RESEARCH ARTICLE Patients experiencing statin-induced myalgia exhibit a unique program of skeletal muscle gene expression following statin re-challenge Marshall B. Elam1,2,3☯*, Gipsy Majumdar1,2, Khyobeni Mozhui4, Ivan C. Gerling1,3, Santiago R. Vera1, Hannah Fish-Trotter3¤, Robert W. Williams5, Richard D. Childress1,3, Rajendra Raghow1,2☯* 1 Department of Veterans Affairs Medical Center-Memphis, Memphis, Tennessee, United States of America, 2 Department of Pharmacology, University of Tennessee Health Sciences Center, Memphis, Tennessee, a1111111111 United States of America, 3 Department of Medicine, University of Tennessee Health Sciences Center, a1111111111 Memphis, Tennessee, United States of America, 4 Department of Preventive Medicine, University of a1111111111 Tennessee Health Sciences Center, Memphis, Tennessee, United States of America, 5 Department of a1111111111 Genetics, Genomics and Informatics, College of Medicine, University of Tennessee Health Science Center, a1111111111 Memphis, Tennessee, United States of America ☯ These authors contributed equally to this work. ¤ Current address: Department of Rehabilitation Medicine, Vanderbilt University, Nashville, Tennessee, United States of America. *
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[email protected] (RR) OPEN ACCESS Citation: Elam MB, Majumdar G, Mozhui K, Gerling IC, Vera SR, Fish-Trotter H, et al. (2017) Patients Abstract experiencing statin-induced myalgia exhibit a unique program of skeletal muscle gene Statins, the 3-hydroxy-3-methyl-glutaryl (HMG)-CoA reductase inhibitors, are widely pre- expression following statin re-challenge. PLoS ONE scribed for treatment of hypercholesterolemia. Although statins are generally well tolerated, 12(8): e0181308. https://doi.org/10.1371/journal. pone.0181308 up to ten percent of statin-treated patients experience myalgia symptoms, defined as mus- cle pain without elevated creatinine phosphokinase (CPK) levels.