Effects of statins on circulating oxidized low-density lipoprotein in patients with hypercholesterolemia

被引:24
作者
Inami, SE [1 ]
Okamatsu, K [1 ]
Takano, M [1 ]
Takagi, G [1 ]
Sakai, S [1 ]
Sano, J [1 ]
Mizuno, K [1 ]
机构
[1] Chiba Hokusoh Hosp, Nippon Med Sch, Dept Internal Med, Imba, Chiba 2701694, Japan
来源
JAPANESE HEART JOURNAL | 2004年 / 45卷 / 06期
关键词
statin; pleiotropic effect; oxidized low-density lipoprotein;
D O I
10.1536/jhj.45.969
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recently, it has been reported that circulating oxidized low-density lipoprotein (OxLDL) might be a pivotal indicator for coronary artery disease and the severity of acute coronary syndromes. The purpose of this study was to investigate the effects of statins on Ox-LDL in patients with hypercholesterolemia. Sixteen patients with hypercholesterolemia were randomly assigned to 2 groups, one received 10 mg of pravastatin (n = 8) and the other received 20 mg of fluvastatin (11 = 8). The plasma level of Ox-LDL was measured using a newly developed sandwich enzyme-linked immunosorbent assay (ELISA) method. There were no differences between the two groups in Ox-LDL, total cholesterol (TC), or LDL cholesterol (LDL-C) at the baseline. The reduction in Ox-LDL in the fluvastatin group was significantly higher than that in the pravastatin group (47.5% versus 25.2%, P = 0.033). The reductions in TC and LDL-C did not differ between the two groups. Conclusion: The present study has shown for the first time that the level of circulating OxLDL was significantly decreased by treatment with statins. In addition, the lowering effect of statins on the circulating Ox-LDL was independent of their lipid-lowering effect. Fluvastatin was more effective than pravastatin with regard to decreasing the circulating Ox-LDL.
引用
收藏
页码:969 / 975
页数:7
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