A Comparative Crossover Study of the Effects of Fluvastatin and Pravastatin (FP-COS) on Circulating Autoantibodies to Oxidized LDL in Patients with Hypercholesterolemia

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著者

    • ZHANG Bo
    • Department of Cardiology, Fukuoka University School of Medicine
    • NODA Keita
    • Department of Cardiology, Fukuoka University School of Medicine
    • SAKU Keijiro
    • Department of Cardiology, Fukuoka University School of Medicine

抄録

This study compared the effects of fluvastatin and pravastatin on the in vivo oxidation of LDL in a crossover design to evaluate whether or not it is justified to switch between the two statins with regard to serum levels of lipids, lipoproteins, and apolipoproteins (apo), and circulating autoantibodies to oxidized LDL (OxLDL-Ab). Patients with hypercholesterolemia (<I>n</I> = 46) were randomly assigned into groups who received fluvastatin (20 mg/d) or pravastatin (10 mg/d). After 3 months, they were crossed to receive the other statin for another 3 months. Circulating levels of OxLDL-Ab were measured by an OxLDL IgG ELISA test. Fluvastatin and pravastatin similarly decreased serum levels of total cholesterol (TC), LDL-C, and apo B, and increased HDL<SUB>2</SUB>-C levels. After crossover to the other statin, these lipid parameters were not further changed by either statin. Before crossover, circulating levels of OxLDL-Ab were decreased in patients with fluvastatin treatment, but not in those with pravastatin treatment. After switching from the other statin, both fluvastatin and pravastatin further decreased OxLDL-Ab levels. In conclusion, fluvastatin at 20 mg/d and pravastatin at 10 mg/d are similar with regard to their efficacy in decreasing TC, LDL-C, and apo B levels and increasing HDL<SUB>2</SUB>-C levels. Fluvastatin lowered circulating levels of OxLDL-Ab, and these effects continued after switching to pravastatin.

収録刊行物

  • Journal of atherosclerosis and thrombosis

    Journal of atherosclerosis and thrombosis 12(1), 41-47, 2005-02-28

    一般社団法人 日本動脈硬化学会

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各種コード

  • NII論文ID(NAID)
    10018366375
  • NII書誌ID(NCID)
    AA11018976
  • 本文言語コード
    ENG
  • 資料種別
    ART
  • ISSN
    13403478
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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