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阿昔莫司在降低脂蛋白a 方面的临床研究

段 秀娥
怀仁市医疗集团人民医院

摘要


这项对照临床试验的目的是评估阿昔莫司对血浆脂蛋白(a) 浓度的影响。将300 例高脂症患者随机分为试验组和对照组,试验组每天口服两次阿昔莫司,每次250mg;对照组每晚口服一次阿托伐他汀10mg。在服药前、服药后一个月和服药后两个月监测血浆总胆固醇、三酰甘油、高密度脂蛋白胆固醇,LDL-C,Lp(a) 水平。实验结果发现,服药后试验组血浆总胆固醇,三酰甘油,低密度脂蛋白胆固醇,Lp(a) 水平显着降低,高密度脂蛋白胆固醇略有增加;在降低Lp(a) 水平方面,阿昔莫司的治疗效果明显优于阿托伐他汀。

关键词


阿昔莫司;高脂症;脂蛋白a;阿托伐他汀

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参考


[1]Cannon, C. P. et al. Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes[J]. The New England journal

of medicine 372, 2387–2397(2015).

[2]Ellis, K. L., Boffa, M. B., Sahebkar, A., Koschinsky, M. L. & Watts, G. F. The renaissance of lipoprotein(a): Brave new

world for preventive cardiology[J]. Progress in Lipid Research 68, 57–82(2017).

[3]Pirro, M. et al. Lipoprotein(a) and inflammation: A dangerous duet leading to endothelial loss of integrity[J]. Pharma -

cological Research 119, 178–187(2017).

[4]Marcovina, S. M., & Albers, J. J. (2015). Lipoprotein (a) measurements for clinical application[J]. Journal of Lipid

Research, 57(4), 526–537.

[5]Schmidt, K., Noureen, A., Kronenberg, F. & Utermann, G. Stru cture, function, and genetics of lipoprotein (a)[J]. J Lip -

id Res 57, 1339–1359(2016).

[6]Thomas, T. et al. CETP (Cholesteryl Ester Transfer Protein) Inhibition With Anacetrapib Decreases Production of

Lipoprotein(a) in Mildly Hypercholesterolemic Subjects[J]. Arteriosclerosis, thrombosis, and vascular biology 37, 1770–

1775(2017).

[7]Sharma, M., Redpath, G. M., Williams, M. J. & McCormick, S. P. Recycling of Apolipoprotein(a) After PlgRKT-Mediated

Endocytosis of Lipoprotein(a)[J]. Circulation research 120, 1091–1102(2017).

[8]Tie, C. et al. Ezetimibe Attenuates Atherosclerosis Associated with Lipid Reduction and Inflammation Inhibition[J].

PLoS One 10, e0142430(2015).

[9]Qin, L. et al. Anti-inflammatory activity of ezetimibe by re gulating NF-kappaB/MAPK pathway in THP-1 macrophages[

J]. Pharmacology 93, 69–75(2014).

[10]Dolezelova, E. et al. Effect of ezetimibe on plasma adipoki nes: a systematic review and meta-analysis[J]. Br J Clin

Pharmacol 83,1380–1396(2017).

[11]Tsimikas, S. A Test in Context: Lipoprotein(a)[J]. Journal of the American College of Cardiology, 69(6), 692–

711(2017).




DOI: http://dx.doi.org/10.18686/xyfyx.v2i2.26935

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