Cholesteryl Ester Transfer Protein Inhibition With Anacetrapib Decreases Fractional Clearance Rates of High-Density Lipoprotein Apolipoprotein A-I and Plasma Cholesteryl Ester Transfer Protein

Autor: Patricia Jumes, Rajasekhar Ramakrishnan, Stephen Holleran, John S. Millar, Gissette Reyes-Soffer, Amanda Baer, Yang Liu, Henry N. Ginsberg, Tiffany Thomas, David E. Gutstein, John A. Wagner, Amy O. Johnson-Levonas, Richard L. Dunbar, Emil M. deGoma, Daniel J. Rader, Michael E. Lassman, Wahida Karmally, Colleen Ngai, Ellie Coromilas, Hashmi Rafeek, Daniel S. Donovan, Bela F. Asztalos
Rok vydání: 2016
Předmět:
Adult
Male
0301 basic medicine
medicine.medical_specialty
Time Factors
Apolipoprotein B
Atorvastatin
030204 cardiovascular system & hematology
Fractional clearance
03 medical and health sciences
Plasma Cholesteryl Ester Transfer Protein
chemistry.chemical_compound
0302 clinical medicine
High-density lipoprotein
Double-Blind Method
Anacetrapib
Internal medicine
Cholesterylester transfer protein
medicine
Humans
Oxazolidinones
Aged
Dyslipidemias
Apolipoprotein A-I
biology
Chemistry
Anticholesteremic Agents
nutritional and metabolic diseases
Metabolism
Middle Aged
Cholesterol Ester Transfer Proteins
Treatment Outcome
030104 developmental biology
Endocrinology
biology.protein
Female
lipids (amino acids
peptides
and proteins)

Lipoproteins
HDL

Cardiology and Cardiovascular Medicine
Apolipoprotein A-II
Biomarkers
medicine.drug
Zdroj: Arteriosclerosis, Thrombosis, and Vascular Biology. 36:994-1002
ISSN: 1524-4636
1079-5642
Popis: Objective— Anacetrapib (ANA), an inhibitor of cholesteryl ester transfer protein (CETP) activity, increases plasma concentrations of high-density lipoprotein cholesterol (HDL-C), apolipoprotein A-I (apoA)-I, apoA-II, and CETP. The mechanisms responsible for these treatment-related increases in apolipoproteins and plasma CETP are unknown. We performed a randomized, placebo (PBO)-controlled, double-blind, fixed-sequence study to examine the effects of ANA on the metabolism of HDL apoA-I and apoA-II and plasma CETP. Approach and Results— Twenty-nine participants received atorvastatin (ATV) 20 mg/d plus PBO for 4 weeks, followed by ATV plus ANA 100 mg/d for 8 weeks (ATV-ANA). Ten participants received double PBO for 4 weeks followed by PBO plus ANA for 8 weeks (PBO-ANA). At the end of each treatment, we examined the kinetics of HDL apoA-I, HDL apoA-II, and plasma CETP after D3-leucine administration as well as 2D gel analysis of HDL subspecies. In the combined ATV-ANA and PBO-ANA groups, ANA treatment increased plasma HDL-C (63.0%; P P P =0.002) without changes in production rate. Although the apoA-II levels increased by 12.6% ( P P P Conclusions— ANA treatment increases HDL apoA-I and CETP levels by decreasing the fractional clearance rate of each protein.
Databáze: OpenAIRE