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Journal of Lipid Research, Vol 36, 1199-1210, Copyright © 1995 by Lipid Research, Inc.
SM Wrenn Jr, JS Parks, FW Immermann and LL Rudel
Previous studies with a number of selective acylcoenzyme A:cholesterol
acyltransferase (ACAT) inhibitors in several animal models have
demonstrated significant reductions in plasma cholesterol and, in some
studies, triglyceride levels. This study was conducted to examine the
effects of two ACAT inhibitors, CL 283,546 and CL 283,796, in
cholesterol-high fat diet fed African green monkeys, a relevant primate
model of hyperlipidemia and coronary artery atherosclerosis. Treatment with
CL 283,546 or CL 283,796 resulted in significant reductions (ca. 25-30%) in
total plasma cholesterol at both 10 and 30 mg/kg per day doses. This
reduction in plasma cholesterol was due almost entirely to reduction in low
density lipoprotein (LDL) cholesterol (ca. 45%) without significantly
affecting high density lipoprotein (HDL) cholesterol, very low density
lipoprotein + intermediate density lipoprotein (VLDL + IDL) cholesterol, or
triglyceride concentrations. There were no significant effects on plasma
concentrations of apolipoproteins A-I, E, or B and, thus, the reduction
seen in LDL cholesterol appears to be due to a diminished cholesterol
content of LDL particles. Our studies revealed that treatment with these
compounds did not reduce cholesterol absorption, which was somewhat
surprising as ACAT inhibitors are generally thought to exert their
hypolipidemic effects, at least in part, by inhibition of intestinal
cholesterol absorption. Our data are consistent with a principal activity
of these drugs on the liver to reduce cholesteryl ester secretion in VLDL,
leading to a diminished LDL-cholesterol content, and, presumably, enhanced
biliary cholesterol-bile acid excretion.
ARTICLES
ACAT inhibitors CL 283,546 and CL 283,796 reduce LDL cholesterol without affecting cholesterol absorption in African green monkeys
Lederle Laboratories, Medical Research Division, American Cyanamid Co., Pearl River, NY 10965, USA.
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