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  #1   ^
Old Wed, May-18-16, 07:12
teaser's Avatar
teaser teaser is offline
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Default Statins for pregnancy

https://www.sciencedaily.com/releas...60516181033.htm


Quote:
Statins could protect the hearts of babies in the womb from the adverse effects of their mother's stress, research suggests.

Scientists have discovered that the widely-prescribed drugs help to counteract the negative impact of stress hormones on fetal growth and heart development in mice.

The therapy could lower the chances of babies being born underweight and reduce their risk of health problems in later life, including heart disease, researchers say.

Further studies are needed to assess the long-term effects of statins in pregnancy, but the drugs are already used occasionally in pregnant women and should be suitable for clinical trials, the team says.

Babies that are exposed to excessive stress hormones in the womb are often born underweight and have a greater risk of heart disease in later life.

Normally, the unborn baby is protected by a key enzyme produced by the placenta that breaks down stress hormones and greatly limits the amount of active hormones that reach the baby's blood supply.

When the expectant mother is stressed, they produce less of this enzyme and the baby is less well protected.

Scientists at the University of Edinburgh studied mice that cannot produce the enzyme as a model of maternal stress.

They found that stress hormones stop the placenta from developing normal blood vessels, which cuts back the blood supply to the growing fetus.

The developing fetus does not grow to full size as a result, and its heart function does not develop normally.

Treating the mother with a type of statin triggers production of a molecule called VEGF, which stimulates the development of blood vessels in the placenta.

By re-establishing the blood supply, the treatment promotes normal development of the heart and helps the baby to grow to a healthy birthweight, the team showed.

Around 2.5 million people in the UK take statins to lower high cholesterol.

The study is published in the journal Proceedings of the National Academy of Sciences and was funded by the Wellcome Trust. The research also received funding from the Raine Medical Research Foundation, University of Western Australia.

Professor Megan Holmes, of the University of Edinburgh's British Heart Foundation Centre for Cardiovascular Sciences, said: "These are very exciting results suggesting that there may finally be a potential therapy for women whose placenta is unable to maintain the normal growth of her baby.

"At present there is no treatment and babies may be born prematurely or small, and will be at greater risk of developing cardiovascular disease, diabetes and even psychiatric disorders later in life. Although more work needs to be done to show statins are safe in human pregnancy, these results show a new way forward for the major unmet need of fetal growth retardation."

Professor Jeremy Pearson, Associate Medical Director at the British Heart Foundation, said: "Low birthweight has been associated with maternal stress, and babies with low birthweights may be more prone to cardiovascular complications later in life.

"In this study the researchers have discovered that a drug called Pravastatin may counteract the consequences of increased levels of the stress hormone corticosterone within the placentas of mice. How Pravastatin counteracts the stress hormone is not yet understood, therefore more research is needed to see whether the drug will have the same effect in humans."


Not sure what to make of this--maybe under certain conditions, the benefits outweight the risks. As usual the drug companies will want us to believe the risks are just about nil. And they'll likely want to push for its use as a preventative in as large a population of pregnant women as possible.

The effect on blood vessel formation is interesting--and gives another possible alternative explanation for the small protective effect of statins in men of a certain age who already have heart disease, besides merely lowering cholesterol.
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  #2   ^
Old Wed, May-18-16, 08:41
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GRB5111 GRB5111 is offline
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Default

I'm not sure what to think as well. Clinical trials are the next step, and it will be interesting to see how quickly these proceed, as there's a lot of financial support behind this. Will this be enough time to truly understand the side effects and long-term implications to the children? This appears to be a very specific application, and while the application of statins seems to be broadening, I won't start to get concerned until they propose to add them to our public water supply . . .
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  #3   ^
Old Wed, May-18-16, 08:44
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Groggy60 Groggy60 is offline
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Of course lowing cholesterol in a developing brain and nervous system could not have any adverse effects. I wonder that some scientists are being effected by their statin they take.
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  #4   ^
Old Wed, May-18-16, 10:31
Zuleikaa Zuleikaa is offline
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Quote:
Originally Posted by Groggy60
Of course lowing cholesterol in a developing brain and nervous system could not have any adverse effects. I wonder that some scientists are being effected by their statin they take.

OMG!!! Please no!!!!! That's just what I was thinking!!
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  #5   ^
Old Wed, May-18-16, 18:31
MickiSue MickiSue is offline
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Could I go and punch the idiots who are suggesting this travesty, really really hard?
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  #6   ^
Old Wed, May-18-16, 21:34
Zei Zei is offline
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Quote:
Originally Posted by Groggy60
Of course lowing cholesterol in a developing brain and nervous system could not have any adverse effects. I wonder that some scientists are being effected by their statin they take.

Yes! The brain's structure contains lots of cholesterol. Human milk contains lots of cholesterol to feed the still developing brain even after birth. A drug that stops the developing infant from being able to access cholesterol?!!! I consider statins too unsafe to expose even my fully matured brain to the stuff, let alone a developing human fetus.
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  #7   ^
Old Wed, May-18-16, 23:01
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WereBear WereBear is online now
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Statins are currently Pregnancy Category X drugs. Pregnant women are advised not to take them.

I see this as a desperate and irresponsible attempt to open new markets for these drugs.
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  #8   ^
Old Thu, May-19-16, 07:35
MickiSue MickiSue is offline
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Well, if you were a person with no morals, sitting on top of a multi trillion dollar industry, and you saw your top money maker being attacked as leading to all sorts of really bad unintended consequences, what would you do?

Destroy the brains of developing fetuses, and claim you were protecting the fetuses from stress. YEAH! that's it.
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  #9   ^
Old Thu, May-19-16, 13:38
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RawNut RawNut is offline
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Quote:
Originally Posted by Zei
Yes! The brain's structure contains lots of cholesterol. Human milk contains lots of cholesterol to feed the still developing brain even after birth. A drug that stops the developing infant from being able to access cholesterol?!!! I consider statins too unsafe to expose even my fully matured brain to the stuff, let alone a developing human fetus.


Exclusively breast-fed babies indeed have high cholesterol as well as a larger head circumference. Next, they'll be recommending they, or their mothers', be put on satins as well unless they recommend against breast-feeding altogether.
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  #10   ^
Old Thu, May-19-16, 14:06
teaser's Avatar
teaser teaser is offline
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Plan: mostly milkfat
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Quote:
Professor Megan Holmes, of the University of Edinburgh's British Heart Foundation Centre for Cardiovascular Sciences, said: "These are very exciting results suggesting that there may finally be a potential therapy for women whose placenta is unable to maintain the normal growth of her baby.

"At present there is no treatment and babies may be born prematurely or small, and will be at greater risk of developing cardiovascular disease, diabetes and even psychiatric disorders later in life. Although more work needs to be done to show statins are safe in human pregnancy, these results show a new way forward for the major unmet need of fetal growth retardation."


I'm still not sure it's time to get the pitchforks out --the thing to guard against might be the natural desire of drug companies to encourage this as a prophylactic. But in some cases, blood supply to the fetus really is going to trump an optimal cholesterol synthesis.

Depending on how exactly the drug increase VEGF, it's possible that women could make up for taking the statin by eating foods rich in cholesterol.
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  #11   ^
Old Thu, May-19-16, 14:32
MickiSue MickiSue is offline
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Default

Babies that are IUGR are not born that way, usually, due to what we think of as "stress."

The mom has starved during pregnancy, or she's had severe morning sickness, a la Princess Kate, without the good healthcare. It's also an unhappy side effect of inadequate levels of amniotic fluid: if there's not enough room, the baby doesn't grow as well.

Or the placenta itself has begun to deteriorate prematurely for some reason. It's one reason that there is a movement to more intense monitoring of fetal status as women approach term; so that the signs of placental deterioration can be dealt with.

I'm having a hard time understanding why a doctor who is NOT even an ob/gyn, much less a perinatal specialist, is shooting off her mouth about IUGR.
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  #12   ^
Old Thu, May-19-16, 19:29
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bevangel bevangel is offline
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um, how about FIRST making sure that a pregnant women is doing and has access to all the various NON-CHEMICAL things that will reduce her stress before you start pumping her and her unborn baby full of a chemical whose unintended side-effects may not show up until years after the baby is born?

eg., a healthy diet; plenty of sleep; a GOOD supportive social network (friends and family); limiting sugar intake; limiting caffeine intake; not smoking; abstaining from alcohol; not using drugs; some basic meditation skills and breathing exercises and TIME to do them; appropriate exercise; financial counseling or assistance if needed...

Oh wait, I forget, drug companies can't make any money off of THOSE things!
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  #13   ^
Old Fri, May-20-16, 10:21
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WereBear WereBear is online now
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The fiendish part is that these are at-risk babies. Any poor outcome is going to be blamed on that.
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  #14   ^
Old Fri, May-20-16, 13:43
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GRB5111 GRB5111 is offline
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This is almost a "perfect storm" of a story. Proposing a pharmaceutical option for pregnant women to help restore vascular health to the placenta in order to maintain the mother's and baby's health appears to be a good thing. Not a lot one could argue regarding the purpose, and it is a very specific application on the surface. If we had confidence that these trials would be conducted while taking the time required to reach a definitive conclusion and to fully understand side effects, that would help; however, given the revenue opportunities and the power of the drug companies involved, an alternative agenda is likely to force a hasty decision and an unsatisfactory outcome. Add the fact that they're proposing statins for the solution simply adds more gasoline to the fire given the checkered history and broad application of the drug. Babies need lots of fat, and the mother and baby don't need the side effects of early onset dementia, tissue deterioration, and arthritic symptoms.
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