J. Lipid Res.  Neurobiology of Lipids (ISSN1683-5506)
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Originally published In Press as doi:10.1194/jlr.M700067-JLR200 on May 27, 2007

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Journal of Lipid Research, Vol. 48, 1746-1753, August 2007
Copyright © 2007 by American Society for Biochemistry and Molecular Biology

Effects of different doses of atorvastatin on human apolipoprotein B-100, B-48, and A-I metabolism

Stefania Lamon-Fava1,*, Margaret R. Diffenderfer*, P. Hugh R. Barrett{dagger}, Aaron Buchsbaum*, Nirupa R. Matthan§, Alice H. Lichtenstein§, Gregory G. Dolnikowski**, Katalin Horvath*, Bela F. Asztalos*, Valeria Zago* and Ernst J. Schaefer*,{dagger}{dagger}

* Lipid Metabolism Laboratory, Jean Mayer United States Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA
§ Cardiovascular Nutrition Laboratory, Jean Mayer United States Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA
** Mass Spectrometry Laboratory, Jean Mayer United States Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, MA
{dagger} School of Medicine and Pharmacology, University of Western Australia, Perth, Australia
{dagger}{dagger} Cardiovascular Research Laboratory, Friedman School of Nutrition Science and Policy at Tufts University and Tufts University School of Medicine, Boston, MA

Published, JLR Papers in Press, May 27, 2007.

1 To whom correspondence should be addressed. e-mail: stefania.lamon-fava{at}tufts.edu

Nine hypercholesterolemic and hypertriglyceridemic subjects were enrolled in a randomized, placebo-controlled, double-blind, crossover study to test the effect of atorvastatin 20 mg/day and 80 mg/day on the kinetics of apolipoprotein B-100 (apoB-100) in triglyceride-rich lipoprotein (TRL), intermediate density lipoprotein (IDL), and LDL, of apoB-48 in TRL, and of apoA-I in HDL. Compared with placebo, atorvastatin 20 mg/day was associated with significant reductions in TRL, IDL, and LDL apoB-100 pool size as a result of significant increases in fractional catabolic rate (FCR) without changes in production rate (PR). Compared with the 20 mg/day dose, atorvastatin 80 mg/day caused a further significant reduction in the LDL apoB-100 pool size as a result of a further increase in FCR. ApoB-48 pool size was reduced significantly by both atorvastatin doses, and this reduction was associated with nonsignificant increases in FCR. The lathosterol-campesterol ratio was decreased by atorvastatin treatment, and changes in this ratio were inversely correlated with changes in TRL apoB-100 and apoB-48 PR. No significant effect on apoA-I kinetics was observed at either dose of atorvastatin. Our data indicate that atorvastatin reduces apoB-100- and apoB-48-containing lipoproteins by increasing their catabolism and has a dose-dependent effect on LDL apoB-100 kinetics. Atorvastatin-mediated changes in cholesterol homeostasis may contribute to apoB PR regulation.

Supplementary key words kinetics • lathosterol • campesterol


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