Effects of simvastatin/ezetimibe on microparticles, endothelial progenitor cells and platelet aggregation in subjects with coronary heart disease under antiplatelet therapy
Autor: | Henrique Tria Bianco, Carolina Nunes França, Simone P. Barbosa, Francisco Antonio Helfenstein Fonseca, L.M. Camargo, Mco Izar, L.S. Lins, Luiz Fernando Muniz Pinheiro |
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Přispěvatelé: | Universidade Federal de São Paulo (UNIFESP) |
Rok vydání: | 2014 |
Předmět: |
Male
CD31 Simvastatin Platelet Aggregation Physiology CD34 Coronary Disease Pharmacology Biochemistry Cell-Derived Microparticles Platelet aggregation Platelet General Pharmacology Toxicology and Pharmaceutics lcsh:QH301-705.5 Endothelial progenitor cells lcsh:R5-920 Aspirin Anticholesteremic Agents General Neuroscience General Medicine Middle Aged Flow Cytometry Clopidogrel Drug Combinations Platelet microparticles Female lcsh:Medicine (General) medicine.drug medicine.medical_specialty Ticlopidine Immunology Biophysics Simvastatin/ezetimibe Ocean Engineering Ezetimibe medicine Humans Clinical Investigation Progenitor cell Triglycerides Aged business.industry Cholesterol LDL Cell Biology Surgery lcsh:Biology (General) Azetidines Endothelial microparticles business Platelet Aggregation Inhibitors |
Zdroj: | Brazilian Journal of Medical and Biological Research, Volume: 47, Issue: 5, Pages: 432-437, Published: 15 APR 2014 Repositório Institucional da UNIFESP Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP Brazilian Journal of Medical and Biological Research Brazilian Journal of Medical and Biological Research, Vol 47, Iss 5, Pp 432-437 (2014) Brazilian Journal of Medical and Biological Research v.47 n.5 2014 Associação Brasileira de Divulgação Científica (ABDC) instacron:ABDC |
ISSN: | 1414-431X 0100-879X |
DOI: | 10.1590/1414-431x20143628 |
Popis: | It is not known whether the addition of ezetimibe to statins adds cardiovascular protection beyond the expected changes in lipid levels. Subjects with coronary heart disease were treated with four consecutive 1-week courses of therapy (T) and evaluations. The courses were: T1, 100 mg aspirin alone; T2, 100 mg aspirin and 40 mg simvastatin/10 mg ezetimibe; T3, 40 mg simvastatin/10 mg ezetimibe, and 75 mg clopidogrel (300 mg initial loading dose); T4, 75 mg clopidogrel alone. Platelet aggregation was examined in whole blood. Endothelial microparticles (CD51), platelet microparticles (CD42/CD31), and endothelial progenitor cells (CD34/CD133; CDKDR/CD133, or CD34/KDR) were quantified by flow cytometry. Endothelial function was examined by flow-mediated dilation. Comparisons between therapies revealed differences in lipids (T2 and T3T1 and T4, P=0.001). Decreased platelet aggregation was observed after aspirin (arachidonic acid, T1 |
Databáze: | OpenAIRE |
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