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Abstract
The effect of lovastatin therapy on LDL-receptor activity in fresh monocytes and on
the structure and composition of lipoproteins was determined in 9 patients with familial
hypercholesterolemia (FH) and 8 patients with non-familial hypercholesterolemia (NFH).
Lovastatin reduced LDL-cholesterol levels by 34.8 and 47.5%, respectively, in the
2 groups of patients, and plasma apo B levels by 33.3 and 42.5%. LDL receptor activity
in fresh monocytes increased by 53% and 86% respectively. HDL-cholesterol and plasma
apo A-I levels increased only in the NFH group, by 10.2 and 7.1%. Lipoproteins were
separated by centrifugation on a zonal rotor. Except for the intermediate density
lipoprotein (IDL) fraction, no changes were observed in the structure and composition
of the various lipoproteins. The investigations thus demonstrated that lovastatin
therapy is associated with a measurable and significant increase of LDL-receptor activity
in circulating monocytes that may contribute to the lipid lowering action of the drug.
Keywords
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Article info
Publication history
Accepted:
January 8,
1990
Received in revised form:
January 2,
1990
Received:
April 7,
1989
Identification
Copyright
© 1990 Published by Elsevier Inc.