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Papers In Press, published online ahead of print March 24, 2009 J. Lipid Res., doi:10.1194/jlr.M900037-JLR200
Cardiovascular and Metabolic Diseases, Wyeth, Cambridge, MA 02140
Corresponding Author: gvlasuk{at}wyeth.com
Liver X receptors (LXRs) are ligand-activated transcription factors that coordinate regulation of gene expression involved in several cellular functions but most notably cholesterol homeostasis encompassing cholesterol transport, catabolism and absorption. WAY-252623 (LXR-623), is a highly selective and orally bioavailable synthetic modulator of LXR, that demonstrated efficacy for reducing lesion progression in the murine LDLR-/- atherosclerosis model with no associated increase in hepatic lipogenesis either in this model or Syrian hamsters. In non-human primates with normal lipid levels, WAY-252623 significantly reduced total (50-55%) and LDL-cholesterol (LDLc) (70-77%) in a time and dose dependent manner as well as increased expression of the target genes ABCA1/G1 in peripheral blood cells. Statistically significant decreases in LDLc noted as early as 7d reached a maximum by 28d and exceeded reductions observed for simvastatin alone (20 mg/kg). Transient increases in circulating triglycerides and liver enzymes reverted to baseline levels over the course of the study. Complementary microarray analysis of duodenum and liver gene expression revealed differential activation of LXR target genes and suggests no direct activation of hepatic lipogenesis. WAY-252623, displays a unique and favorable pharmacological profile suggesting synthetic LXR ligands with these characteristics may be suitable for evaluation in patients with atherosclerotic dyslipidemia
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