Objective-To explore the separate and combined effects of simvastatin and a low-saturated diet rich in ␣-linolenic acid on serum fatty acids. Methods and Results-120 hypercholesterolemic men were randomly allocated to a habitual diet or dietary treatment group and to receive, in random order, simvastatin 20 mg/d or placebo, each for 12 weeks, in a double-blind manner. Dietary treatment decreased proportions from total fatty acids of palmitic acid (C16:0) by 3.3% (PϽ0.05), stearic acid (C18:0) by 3.7% (PϽ0.05) and increased proportions of oleic acid (C18:1n-9) by 4.2% (PϽ0.01), and ␣-linolenic acid (C18:3n-3) by 29.8% (PϽ0.001). Simvastatin decreased proportions from total fatty acids of palmitic acid by 2.0% (PϽ0.01), linoleic acid (C18:2n-6) by 5.3% (PϽ0.001), and ␣-linolenic acid by 6.8% (PϽ0.05), and increased proportions of ␥-linolenic acid (C18:3n-6) by 11.1% (PϽ0.001), dihomo-␥-linolenic acid (C20:3n-6) by 4.2% (PϽ0.01), arachidonic acid (C20:4n-6) by 14.2% (PϽ0.001), and the sum of long-chain polyunsaturated fatty acids (C20-22) by 9.0% (PϽ0.001). Simvastatin increased ratios of stearic to palmitic, ␥-linolenic to linoleic, and arachidonic to dihomo-␥-linolenic acid by 7.6%, 17.0%, and 10.0% (PϽ0.001 for all), respectively, suggesting increased fatty acid elongase and ⌬6-and ⌬5-desaturase enzyme activities.
Conclusions-Increased