Plasma apolipoprotein M responses to statin and fibrate administration in type 2 diabetes mellitus
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Plasma apolipoprotein M responses to statin and fibrate administration in type 2 diabetes mellitus. / Kappelle, Paul J W H; Ahnström, Josefin; Dikkeschei, Bert D; de Vries, Rindert; Sluiter, Wim J; Wolffenbuttel, Bruce H R; van Tol, Arie; Nielsen, Lars Bo; Dahlbäck, Björn; Dullaart, Robin P F.
In: Atherosclerosis, Vol. 213, No. 1, 2010, p. 247-250.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Plasma apolipoprotein M responses to statin and fibrate administration in type 2 diabetes mellitus
AU - Kappelle, Paul J W H
AU - Ahnström, Josefin
AU - Dikkeschei, Bert D
AU - de Vries, Rindert
AU - Sluiter, Wim J
AU - Wolffenbuttel, Bruce H R
AU - van Tol, Arie
AU - Nielsen, Lars Bo
AU - Dahlbäck, Björn
AU - Dullaart, Robin P F
N1 - Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
PY - 2010
Y1 - 2010
N2 - Purpose: Plasma apolipoproteinM(apoM) is potentially anti-atherogenic, and has been found to be associated positively with plasma total, LDL and HDL cholesterol in humans.ApoMmay, therefore, be intricately related to cholesterol metabolism. Here, we determined whether plasma apoM is affected by statin or fibrate administration in patients with diabetes mellitus. Methods: Fourteen type 2 diabetic patients participated in a placebo-controlled crossover study which included three 8-week treatment periods with simvastatin (40mg daily), bezafibrate (400mg daily), and their combination. Results: ApoM was decreased by 7% in response to simvastatin (P < 0.05 from baseline and placebo), and remained unchanged during bezafibrate and combined simvastatin + bezafibrate administration. Plasma apoM concentrations correlated positively with apoB-containing lipoprotein measures at baseline and during placebo (P < 0.02 to P < 0.001), but these relationships were lost during all lipid lowering treatment periods. Conclusions: This study suggests that, even though plasma apoM is lowered by statins, apoM metabolism is to a considerable extent independent of statin- and fibrate-affected pathways involved in cholesterolhomeostasis.
AB - Purpose: Plasma apolipoproteinM(apoM) is potentially anti-atherogenic, and has been found to be associated positively with plasma total, LDL and HDL cholesterol in humans.ApoMmay, therefore, be intricately related to cholesterol metabolism. Here, we determined whether plasma apoM is affected by statin or fibrate administration in patients with diabetes mellitus. Methods: Fourteen type 2 diabetic patients participated in a placebo-controlled crossover study which included three 8-week treatment periods with simvastatin (40mg daily), bezafibrate (400mg daily), and their combination. Results: ApoM was decreased by 7% in response to simvastatin (P < 0.05 from baseline and placebo), and remained unchanged during bezafibrate and combined simvastatin + bezafibrate administration. Plasma apoM concentrations correlated positively with apoB-containing lipoprotein measures at baseline and during placebo (P < 0.02 to P < 0.001), but these relationships were lost during all lipid lowering treatment periods. Conclusions: This study suggests that, even though plasma apoM is lowered by statins, apoM metabolism is to a considerable extent independent of statin- and fibrate-affected pathways involved in cholesterolhomeostasis.
KW - Apolipoproteins
KW - Bezafibrate
KW - Blood Pressure
KW - Cholesterol
KW - Cross-Over Studies
KW - Diabetes Mellitus, Type 2
KW - Double-Blind Method
KW - Fibric Acids
KW - Humans
KW - Hydroxymethylglutaryl-CoA Reductase Inhibitors
KW - Hypolipidemic Agents
KW - Lipocalins
KW - Male
KW - Middle Aged
KW - Placebos
KW - Simvastatin
U2 - 10.1016/j.atherosclerosis.2010.07.048
DO - 10.1016/j.atherosclerosis.2010.07.048
M3 - Journal article
C2 - 20828695
VL - 213
SP - 247
EP - 250
JO - Atherosclerosis
JF - Atherosclerosis
SN - 0021-9150
IS - 1
ER -
ID: 33815164