1991
DOI: 10.1159/000174789
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Mechanisms of Lipid-Lowering Agents

Abstract: Lipid-lowering agents are used with the purpose of ameliorating hyperlipoproteinemias, in order to prevent arterial disease. Lipid-lowering drugs can be classified into absorbable agents and into nonabsorbable compounds, acting within the gastrointestinal lumen. Absorbable drugs (fibric acids, nicotinic acid, probucol, HMG-CoA reductase inhibitors) reduce plasma very-low-density lipoproteins (VLDL) and/or low-density lipoproteins (LDL) by a variety of mechanisms. Fibric acids, in particular, act by stimulating… Show more

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Cited by 20 publications
(4 citation statements)
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“…The effect of hypolipidaemic drugs seen in our cell model is less pronounced than in rat liver but stronger in the rat cell line MH1C1 than in the human cell line HepG2, but is in accordance with previous findings of Graham et al (20) in primates and of Hanefeld et al (35) in humans which indicates that the peroxisomal proliferation in human and primate is not as pronounced as in rat, although the lipid lowering effect is present in human (5). The hypotriglyceridaemic action of the se drugs is reported to be due to the decrease of apolipoprotein C-III gene expression, which was demonstrated by Staels et al (36) in rat and human hepatocytes.…”
Section: Discussionsupporting
confidence: 93%
“…The effect of hypolipidaemic drugs seen in our cell model is less pronounced than in rat liver but stronger in the rat cell line MH1C1 than in the human cell line HepG2, but is in accordance with previous findings of Graham et al (20) in primates and of Hanefeld et al (35) in humans which indicates that the peroxisomal proliferation in human and primate is not as pronounced as in rat, although the lipid lowering effect is present in human (5). The hypotriglyceridaemic action of the se drugs is reported to be due to the decrease of apolipoprotein C-III gene expression, which was demonstrated by Staels et al (36) in rat and human hepatocytes.…”
Section: Discussionsupporting
confidence: 93%
“…Fibric acid derivatives are a well known group of hypolipidaemic drugs used mainly in the treatment of hypertriglyceridaemia and mixed hyperlipidaemia (Sirtori et al, 1991;Klosiewicz-Latoszek & Szostak, 1991). Although they have been in therapeutic use for more than twenty years, the mechanism(s) by which they reduce blood lipis is not fully understood.…”
Section: Introductionmentioning
confidence: 99%
“…Even though the metabolism of BS was described 45 years ago [80], the detailed metabolic turnover, absolute oral bioavailability, clearance, and volume of distribution for BS measured in healthy subjects have been reported only recently [75]. Generally, it has been considered that BS interrupts the recirculation of bile acids and/or reduces the absorption of cholesterol in the gut [81,82,83,84,85]. However, substantial experimental evidence is needed to propose the primary molecular mechanism about the physicochemical competition between cholesterol and BS and other phytosterols for micellar incorporation and uptake at the gut lumen [86].…”
Section: Pharmacokinetic Studiesmentioning
confidence: 99%