Anacetrapib, but not evacetrapib, impairs endothelial function in CETP-transgenic mice in spite of marked HDL-C increase

Autor: J. Wouter Jukema, Petia Doycheva, Anne Tailleux, Susan Kühnast, Ulf Landmesser, Pavani Mocharla, Hans M.G. Princen, Elena Osto, José W.A. van der Hoorn, Bart Staels, Adelheid Kratzer, Branko Simic, Thomas F. Lüscher, Simona Stivala, Margot Crucet, Thimoteus Speer, Hector Giral
Přispěvatelé: University of Zurich, Lüscher, Thomas F
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Apolipoprotein E3
Biomedical Innovation
030204 cardiovascular system & hematology
Benzodiazepines
chemistry.chemical_compound
0302 clinical medicine
Life
Anacetrapib
Hyperlipidemia
Endothelial dysfunction
chemistry.chemical_classification
Anticholesteremic Agents
Up-Regulation
Vasodilation
Phenotype
10209 Clinic for Cardiology
Female
lipids (amino acids
peptides
and proteins)

Efflux
MHR - Metabolic Health Research
Cardiology and Cardiovascular Medicine
Healthy Living
Genetically modified mouse
medicine.medical_specialty
Mice
Transgenic

610 Medicine & health
Biology
Diet
High-Fat

2705 Cardiology and Cardiovascular Medicine
03 medical and health sciences
Internal medicine
CETP
medicine
Animals
Humans
Genetic Predisposition to Disease
Oxazolidinones
Triglycerides
Dyslipidemias
Reactive oxygen species
Aryldialkylphosphatase
Cholesterol
Cholesterol
HDL

medicine.disease
Cholesterol Ester Transfer Proteins
Disease Models
Animal

030104 developmental biology
Endocrinology
chemistry
HDL-Cholesterol
Endothelium
Vascular

ELSS - Earth
Life and Social Sciences

Reactive Oxygen Species
Biomarkers
Evacetrapib
Zdroj: Atherosclerosis, 257, 186-194
Atherosclerosis
Atherosclerosis, 257, 184-194
Popis: Background and aims. High-density lipoprotein cholesterol (HDL-C) is inversely related to cardiovascular risk. HDL-C raising ester transfer protein (CETP) inhibitors, are novel therapeutics. We studied the effects of CETP inhibitors anacetrapib and evacetrapib on triglycerides, cholesterol and lipoproteins, cholesterol efflux, paraoxonase activity (PON-1), reactive oxygen species (ROS), and endothelial function in E3L and E3L.CETP mice. Methods. Triglycerides and cholesterol were measured at weeks 5, 14 and 21 in E3L.CETP mice on high cholesterol diet and treated with anacetrapib (3 mg/kg/day), evacetrapib (3 mg/kg/day) or placebo. Cholesterol efflux was assessed ex-vivo in mice treated with CETP inhibitors for 3 weeks on a normal chow diet. Endothelial function was analyzed at week 21 in isolated aortic rings, and serum lipoproteins assessed by fast-performance liquid chromatography. Results. Anacetrapib and evacetrapib increased HDL-C levels (5- and 3.4-fold, resp.) and reduced triglycerides (−39% vs. placebo, p = 0.0174). Total cholesterol levels were reduced only in anacetrapib-treated mice (−32%, p = 0.0386). Cholesterol efflux and PON-1 activity (+45% and +35% vs. control, p < 0.005, resp.) were increased, while aortic ROS production was reduced with evacetrapib (−49% vs. control, p = 0.020). Anacetrapib, but not evacetrapib, impaired endothelium dependent vasorelaxation (p < 0.05). In contrast, no such effects were observed in E3L mice for all parameters tested. Conclusions. Notwithstanding a marked rise in HDL-C, evacetrapib did not improve endothelial function, while anacetrapib impaired it, suggesting that CETP inhibition does not provide vascular protection. Anacetrapib exerts unfavorable endothelial effects beyond CETP inhibition, which may explain the neutral results of large clinical trials in spite of increased HDL-C.
Databáze: OpenAIRE