Metabolic, enterohepatic and gut microbial effects of atorvastatin in healthy men

This randomised, placebo-controlled, double-blind, crossover study reveals that short-term high-dose atorvastatin treatment increases fasting and postprandial glucagon levels and alters amino acid and bile acid profiles without affecting glucose, insulin, or gut microbiota in healthy men. These findings suggest hyperglucagonaemia as a potential mechanistic contributor to the increased risk of type 2 diabetes associated with statin therapy.

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Publication Details

Journal
Endocrine Connections
Published
2026-02-25
DOI
https://doi.org/10.1530/ec-25-0721
Primary Topic
Gut microbiota and health
Type
article
Field-Weighted Citation Impact
0.00

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article

Metabolic, enterohepatic and gut microbial effects of atorvastatin in healthy men

Bart Staels, Jonatan Kornholt, Maria-Anna Misiakou, Mari Cristina Rodriguez de Evgrafov et al.
Endocrine Connections
Gut microbiota and health
article

Metabolic, enterohepatic and gut microbial effects of atorvastatin in healthy men

Bart Staels, Jonatan Kornholt, Maria-Anna Misiakou, Mari Cristina Rodriguez de Evgrafov, Martin L. Kårhus, Simone S. Li, Andreas Brønden, Amandine Descat, TINA VILSBØLL, Oscar Chavez-Talavera, Nicolai J. Wewer Albrechtsen, Martin Thomasen, David P. Sonne, Mads Bank Lynggaard, Filip K. Knop, Anne Tailleux, Anne‐Marie Ellegaard, Morten O A Sommer, Bolette Hartmann, Jens F Rehfeld, Jens J Holst
article en

Abstract

This randomised, placebo-controlled, double-blind, crossover study reveals that short-term high-dose atorvastatin treatment increases fasting and postprandial glucagon levels and alters amino acid and bile acid profiles without affecting glucose, insulin, or gut microbiota in healthy men. These findings suggest hyperglucagonaemia as a potential mechanistic contributor to the increased risk of type 2 diabetes associated with statin therapy.

Endocrine ConnectionsVol. 15(3)
University of Copenhagen (DK), Steno Diabetes Centers (DK), Inserm (FR), Institut Pasteur de Lille (FR), Novo Nordisk Foundation (DK), Frederiksberg Hospital (DK), Australian Regenerative Medicine Institute (AU), Copenhagen University Hospital (DK), Gentofte Hospital (DK), Rigshospitalet (DK), Centre Hospitalier Universitaire de Lille (FR), Monash University (AU), Technical University of Denmark (DK)
Augustinus Fonden
Good health and well-being
Openalex Percentile: Top 43%
Gut microbiota and health
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