2008
DOI: 10.5551/jat.e512
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HMG-CoA Reductase Inhibitor, Simvastatin Improves Reverse Cholesterol Transport in Type 2 Diabetic Patients with Hyperlipidemia

Abstract: Aim: ApoA-and HDL promote cellular cholesterol efflux in the early stages of the reverse cholesterol transport (RCT) pathway. A low plasma HDL-C level is characteristic of atherogenic dyslipidemia in patients with type 2 diabetes. We evaluated plasma lipid levels and the expression of factors related to RCT in type 2 diabetic patients, and the effects of an HMG-CoA reductase inhibitor, simvastatin, were studied. Methods: Messenger RNA (mRNA) expression in circulating mononuclear cells was analyzed by reverse t… Show more

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Cited by 32 publications
(27 citation statements)
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References 34 publications
(29 reference statements)
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“…On the contrary, pravastatin did not change the mRNA expression and protein ABCA1 in leukocytes of mice [13] and simvastatin increased ABCA1 levels in PBMCs of Type II diabetes patients in vivo [35]. However, differences between human and mice cholesterol metabolism and the absence of diabetic patients in our study may explain the different findings.…”
Section: Pharmacogenomics (2010) 11(9)contrasting
confidence: 56%
“…On the contrary, pravastatin did not change the mRNA expression and protein ABCA1 in leukocytes of mice [13] and simvastatin increased ABCA1 levels in PBMCs of Type II diabetes patients in vivo [35]. However, differences between human and mice cholesterol metabolism and the absence of diabetic patients in our study may explain the different findings.…”
Section: Pharmacogenomics (2010) 11(9)contrasting
confidence: 56%
“…Although the details and the pathogenesis of low-HDL cholesterolemia and increased risk of atherosclerosis are not well understood, a higher risk of coronary artery disease (CAD) in type 2 diabetic patients might be attributed to a reduced reverse cholesterol transport (RCT) system 2) . Adenosine triphosphate (ATP)-binding cassette transporter (ABC) A1 has been identified as a pivotal gene in the regulation of both plasma HDL cholesterol levels and cellular cholesterol homeostasis, which is a key molecule in the first step of RCT.…”
mentioning
confidence: 99%
“…In particular, abdominal obesity is associated with increased cardiovascular risk factors, elevated blood pressure, increased triglycerides, fasting glucose, and decreased high-density lipoprotein cho-blockade may be potentially beneficial against atherosclerosis 5) . The reverse cholesterol transport (RCT) is one of the major protective systems against atherosclerosis 6,7) . Recently, ATP-binding cassette (ABC) transporter G1 was found to induce an alternative cholesterol efflux pathway from macrophages and prevent cellular lipid accumulation 8,9) .…”
Section: Introductionmentioning
confidence: 99%