Effects of fluvastatin on humanbiliary lipids
| Autor: | Toshiroh Kunita, Fumiaki Hino, Goro Kajiyama, Hironori Tokumo, Tosihide Ohya, Kohki Takata, Itsuo Takizawa, Sasaki H, Kozo Hayashi, Susumu Tazuma, Toshiyuki Mizuno, Tetsuhiko Watanabe |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Indoles food.ingredient medicine.drug_class Hypercholesterolemia Blood lipids Placebo Lecithin Bile Acids and Salts Fatty Acids Monounsaturated Placebos chemistry.chemical_compound food Internal medicine medicine Bile Humans Fluvastatin Triglycerides Aged Bile acid business.industry Cholesterol Anticholesteremic Agents Gallbladder Cholesterol HDL Fatty Acids Cholesterol LDL Middle Aged Hydroxymethylglutaryl-CoA reductase medicine.anatomical_structure Endocrinology chemistry Phosphatidylcholines Female Hydroxymethylglutaryl CoA Reductases Hydroxymethylglutaryl-CoA Reductase Inhibitors Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | The American Journal of Cardiology. 76:110A-113A |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/s0002-9149(05)80030-x |
| Popis: | The 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors have rapidly become widespread in the treatment of hypercholesterolemia and are known to be variable in efficacy. To investigate the effect on biliary lipids, a 3-month study using fluvastatin was devised. A total of 19 patients were enrolled in this study: all had hypercholesterolemia (7 men, 12 women; 13 with type IIa, 6 with type IIb). After an observation period of 4-6 weeks with placebo, fluvastatin at a daily dose of 30 mg was administered for 3 months. Fasting blood samples were taken early in the morning, before, and once a month during 3 months of fluvastatin treatment, for measurement of serum lipids. Cerulein-stimulated bile in the gallbladder was sampled using a duodenal tube, and the changes in biliary lipids were assessed. There was a marked decrease in serum total cholesterol after 12 weeks of treatment (21%; p < 0.001). However, there was no significant difference in the bile cholesterol saturation index (CSI): values before and after 3 months of drug administration were 0.93 and 0.99, respectively (Admirand-Small method). There were no significant changes in either the fatty acid composition of biliary lecithin or in the bile acid composition of bile. In conclusion, on the basis of these results, short-term (3 months) administration of fluvastatin does not appear to affect CSI. |
| Databáze: | OpenAIRE |
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