Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2016-05-18 |
タイトル |
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タイトル |
Serum CETP status is independently associated with reduction rates in LDL-C in pitavastatin-treated diabetic patients and possible involvement of LXR in its association |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_1843 |
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資源タイプ |
other |
著者 |
Shimada, Akihiro
Kimura, Hideki
Oida, Koji
Kanehara, Hideo
Bando, Yukihiro
Sakamoto, Shinobu
Wakasugi, Takanobu
Saga, Takashi
Ito, Yasuki
Kamiyama, Kazuko
Mikami, Daisuke
Iwano, Masayuki
Hirano, Tsutomu
Yoshida, Haruyoshi
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: Statins decrease cholesteryl ester transfer protein (CETP) levels, which have been positively associated with hepatic lipid content as well as serum low density lipoproteins-cholesterol (LDL-C) levels. However, the relationship between the CETP status and statin-induced reductions in LDL-C levels has not yet been elucidated in detail. We herein examined the influence of the CETP status on the lipid-reducing effects of pitavastatin in hypercholesterolemic patients with type 2 diabetes mellitus as well as the molecular mechanism underlying pitavastatin-induced modifications in CETP levels. Methods: Fifty-three patients were treated with 2 mg of pitavastatin for 3 months. Serum levels of LDL-C, small dense (sd) LDL-C, and CETP were measured before and after the pitavastatin treatment. The effects of pitavastatin, T0901317, a specific agonist for liver X receptor (LXR) that reflects hepatic cholesterol contents, and LXR silencing on CETP mRNA expression in HepG2 cells were also examined by a real-time PCR assay. Results: The pitavastatin treatment decreased LDL-C, sdLDL-C, and CETP levels by 39, 42, and 23 %, respectively. Despite the absence of a significant association between CETP and LDL-C levels at baseline, baseline CETP levels and its percentage change were an independent positive determinant for the changes observed in LDL-C and sdLDL-C levels. The LXR activation with T0901317 (0.5 μM), an in vitro condition analogous to hepatic cholesterol accumulation, increased CETP mRNA levels in HepG2 cells by approximately 220 %, while LXR silencing markedly diminished the increased expression of CETP. Pitavastatin (5 μM) decreased basal CETP mRNA levels by 21 %, and this was completely reversed by T0901317. Conclusion: Baseline CETP levels may predict the lipid-reducing effects of pitavastatin. Pitavastatin-induced CETP reductions may be partially attributed to decreased LXR activity, predictable by the ensuing decline in hepatic cholesterol synthesis. Trial registration: UMIN Clinical Trials Registry ID UMIN000019020 |
書誌情報 |
Lipids in Health and Disease
巻 15,
p. 57,
発行日 2016-05
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出版者 |
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出版者 |
BioMed Central |
ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1476511X |
書誌レコードID |
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識別子タイプ |
NCID |
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関連識別子 |
TD00006197 |
DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
10.1186/s12944-016-0223-6 |
著者版フラグ |
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出版タイプ |
AO |
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出版タイプResource |
http://purl.org/coar/version/c_b1a7d7d4d402bcce |