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Dietary and Pharmacological Control of Human and Experimental Hypercholesterolemia

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Fat Production and Consumption

Part of the book series: NATO ASI Series ((NSSA,volume 131))

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Abstract

Elevated levels of plasma cholesterol are known to increase the incidence of clinical manifestations of atherosclerosis in man, A favourable effect of plasma cholesterol reduction, in terms of a diminution of the clinical complications of atherosclerosis has, on the other hand, only recently been shown. The Lipid Research Clinics Coronary Primary Prevention Trial (LRC-CPPT), in fact, which will be examined with more details later, has demonstrated that a reduction (even as little as 8%) of the plasma levels of total cholesterol results in the decrease of the risk of fatal or non fatal myocardial infarctions by 19%, and that the total death rate (death for all causes) is also positively affected, even if less strikingly, by this pharmacological treatment.

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References

  1. Lipid Research Clinics Program: The LRC-CPPT results. I. Reduction in the incidence of Coronary Heart Disease, JAMA 251: 351 (1984).

    Article  Google Scholar 

  2. Lipid Research Clinics Program: The LPC-CPPT results. II. The relationship of reduction in incidence of coronary heart disease to cholesterol lowering, JAMA 251: 365 (1984).

    Article  Google Scholar 

  3. Committee of the principal investigators, WHO Clofibrate Trial: A cooperative trial in the primary prevention of ischemic heart disease using Clofibrate, Br Heart J 40: 1069 (1978).

    Article  Google Scholar 

  4. Coronary Drug Project Research Group: Clofibrate and Niacine in coronary heart disease, JAMA 231: 360 (1975).

    Article  Google Scholar 

  5. Davis CE, Havlik RJ: Clinical trials of Lipid lowering drugs and coronary artery disease prevention, in : “Hyperlipidemia Diagnosis and Therapy”, Rifkind B, Levy R, eds, Grune and Stratton inc, New York, pp 79–92 (1977).

    Google Scholar 

  6. Carvalho A, Colman RW, Lees RS: Platelet function in hyperlipidemia, N Engl J Med 290: 434 (1974).

    Article  PubMed  CAS  Google Scholar 

  7. Tremoli E, Folco GC, Agradi E, Galli C: Platelet thromboxanes and serum cholesterol, Lancet i: 107 (1979).

    Article  Google Scholar 

  8. Tremoli E, Sirtori CR, Maderna P and Paoletti R: Enhanced platelet sensitivity and arachidonic acid metabolism associated with animal and human hyperlipidemias, in :“New Trends in Nutrition, Lipid Research and Cardiovascular disease” Alan R Riss, New York, pp 151–163 (1981).

    Google Scholar 

  9. Tremoli E, Maderna P, Colli S, Morazzoni G, Sirtori M and Sirtori CR: Increased platelet sensitivity and thromboxane B2 formation in type II hyperlipoproteinemic patients, Eur J Clin Invest 14: 329 (1984).

    Article  PubMed  CAS  Google Scholar 

  10. Colli S, Lombroso M, Maderna P, Tremoli E and Nicosia S: Effects of PGI2 on platelet aggregation and adenylate cyclase activity in human type IIA hypercholesterolemia, Biochem Pharm 32: 1989 (1983).

    Article  PubMed  CAS  Google Scholar 

  11. Zmuda A, Dembinska-Kiec A, Chytkowski A, Griglewski RJ: Experimental atherosclerosis in rabbits. Platelet aggregation, thromboxane A2 generation and antiaggregatory potency of Prostacyclin, Prostaglandins 14: 1035 (1977).

    Article  PubMed  CAS  Google Scholar 

  12. Tremoli E, Socini A, Petroni A and Galli C: Increased platelet aggregability is associated with increased prostacyclin production by vessel wall in hypercholesterolemic rabbits, Prostaglandins 24: 397 (1982).

    Article  PubMed  CAS  Google Scholar 

  13. Sirtori CR, Catapano A, Ghiselli GC, Innocenti AL and Rodriguez J: Metformin an antiatherosclerotic agent modifying very low density10. lipoproteins in rabbits, Atherosclerosis 23: 73 (1976).

    Article  PubMed  Google Scholar 

  14. Tremoli E, Ghiselli GC, Maderna P, Colli S and Sirtori CR: Metformin reduces platelet hypersensitivity in hypercholesterolemic rabbits, Atherosclerosis 41: 53 (1982).

    Article  PubMed  CAS  Google Scholar 

  15. Tremoli E, Petroni A, Socini A, Maderna P, Colli S, Paoletti R, Galli C, Ferro-Luzzi A, Strazzullo P, Mancini M, Puska P, Iacono J and Dougherty R: Dietary interventions in North Karelia, Finland and South Italy. Modification of Thromboxane B2 formation in platelets of male subjects only, Atherosclerosis 59: 101 (1986).

    Article  PubMed  CAS  Google Scholar 

  16. De Carvalho ACA, Colman RW and Lees RS: Clofibrate reversal of platelet hypersensitivity in hyperbetalipoproteinemia, Circulation 50: 590 (1974).

    Google Scholar 

  17. Sirtori M, Montanari G, Gianfranceschi G, Malacrida MG, Battistin P, Morazzoni G, Tremoli E, Colli S, Maderna P and Sirtori CR: Clofibrate and Tiadenol treatment in hyperlipoproteinemias, Atherosclerosis 49: 149 (1983).

    Article  PubMed  CAS  Google Scholar 

  18. Vergani C and D’Angelo A: Effet de Tiadenol sur les lipides seriques et sur le function plaquettaire, La Vie Med 2: 1 (1980).

    Google Scholar 

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© 1987 Plenum Press, New York

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Poli, A., Tremoli, E., Galli, C., Paoletti, R. (1987). Dietary and Pharmacological Control of Human and Experimental Hypercholesterolemia. In: Galli, C., Fedeli, E. (eds) Fat Production and Consumption. NATO ASI Series, vol 131. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9495-6_4

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  • DOI: https://doi.org/10.1007/978-1-4615-9495-6_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-9497-0

  • Online ISBN: 978-1-4615-9495-6

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