Skip to main content

Metabolic Studies with Lovastatin in Patients with Primary Hypercholesteremia

  • Conference paper
Drugs Affecting Lipid Metabolism

Part of the book series: Proceedings in Life Sciences ((LIFE SCIENCES))

Abstract

Lovastatin (mevinolin) is a competitive inhibitor of HMG CoA (hydroxymethyl-gluturate coenzyme A) reductase. Lovastatin decreases cholesterol synthesis and increases the number of LDL (low density lipoprotein) receptors and the catabolism of LDL (1,2). A variety of clinical trials demonstrate that lovastatin administration in humans is associated with significant reductions in LDL cholesterol up to 40% (3). The efficacy of lovastatin in humans appears to be established, but additional studies in humans related to long-term safety and mechanism of action are still in progress. This report addresses several of these issues in a preliminary fashion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Tobert JA et al. (1982) Cholesterol lowering effect of mevinolin an inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase in healthy volunteers. J Clin Invest 69:913–919

    Article  PubMed  CAS  Google Scholar 

  2. Bilheimer DW, Grundy SM, Brown MS, Goldstein JL (1983) Mevinolin stimulates receptor-mediated clearance of low density lipoprotein from plasma in familial hypercholesterolemia hepterozygotes. Trans Assoc Am Phys 96:1–9

    PubMed  CAS  Google Scholar 

  3. Illingworth DR, Sexton GJ (1984) Hypocholesterolemic effects of mevinolin in patients with heterozygous familial hypercholesterolemia. J Clin Invest 74:1972–1978

    Article  PubMed  CAS  Google Scholar 

  4. Vesell ES (1979) The antipyrine test in clinical pharmacology conceptions and misconceptions. Clin Pharmacol Ther 26:275–286

    PubMed  CAS  Google Scholar 

  5. Gebhard RL, Stone BG, Prigge WF (1985) 3-hydroxy-3-methylglutaryl coenzyme A reductase activity in the human gastrointestinal tract L Lipid Res 26:47–53

    CAS  Google Scholar 

  6. Carey MC, Small DM (1978) The physical chemistry of cholesterol solubility in bile. J Clin Invest 61:998–1026

    Article  PubMed  CAS  Google Scholar 

  7. Duane WC (1978) Simulation of the defect of bile acid metabolism associated with cholesterol cholelithiasis by sorbitol ingestion in man. J Lab Clin Med 91:969–978

    PubMed  CAS  Google Scholar 

  8. DeVries JX, Staiger C, Wang NS, Schlicht F, Oroknay B (1984) Simultaneous determination of antipyrine and metabolites in human plasma and urine by high-performance liquid chromatography. J Chromatol 309:219–221

    Article  CAS  Google Scholar 

  9. Brown MS, Goldstein JL, Dietsch JM (1979) Active and inactive forms of 3-hydroxy-3-methylglutaryl coenzyme A reductase in the liver of the rat J Biol Chem 254:5144–5149

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Hunninghake, D.B. et al. (1987). Metabolic Studies with Lovastatin in Patients with Primary Hypercholesteremia. In: Paoletti, R., Kritchevsky, D., Holmes, W.L. (eds) Drugs Affecting Lipid Metabolism. Proceedings in Life Sciences. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71702-4_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71702-4_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71704-8

  • Online ISBN: 978-3-642-71702-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics