Document Detail


Effect of fibrates on postprandial remnant-like particles in patients with combined hyperlipidemia.
MedLine Citation:
PMID:  15019549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have investigated the effect of standard doses of two fibrates, gemfibrozil and fenofibrate, on fasting and postprandial remnant-like particles (RLP) in subjects with combined hyperlipidemia. Forty-eight subjects participated; of these, 14 underwent a Vitamin A-fat loading test before and after 6 months of treatment with gemfibrozil (n = 8) and fenofibrate (n = 6). Blood was drawn every 2h for 12h after the test meal. The postprandial response was calculated as the area under the curve (AUC). There was no difference in fasting levels and pre-treatment AUC for triglycerides (TG), RLP cholesterol (RLP-C), RLP triglycerides (RLP-TG) and retinyl palmitate (RetP) between the two treatment groups. There was also no difference in the treatment effect on all parameters between the two treatment groups. Combining the two treatment groups, treatment resulted in a significant reduction in fasting levels and AUC of all four parameters. Assigning the difference observed between pre-treatment AUC of the combined study group and AUC of a normolipidemic (NL) control group as 100%, fibrate treatment resulted in decreases in AUC for TG, RLP-C, RLP-TG and RetP of 68, 69, 69 and 94%, respectively. These results indicate that fibrates are effective agents in reducing the postprandial increase in remnant lipoprotein particles.
Authors:
T C Ooi; M Cousins; D S Ooi; K Nakajima; A L Edwards
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Atherosclerosis     Volume:  172     ISSN:  0021-9150     ISO Abbreviation:  Atherosclerosis     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-15     Completed Date:  2004-06-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0242543     Medline TA:  Atherosclerosis     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  375-82     Citation Subset:  IM    
Affiliation:
Metabolism and Hormone Laboratory, Division of Endocrinology and Metabolism, Department of Medicine, Ottawa Hospital, University of Ottawa, Civic Campus, 1053 Carling Avenue, Ottawa, Ont., Canada K1Y 4E9. tcooi@ottawahospital.on.ca
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MeSH Terms
Descriptor/Qualifier:
Antilipemic Agents / pharmacology*
Cholesterol / blood
Dietary Fats / metabolism
Fasting
Female
Gemfibrozil / pharmacology*
Humans
Hyperlipidemia, Familial Combined / blood*
Lipoproteins / blood*
Male
Middle Aged
Postprandial Period
Procetofen / pharmacology*
Triglycerides / blood
Vitamin A / analogs & derivatives*,  blood,  metabolism
Chemical
Reg. No./Substance:
0/Antilipemic Agents; 0/Dietary Fats; 0/Lipoproteins; 0/Triglycerides; 11103-57-4/Vitamin A; 25812-30-0/Gemfibrozil; 49562-28-9/Procetofen; 57-88-5/Cholesterol; 79-81-2/retinol palmitate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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