Effect of HMG-CoA reductase inhibitors on plasma polyunsaturated fatty acid concentrations in patients with hyperlipidemia.

N Nakamura, T Hamazaki, H Jokaji, S Minami, M Kobayashi
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引用次数: 46

Abstract

We investigated the effect of 12 months' HMG-CoA reductase inhibitor treatment on plasma polyunsaturated fatty acid concentrations in 19 patients with hyperlipidemia. Arachidonic acid concentrations were significantly increased following treatment (from 110.1 +/- 20.4 mg/l to 129.2 +/- 31.6 mg/l, P < 0.05). The ratio of eicosapentaenoic acid to arachidonic acid was significantly decreased at the end of 12 months' treatment (from 0.702 +/- 0.370 to 0.541 +/- 0.204, P < 0.05). These results suggest that HMG-CoA reductase inhibitors may increase the synthesis of metabolites from arachidonic acid in patients with hyperlipidemia, and that the addition of fish oil is more effective for the prevention of coronary heart disease than HMG-CoA reductase inhibitors alone.

HMG-CoA还原酶抑制剂对高脂血症患者血浆多不饱和脂肪酸浓度的影响
我们研究了HMG-CoA还原酶抑制剂治疗12个月对19例高脂血症患者血浆多不饱和脂肪酸浓度的影响。花生四烯酸浓度从110.1 +/- 20.4 mg/l显著升高至129.2 +/- 31.6 mg/l, P < 0.05)。治疗12个月后,二十碳五烯酸与花生四烯酸的比值显著降低(由0.702 +/- 0.370降至0.541 +/- 0.204,P < 0.05)。这些结果表明,HMG-CoA还原酶抑制剂可能会增加高脂血症患者花生四烯酸代谢物的合成,并且添加鱼油比单独使用HMG-CoA还原酶抑制剂更有效地预防冠心病。
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