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Titre du document / Document title

The effect of Simvastatin treatment on natural antioxidants in low-density lipproteins and high-energy phosphates and ubiquinone in skeletal muscle

Auteur(s) / Author(s)

LAAKSONEN R. ; JAKELAINEN K. ; LAAKSO J. ; SAHI T. ; HÄRKÖNEN M. ; TIKKANEN M. J. ; HIMBERG J.-J. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Department of Clinical Pharmacology, University of Helsinki, FINLANDE

Résumé / Abstract

It has been hypothesized that treating hypercholesterolemic patients with statins will lead not only to a reduction in cholesterol, but also to inhibited synthesis of other compounds which derive from the synthetic pathway of cholesterol. In theory, this could further lead to ubiquinone deficiency in muscle cell mitochondria, disturbing normal cellular respiration and causing adverse effects such as rhabdomyolysis. Furthermore, ubiquinone is one of the lipophilic antioxidants in low-density lipoprotein (LDL), and therefore it has also been hypothesized that statin treatment will reduce the antioxidant capacity of LDL. We investigated the effect of 6 months of simvastatin treatment (20 mg/day) on skeletal muscle concentrations of high-energy phosphates and ubiquinone by performing biopsies in 19 hypercholesterolemic patients. Parallel assays were performed in untreated control subjects. The muscle high-energy phosphate and ubiquinone concentrations assayed after simvaslatin treatment were similar to those observed at baseline and did not differ from the values obtained in control subjects at the beginning and end of follow-up. These results do not support the hypothesis of diminished isoprenoid synthesis or energy generation in muscle cells during simvastatin treatment. Furthermore, the results of analysis of antioxidant concentrations in LDL before and after simvastafin treatment indicate that the antioxidant capacity of LDL is maintained in simvastatin-treated patients.

Revue / Journal Title

The American journal of cardiology    ISSN  0002-9149   CODEN AJCDAG 

Source / Source

1996, vol. 77, no10, pp. 851-854 (25 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1958) (Revue)

Mots-clés anglais / English Keywords

Hypercholesterolemia ; Enzyme inhibitor ; Hydroxymethylglutaryl-CoA synthase ; Antioxidant ; Lipoprotein LDL ; High energy phosphate ; Ubiquinone ; Striated muscle ; Chemotherapy ; Treatment ; Exploration ; Human ; Lipids ; Antilipemic agent ; Oxo-acid-lyases ; Carbon-carbon lyases ; Lyases ; Enzyme ; Metabolic diseases ; Hyperlipoproteinemia ;

Mots-clés français / French Keywords

Hypercholestérolémie ; Simvastatine ; Inhibiteur enzyme ; Hydroxymethylglutaryl-CoA synthase ; Antioxydant ; Lipoprotéine LDL ; Phosphate hautement énergétique ; Ubiquinone ; Muscle strié ; Chimiothérapie ; Traitement ; Exploration ; Homme ; Lipide ; Hypolipémiant ; Oxo-acid-lyases ; Carbon-carbon lyases ; Lyases ; Enzyme ; Métabolisme pathologie ; Hyperlipoprotéinémie ;

Mots-clés espagnols / Spanish Keywords

Hipercolesterolemia ; Inhibidor enzima ; Hydroxymethylglutaryl-CoA synthase ; Antioxidante ; Lipoproteína LDL ; Fosfato altamente energético ; Ubiquinona ; Músculo estriado ; Quimioterapia ; Tratamiento ; Exploración ; Hombre ; Lípido ; Hipolipemiante ; Oxo-acid-lyases ; Carbon-carbon lyases ; Lyases ; Enzima ; Metabolismo patología ; Hiperlipoproteinemia ;

Localisation / Location

INIST-CNRS, Cote INIST : 8674, 35400004342862.0100

Nº notice refdoc (ud4) : 3100303



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