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Type: Artigo de periódico
Title: Effects Of Atorvastatin And T-786c Polymorphism Of Enos Gene On Plasma Metabolic Lipid Parameters
Author: Zago V.H.S.
dos Santos J.E.T.
Danelon M.R.G.
da Silva R.M.M.
Panzoldo N.B.
Parra E.S.
Alexandre F.
Virginio V.W.M.
Quintao E.C.R.
de Faria E.C.
Abstract: Background: Endothelial nitric oxide synthase (eNOS) activity may be modulated by high-density lipoprotein cholesterol (HDL-C), statins or polymorphisms, such as the T-786C of eNOS. Objective: This study aimed at evaluating if the T-786C polymorphism is associated with changes of atorvastatin effects on the lipid profile, on the concentrations of metabolites of nitric oxide (NO) and of high sensitivity C-reactive protein (hsCRP). Methods: Thirty male volunteers, asymptomatic, aged between 18 and 56 years were genotyped and classified according to absence (TT, n = 15) or presence (CC, n = 15) of the polymorphism. They were randomly selected for the use of placebo or atorvastatin (10 mg/day/14 days). After each treatment lipids, lipoproteins, HDL2 and HDL3 composition, cholesteryl ester transfer protein (CETP) activity, metabolites of NO and hsCRP were evaluated. Results: The comparisons between genotypes after placebo showed an increase in CETP activity in a polymorphism-dependent way (TT, 12±7; CC, 22±12; p ≤ 0.05). The interaction analyses between treatments indicated that atorvastatin has an effect on cholesterol, LDL, nitrite and lipid-protein ratios (HDL2 and HDL3) (p ≤ 0.001) in both genotypes. Interestingly, we observed genotype/drug interactions on CETP (p ≤ 0.07) and lipoprotein (a) (Lp(a)) (p ≤ 0.056), leading to a borderline decrease in CETP, but with no effect on Lp(a). HsCRP showed no alteration. Conclusion: These results suggest that statin treatment may be relevant for primary prevention of atherosclerosis in patients with the T-786C polymorphism of eNOS, considering the effects on lipid metabolism.
Rights: aberto
Identifier DOI: 10.1590/S0066-782X2012005000120
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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