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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1998-2-12
pubmed:abstractText
To assess the effect of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors on plasma cholesterol concentrations and on platelet aggregation, lovastatin or fluvastatin, 40 mg daily, was given to hypercholesterolemic patients. After 24 weeks, plasma low-density lipoprotein (LDL) cholesterol concentrations were reduced by 37% after lovastatin therapy and 29% after fluvastatin therapy. The platelet cholesterol/phospholipid ratio was reduced by 33% and 26%, respectively. Platelet aggregation was significantly reduced by 12-15% (p < 0.01) after 4 weeks of therapy with either agent. Lovastatin or fluvastatin therapy reduced platelet aggregation through an in vivo hypocholesterolemic action on the platelet cholesterol content and also through a direct effect on platelet function, as a result of drug binding to the platelets. We also studied the effect of these HMG-CoA reductase inhibitors on LDL susceptibility to oxidation. LDL oxidation (induced by copper ions) was reduced by 31% after lovastatin therapy and by 37% after fluvastatin therapy. The inhibitory effect of HMG-CoA reductase inhibitors on LDL oxidation involved their stimulatory effect on the removal of LDL from the circulation and a direct binding effect of the drugs to the lipoprotein. Because HMG-CoA reductase inhibitors can inhibit platelet aggregation, macrophage foam cell formation, and LDL oxidation, major contributors to atherogenesis, the use of these drugs can significantly attenuate the atherosclerotic process.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0160-2446
pubmed:author
pubmed:issnType
Print
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
39-45
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9456275-Adult, pubmed-meshheading:9456275-Aged, pubmed-meshheading:9456275-Animals, pubmed-meshheading:9456275-Anticholesteremic Agents, pubmed-meshheading:9456275-Blood Platelets, pubmed-meshheading:9456275-Cell Communication, pubmed-meshheading:9456275-Fatty Acids, Monounsaturated, pubmed-meshheading:9456275-Humans, pubmed-meshheading:9456275-Hydroxymethylglutaryl-CoA Reductase Inhibitors, pubmed-meshheading:9456275-Hypercholesterolemia, pubmed-meshheading:9456275-Indoles, pubmed-meshheading:9456275-Lipid Peroxidation, pubmed-meshheading:9456275-Lipoproteins, pubmed-meshheading:9456275-Lipoproteins, LDL, pubmed-meshheading:9456275-Lovastatin, pubmed-meshheading:9456275-Macrophages, pubmed-meshheading:9456275-Mice, pubmed-meshheading:9456275-Middle Aged, pubmed-meshheading:9456275-Platelet Activation, pubmed-meshheading:9456275-Platelet Aggregation, pubmed-meshheading:9456275-Platelet Aggregation Inhibitors
pubmed:year
1998
pubmed:articleTitle
Interactions of platelets, macrophages, and lipoproteins in hypercholesterolemia: antiatherogenic effects of HMG-CoA reductase inhibitor therapy.
pubmed:affiliation
Lipid Research Laboratory, Rambam Medical Center, The Bruce Rappaport Faculty of Medicine, Technion, Israel.
pubmed:publicationType
Journal Article