Effect of lipid-lowering drug therapy on small-dense low-density lipoprotein

被引:30
作者
Backes, JM
Gibson, CA
机构
[1] Univ Kansas, Med Ctr,Sch Pharm, Dept Pharm Practice, Lipid Atherosclerosis Metab & LDL Apheresis Ctr, Kansas City, KS 66160 USA
[2] Univ Kansas, Med Ctr, Dept Internal Med, Kansas City, KS USA
关键词
fibrates; low-density lipoprotein; niacin; small-dense; statins;
D O I
10.1345/aph.1E322
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
OBJECTIVE: To review the effects of lipid-lowering therapy on small-dense low-density lipoprotein cholesterol (sdLDL-C). DATA SOURCES: Literature was obtained from MEDLINE (1989-September 2004) and references of selected articles. Key search terms included small-dense LDL-C and lipid-lowering drug therapy. DATA SYNTHESIS: Statins, fibrates, and niacin have demonstrated favorable effects on sdLDL-C, especially among patients with mixed dyslipidemia or hypertriglyceridemia. These effects include a reduction of sdLDL-C and/or a shift to the larger, less atherogenic LDL-C. CONCLUSIONS: Data suggest that statins, fibrates, and niacin are effective at reducing concentrations of sdLDL-C and possibly normalizing LDL-C subclasses.
引用
收藏
页码:523 / 526
页数:4
相关论文
共 25 条
[1]   Use of niacin, statins, and resins in patients with combined hyperlipidemia [J].
Brown, BG ;
Zambon, A ;
Poulin, D ;
Rocha, A ;
Maher, VMG ;
Davis, JW ;
Albers, JJ ;
Brunzell, JD .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 81 (4A) :52B-59B
[2]   Omacor in familial combined hyperlipidemia: effects on lipids and low density lipoprotein subclasses [J].
Calabresi, L ;
Donati, D ;
Pazzucconi, F ;
Sirtori, CR ;
Franceschini, G .
ATHEROSCLEROSIS, 2000, 148 (02) :387-396
[3]  
Chapman MJ, 1998, EUR HEART J, V19, pA24
[4]   Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) [J].
Cleeman, JI ;
Grundy, SM ;
Becker, D ;
Clark, LT ;
Cooper, RS ;
Denke, MA ;
Howard, WJ ;
Hunninghake, DB ;
Illingworth, DR ;
Luepker, RV ;
McBride, P ;
McKenney, JM ;
Pasternak, RC ;
Stone, NJ ;
Van Horn, L ;
Brewer, HB ;
Ernst, ND ;
Gordon, D ;
Levy, D ;
Rifkind, B ;
Rossouw, JE ;
Savage, P ;
Haffner, SM ;
Orloff, DG ;
Proschan, MA ;
Schwartz, JS ;
Sempos, CT ;
Shero, ST ;
Murray, EZ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (19) :2486-2497
[5]   Influence of atorvastatin and simvastatin on apolipoprotein B metabolism in moderate combined hyperlipidemic subjects with low VLDL and LDL fractional clearance rates [J].
Forster, LF ;
Stewart, G ;
Bedford, D ;
Stewart, JP ;
Rogers, E ;
Shepherd, J ;
Packard, CJ ;
Caslake, MJ .
ATHEROSCLEROSIS, 2002, 164 (01) :129-145
[6]   Effects of Atorvastatin versus Fenofibrate on lipoprotein profiles, low-density lipoprotein subfraction distribution, and hemorheologic parameters in type 2 diabetes mellitus with mixed hyperlipoproteinemia [J].
Frost, RJA ;
Otto, C ;
Geiss, HC ;
Schwandt, P ;
Parhofer, KG .
AMERICAN JOURNAL OF CARDIOLOGY, 2001, 87 (01) :44-48
[7]   ROLE OF PLASMA TRIGLYCERIDE IN THE REGULATION OF PLASMA LOW-DENSITY-LIPOPROTEIN (LDL) SUBFRACTIONS - RELATIVE CONTRIBUTION OF SMALL, DENSE LDL TO CORONARY HEART-DISEASE RISK [J].
GRIFFIN, BA ;
FREEMAN, DJ ;
TAIT, GW ;
THOMSON, J ;
CASLAKE, MJ ;
PACKARD, CJ ;
SHEPHERD, J .
ATHEROSCLEROSIS, 1994, 106 (02) :241-253
[8]   Small LDL, atherogenic dyslipidemia, and the metabolic syndrome [J].
Grundy, SM .
CIRCULATION, 1997, 95 (01) :1-4
[9]   Action of atorvastatin in combined hyperlipidemia - Preferential reduction of cholesteryl ester transfer from HDL to VLDL1 particles [J].
Guerin, M ;
Lassel, TS ;
Le Goff, W ;
Farnier, M ;
Chapman, MJ .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2000, 20 (01) :189-197
[10]   Dose-dependent action of atorvastatin in type IIB hyperlipidemia: preferential and progressive reduction of atherogenic apoB-containing lipoprotein subclasses (VLDL-2, IDL, small dense LDL) and stimulation of cellular cholesterol efflux [J].
Guerin, M ;
Egger, P ;
Soudant, C ;
Le Goff, W ;
van Tol, A ;
Dupuis, R ;
Chapman, MJ .
ATHEROSCLEROSIS, 2002, 163 (02) :287-296