University of Connecticut, Farmington, CT 06030, USADepartment of Medicine, Smt NHL Municipal Medical College, Ahmedabad 380006, Gujarat, IndiaDepartment of Medicine, Mount Auburn Hospital, Cambridge, MA 02138, USADepartment of Medicine, Mount Auburn Hospital, Cambridge, MA 02138, USAStatins are among the most frequently prescribed medications. In addition to their well-established effectiveness in lowering total cholesterol, LDL, and triglycerides, statins have been described to have immunomodulatory and anti-inflammatory properties and have been associated with improved endothelial functions. Given the common use of statins, we sought to evaluate the effect of statins on some viral infections encountered by residents in tropical areas or by international travelers. A literature search was performed in PubMED/MEDLINE focusing on keywords that included statins and the viruses of interest, including SARS-CoV-2, influenza, yellow fever, dengue, Zika, tick-borne encephalitis, hemorrhagic fever viruses, hepatitis A, norovirus, hepatitis B, hepatitis C, measles, and herpesviruses; findings were synthesized for each virus into a summary. The effects of statins on viral infections vary depending on the specific virus. While some studies indicate potential benefits in chronic HBV and HCV infections, evidence regarding SARS-CoV-2 and influenza remains inconclusive due to mixed findings from observational studies and randomized controlled trials. The role of statins in other viral infections is largely unexplored, with preclinical data available for only a few viruses. Given the conflicting evidence, further prospective studies and randomized controlled trials are warranted to elucidate statins’ role in viral infections, particularly in modulating inflammation, endothelial dysfunction, and immune responses. Future research should aim to define the optimal patient populations, target viruses, statin types, and treatment durations that may confer benefits in specific viral infections.https://www.mdpi.com/2414-6366/10/3/73immunomodulationstatinCOVID-19influenzaflavivirusEbola
spellingShingle Chinmay T. Jani
Christian Mouchati
Nour Abdallah
Ruchi Jani
Loukas Kakoullis
Lin H. Chen
Do Statins Affect Viral Infections Encountered by International Travelers?
Tropical Medicine and Infectious Disease
immunomodulation
statin
COVID-19
influenza
flavivirus
Ebola
title Do Statins Affect Viral Infections Encountered by International Travelers?
title_full Do Statins Affect Viral Infections Encountered by International Travelers?
title_fullStr Do Statins Affect Viral Infections Encountered by International Travelers?
title_full_unstemmed Do Statins Affect Viral Infections Encountered by International Travelers?
title_short Do Statins Affect Viral Infections Encountered by International Travelers?
title_sort do statins affect viral infections encountered by international travelers
topic immunomodulation
statin
COVID-19
influenza
flavivirus
Ebola
url https://www.mdpi.com/2414-6366/10/3/73
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