Document Detail


Influence of simvastatin on apoB-100 secretion in non-obese subjects with mild hypercholesterolemia.
MedLine Citation:
PMID:  20461472     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Statins decrease apoB-100-containing lipoproteins by increasing their fractional catabolic rates through LDL receptor-mediated uptake. Their influence on hepatic secretion of these lipoproteins is controversial. The objective of the study was to examine the influence of simvastatin on the secretion of apoB-100-containing lipoproteins in fasting non-obese subjects. Turnover of apoB-100-containing lipoproteins was investigated using stable isotope-labeled tracers. Multicompartmental modeling was used to derive kinetic parameters. Eight male subjects (BMI 25 +/- 3 kg/m(2)) with mild hypercholesterolemia (LDL cholesterol 135 +/- 30 mg/dL) and normal triglycerides (111 +/- 44 mg/dL) were examined under no treatment (A), under chronic treatment with simvastatin 40 mg/day (B) and after an acute-on-chronic dosage of 80 mg simvastatin under chronic simvastatin treatment (C). Lipoprotein concentrations changed as expected under 40 mg/day simvastatin. Fractional catabolic rates increased in IDL and LDL but not in VLDL fractions versus control [VLDL +35% in B (n.s.) and +21% in C (n.s.); IDL +169% in B (P = 0.08) and +187% in C (P = 0.032); LDL +87% in B (P = 0.025) and +133% in C (P = 0.025)]. Chronic (B) and acute-on-chronic simvastatin treatment (C) did not affect lipoprotein production rates [VLDL -8 and -13%, IDL +47 and +38%, and LDL +19 and +30% in B and C, respectively (all comparisons n.s.)]. The data indicate that simvastatin does not influence the secretion of apoB-100-containing lipoproteins in non-obese subjects with near-normal LDL cholesterol concentrations.
Authors:
Heiner K Berthold; Jessica Mertens; Julia Birnbaum; Susanne Brämswig; Thomas Sudhop; P Hugh R Barrett; Klaus von Bergmann; Ioanna Gouni-Berthold
Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-05-12
Journal Detail:
Title:  Lipids     Volume:  45     ISSN:  1558-9307     ISO Abbreviation:  Lipids     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-17     Completed Date:  2010-10-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0060450     Medline TA:  Lipids     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  491-500     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacology, University of Bonn, Bonn, Germany. heiner.berthold@charite.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anticholesteremic Agents / administration & dosage,  pharmacology*,  therapeutic use
Apolipoprotein B-100 / metabolism*
Cholesterol, LDL / metabolism
Cross-Over Studies
Humans
Hypercholesterolemia / drug therapy*,  metabolism*
Male
Middle Aged
Obesity
Simvastatin / administration & dosage,  pharmacology*,  therapeutic use
Chemical
Reg. No./Substance:
0/Anticholesteremic Agents; 0/Apolipoprotein B-100; 0/Cholesterol, LDL; 79902-63-9/Simvastatin

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


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