Mechanisms of action in the liver of crilvastatin, a new hydroxymethylglutaryl-coenzyme A reductase inhibitor
Identifieur interne : 000151 ( France/Analysis ); précédent : 000150; suivant : 000152Mechanisms of action in the liver of crilvastatin, a new hydroxymethylglutaryl-coenzyme A reductase inhibitor
Auteurs : Thierry Clerc [France] ; Michel Jomier [France] ; Magali Chautan [France] ; Henry Portugal [France] ; Michèle Senft ; Anne-Marie Pauli [France] ; Claude Laruelle [France] ; Olivier Morel [France] ; Huguette Lafont [France] ; Françoise ChanussotSource :
- European Journal of Pharmacology [ 0014-2999 ] ; 1993.
Abstract
Crilvastatin is a drug from the pyrrolidone family that had been shown to induce non-competitive inhibition of rat hydroxymethylglutaryl-coenzyme A reductase activity in vitro. The aim of this study was to evaluate the activity of crilvastatin on the hepatic metabolism of cholesterol in rats. Crilvastatin increased low density lipoprotein (LDL)-cholesterol uptake by the liver more than high density lipoprotein (HDL) uptake, thus increasing by up 30% the clearance of excess plasma cholesterol. In normolipidemic rats, crilvastatin significantly enhanced acyl coenzyme A: cholesterol acyl transferase and cholesterol 7α-hydroxylase activity. In rats with a previous high cholesterolemia, crilvastatin also enhanced cholesterol 7α-hydroxylase activity and did not increase liver acyl coenzyme A: cholesterol acyl transferase activity. These findings suggest that a drug such as crilvastatin could have a hypocholesterolemic effect by a mechanism other than the sole inhibition of cholesterol synthesis, possibly by stimulating cholesterol and bile salt secretion via the biliary tract in previously hypercholesterolemic rats.
Url:
DOI: 10.1016/0014-2999(93)90820-8
Affiliations:
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<front><div type="abstract" xml:lang="en">Crilvastatin is a drug from the pyrrolidone family that had been shown to induce non-competitive inhibition of rat hydroxymethylglutaryl-coenzyme A reductase activity in vitro. The aim of this study was to evaluate the activity of crilvastatin on the hepatic metabolism of cholesterol in rats. Crilvastatin increased low density lipoprotein (LDL)-cholesterol uptake by the liver more than high density lipoprotein (HDL) uptake, thus increasing by up 30% the clearance of excess plasma cholesterol. In normolipidemic rats, crilvastatin significantly enhanced acyl coenzyme A: cholesterol acyl transferase and cholesterol 7α-hydroxylase activity. In rats with a previous high cholesterolemia, crilvastatin also enhanced cholesterol 7α-hydroxylase activity and did not increase liver acyl coenzyme A: cholesterol acyl transferase activity. These findings suggest that a drug such as crilvastatin could have a hypocholesterolemic effect by a mechanism other than the sole inhibition of cholesterol synthesis, possibly by stimulating cholesterol and bile salt secretion via the biliary tract in previously hypercholesterolemic rats.</div>
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