Pravastatin reduces thrombogenicity by mechanisms beyond plasma cholesterol lowering
Pravastatin reduces thrombogenicity by mechanisms beyond plasma cholesterol lowering
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DOI:
10.1160/th05-04-0245
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发表时间:
2005-11-01
影响因子:
6.7
通讯作者:
Badimon, L
中科院分区:
文献类型:
--
作者:
Casani, L;Sanchez-Gomez, S;Badimon, L
Inhibitors of 3-hydroxy-3-methylglutaryl coenzymeA reductase are widely used in the management and prevention of cardiovascular disease. In addition to its major activity, plasma lipid lowering, statins have shown a wide spectrum of additional effects that may contribute to their benefits in the prevention of cardiovascular disease. Our objective was to study whether treatment with a statin, pravastatin, could reduce thrombosis triggered by damaged vessels without changing plasma cholesterol levels. A cholesterol-clamp animal model was developed by feeding swine for 100 days on an hypercholesterolemic (HL) diet; in the last 50 days, they were randomly assigned to receive either placebo (HLC) or pravastatin (5 mg . kg(-1). day(-1)) (HLP) in addition to the hypercholesterolemic diet. A normocholesterolemic control group (NLC) was simultaneously studied. There were no significant differences in total cholesterol, LDL and HDL plasma levels between the two groups; however, mural thrombosis triggered by both an eroded and disrupted vessel wall was significantly inhibited by pravastatin (P