Dose-dependent effect of niceritrol on plasma lipoprotein-a
Open accessAbstract
Lipoprotein-a, Lp(a), is a variant form of low density lipoprotein (LDL) that contains apolipoprotein-a, whose structure has 75-85% homology with plasminogen. Elevated plasma levels of Lp(a) are considered to be one of the independent risk factors for cardiovascular disease. We studied the effects of niceritrol, a nicotinic acid derivative, on plasma Lp(a) levels in 72 patients with hypercholesterolaemia. The dose of niceritrol was increased every 4 weeks, from 750 to 1500 and then to 2250 mg day-1. The final dose was adjusted to obtain a plasma cholesterol level less than 5.69 mmol l-1. Niceritrol led to significant decreases in plasma levels of median Lp(a), from 16.1 mg dl-1 (interquartile intervals, 8.7 to 32.8) to 11.1 mg dl-1 (interquartile intervals, 6.6 to 21), the mean reduction rate being 17.6%. In the group with pretreatment Lp(a) levels of over 20 mg dl-1, Lp(a) decreased by 10.0, 22.0 and 31.8% at the doses of 750, 1500, and 2250 mg day-1, respectively. In the group with levels less than 20 mg dl-1, only the dose of 2250 mg day-1 was effective in the reduction of Lp(a). The results suggest that the reduction of Lp(a) was dependent on the dose of niceritrol and on the pretreatment level of Lp(a). In conclusion, niceritrol is effective, in a dose-dependent manner, for reducing Lp(a) levels.
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- Authors
- Teramoto, T., Yamada, N., Shimano, H., Oka, Y., Itakura, H., Saito, Y., Morisaki, N., Shirai, K., Ishikawa, T., Tada, N., Ito, H., Yamanouchi, T., Matsushima, T., Kawakami, M., Murase, T., Okubo, M., Totsuka, Y., & Kikuchi, M.
- Affiliations
- Teikyo University (JP)
- The University of Tokyo (JP)
- Yamaguchi University (JP)
- Chiba University (JP)
- Toho University (JP)
- National Defense Medical College Hospital (JP)
- Jikei University School of Medicine (JP)
- The Institute of Medical Science, Asahi Life Foundation (JP)
- University of Tsukuba (JP)
- Jichi Medical University (JP)
- Toranomon Hospital (JP)
- Venue
- Scandinavian Journal of Clinical and Laboratory Investigation
- Publisher
- Informa UK Limited
- Published
- 1996-01
- Volume
- 56
- Issue
- 4
- Pages
- 359-365
- ISSN
- 0036-5513 (ISSN-L)
- 1502-7686
- OpenAlex
- W2164484250
- Cited by
- 13
- References
- 14
- Citations by year
- 2024: 1 · 2023: 1 · 2018: 1 · 2013: 2
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by-nc-nd
- Locations
- Scandinavian Journal of Clinical and Laboratory Investigation (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- nicotinic acid derivatives, lipoprotein(a), dose-dependent effects, hypercholesterolemia, apolipoprotein(a), cardiovascular risk factors, plasma cholesterol lowering
- MeSH terms
- Aged, Hypolipidemic Agents, Dose-Response Relationship, Drug, Female, Humans, Hyperlipidemias, Male, Middle Aged, Niceritrol, Lipoprotein(a)
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