The mechanisms activated in statin-induced
myopathy include the inhibition of mevalonic acid production, a
precursor in the synthesis of ubiquinone (CoQ10) [12], the modi-
fication of the expression of proteins needed in cellular protection
against oxidative stress [13], the changes in the mitochondrial
respiratory chain with consecutive depolarization of the mitochondrial
internal membrane, alteration of calcium homeostasis and
appearance of “calcium waves” [14]. Since mitochondrial dysfunction
might be induced by CoQ10 deficiency