Evidence map›Paper›PMID 40440323›Full record

SynthesisPloS one2025

Impact of statins as immune-modulatory agents on inflammatory markers in adults with chronic diseases: A systematic review and meta-analysis.

Solima Sabeel, Bongani Motaung, Kim A Nguyen, Mumin Ozturk, Sandra L Mukasa, Karen Wolmarans, Dirk J Blom, Karen Sliwa, Emmanuel Nepolo, Gunar Günther and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Biological effects of statins in systemic sclerosis: a systematic review and meta-analysis of 323 patients.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Pooled it
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  14. The therapeutic potential of atorvastatin in treatment ofFrontiers in veterinary science · 2026
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  18. Sjogren's Disease and Elevated Cardiovascular Risk: Mechanisms and Treatment.Journal of cardiovascular development and disease · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Solima SabeelInstitute of Infectious Diseases and Molecular Medicine (IDM), Department of Pathology, Division of Immunology, Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0003-4200-8994
Bongani MotaungInstitute of Infectious Diseases and Molecular Medicine (IDM), Department of Pathology, Division of Immunology, Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0002-4416-8353
Kim A NguyenNon-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-9650-4796
Mumin OzturkInstitute of Infectious Diseases and Molecular Medicine (IDM), Department of Pathology, Division of Immunology, Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0001-9152-7614
Sandra L MukasaGeneral Medicine & Global Health (GMGH), Department of Medicine and Cape Heart Institute, Faculty of Health Science, University of Cape Town, South Africa.
Karen WolmaransGeneral Medicine & Global Health (GMGH), Department of Medicine and Cape Heart Institute, Faculty of Health Science, University of Cape Town, South Africa.
Dirk J BlomDivision of Lipidology, Department of Medicine and Cape Heart Institute, University of Cape Town, South Africa.
Karen SliwaCape Heart Institute and Division of Cardiology, Department of Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.
Emmanuel NepoloDepartment of Human, Biological & Translational Sciences, School of Medicine, University of Namibia, Windhoek, Namibia.
Gunar GüntherDepartment of Human, Biological & Translational Sciences, School of Medicine, University of Namibia, Windhoek, Namibia.
Robert J WilkinsonWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine (IDM), Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0002-2753-1800
Claudia SchachtLinq management GmbH, Berlin, Germany.
Andre Pascal KengneNon-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.
Friedrich ThienemannGeneral Medicine & Global Health (GMGH), Department of Medicine and Cape Heart Institute, Faculty of Health Science, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0002-4801-2030
Reto GulerInstitute of Infectious Diseases and Molecular Medicine (IDM), Department of Pathology, Division of Immunology, Faculty of Health Sciences, University of Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While numerous studies have extensively documented the pleiotropic effects of statins, including their capacity to reduce inflammation, there is a lack of research estimating the anti-inflammatory effectiveness of statins among individuals with chronic diseases. This meta-analysis evaluates the effect of statin therapy on inflammatory markers and the lipid profile in patients with chronic diseases by analysing evidence from randomized controlled trials (RCTs). We conducted a systematic review and searched articles published between 1st January 1999 and 31st December 2023 in databases including PubMed, Web of Science, Scopus, and Cochrane. The meta-analysis was performed using random effects models and inverse variance. Effect measures were mean differences (MD) and 95% confidence intervals (CI). Collectively, statins significantly reduced IL-6 (MD = -0.24 ng/dL [95% CI, -0.36 to -0.13], I2 = 98.3%, p < 0.001), TNF-α (MD = -0.74 ng/dL [95% CI, -1.08 to -0.40], I2 = 98.8%, p < 0.001); and CRP (MD = -1.58 mg/L [95% CI, -2.22 to -0.94], I2 = 86.5%, p < 0.001). Notably, atorvastatin demonstrated the most significant reduction in IL-6 and TNF-α levels, while fluvastatin and rosuvastatin displayed the greatest impact on decreasing CRP and LDL-C levels, respectively. Stratification by a longer treatment duration of more than four months revealed that atorvastatin achieved the most significant reduction in IL-6 and TNF-α. In conclusion, statin therapy not only regulates the lipid profile but also reduces systemic inflammatory biomarkers. Prolonged administration of statins led to a more substantial reduction in IL-6 and TNF-α, with atorvastatin exhibiting the greatest effect in our analysis.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsImmunomodulating AgentsInflammationAdultBiomarkersChronic DiseaseHumansInterleukin-6Randomized Controlled Trials as TopicTumor Necrosis Factor-alphaBiomarkersHydroxymethylglutaryl-CoA Reductase InhibitorsImmunomodulating AgentsInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID40440323
PMCPMC12121830

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.