Ciprofibrate treatment in patients with atherogenic lipoprotein phenotype : effects on HDL quality, LDL susceptibility to oxidation and DNA damage

This study was conducted to examine a complex effect of ciprofibrate therapy in patients with atherogenic lipoprotein phenotype. Effects of ciprofibrate were studied on HDL subpopulations, HDL ability to esterify cholesterol (FER(HDL)), susceptibility of LDL to oxidation as well as on in vivo oxidat...

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Veröffentlicht in:European journal of clinical pharmacology 1998-11, Vol.54 (9-10), p.697-699
Hauptverfasser: RASLOVA, K, DOBIASOVA, M, NAGYOVA, A, FABRY, R, RAUCHOVA, H, DUSINSKA, M
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container_issue 9-10
container_start_page 697
container_title European journal of clinical pharmacology
container_volume 54
creator RASLOVA, K
DOBIASOVA, M
NAGYOVA, A
FABRY, R
RAUCHOVA, H
DUSINSKA, M
description This study was conducted to examine a complex effect of ciprofibrate therapy in patients with atherogenic lipoprotein phenotype. Effects of ciprofibrate were studied on HDL subpopulations, HDL ability to esterify cholesterol (FER(HDL)), susceptibility of LDL to oxidation as well as on in vivo oxidative DNA damage in peripheral lymphocytes, measured as strand breaks (SBs) by the comet assay. Ciprofibrate treatment significantly decreased total cholesterol, and triglycerides, and increased HDL-cholesterol. The FER(HDL) showed a significant reduction (29.5+/-7.4 to 23+/-7.5% x h(-1), P=0.0001). The relative concentrations of HDL subclasses did not differ between baseline and after treatment. Ciprofibrate induced a significant increase in LDL oxidation lag time (93+/-7 to 102=11 min, P=0.02) and a decrease in DNA strand breaks (34.0+/-16.2 to 17.8+/-7.5, P=0.02). A significant correlation between maximal rate of diene production and strand breaks was found (r=0.55, P=0.01). These findings may be explained by an improvement of LDL resistance to oxidation, resulting in a decrease in oxidatively modified LDL's cytotoxic effect. Ciprofibrate treatment favourably affected the quality of plasma HDL, probably by the improvement of triglyceride rich lipoprotein metabolism and/or LDL subpopulation profile, increased LDL resistance to oxidation, and decreased the level of DNA damage in peripheral lymphocytes.
doi_str_mv 10.1007/s002280050537
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Effects of ciprofibrate were studied on HDL subpopulations, HDL ability to esterify cholesterol (FER(HDL)), susceptibility of LDL to oxidation as well as on in vivo oxidative DNA damage in peripheral lymphocytes, measured as strand breaks (SBs) by the comet assay. Ciprofibrate treatment significantly decreased total cholesterol, and triglycerides, and increased HDL-cholesterol. The FER(HDL) showed a significant reduction (29.5+/-7.4 to 23+/-7.5% x h(-1), P=0.0001). The relative concentrations of HDL subclasses did not differ between baseline and after treatment. Ciprofibrate induced a significant increase in LDL oxidation lag time (93+/-7 to 102=11 min, P=0.02) and a decrease in DNA strand breaks (34.0+/-16.2 to 17.8+/-7.5, P=0.02). A significant correlation between maximal rate of diene production and strand breaks was found (r=0.55, P=0.01). 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Vitamins ; Genotype &amp; phenotype ; Humans ; Hypolipidemic Agents - therapeutic use ; Kinetics ; Lipid metabolism ; Lipoproteins ; Lipoproteins (high density) ; Lipoproteins (low density) ; Lipoproteins - genetics ; Lipoproteins, HDL - blood ; Lipoproteins, HDL - genetics ; Lipoproteins, LDL - blood ; Lipoproteins, LDL - genetics ; Lymphocytes ; Lymphocytes - drug effects ; Lymphocytes - metabolism ; Male ; Medical sciences ; Middle Aged ; Oxidation ; Oxidation-Reduction ; Pharmacology. 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Effects of ciprofibrate were studied on HDL subpopulations, HDL ability to esterify cholesterol (FER(HDL)), susceptibility of LDL to oxidation as well as on in vivo oxidative DNA damage in peripheral lymphocytes, measured as strand breaks (SBs) by the comet assay. Ciprofibrate treatment significantly decreased total cholesterol, and triglycerides, and increased HDL-cholesterol. The FER(HDL) showed a significant reduction (29.5+/-7.4 to 23+/-7.5% x h(-1), P=0.0001). The relative concentrations of HDL subclasses did not differ between baseline and after treatment. Ciprofibrate induced a significant increase in LDL oxidation lag time (93+/-7 to 102=11 min, P=0.02) and a decrease in DNA strand breaks (34.0+/-16.2 to 17.8+/-7.5, P=0.02). A significant correlation between maximal rate of diene production and strand breaks was found (r=0.55, P=0.01). 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Vitamins</subject><subject>Genotype &amp; phenotype</subject><subject>Humans</subject><subject>Hypolipidemic Agents - therapeutic use</subject><subject>Kinetics</subject><subject>Lipid metabolism</subject><subject>Lipoproteins</subject><subject>Lipoproteins (high density)</subject><subject>Lipoproteins (low density)</subject><subject>Lipoproteins - genetics</subject><subject>Lipoproteins, HDL - blood</subject><subject>Lipoproteins, HDL - genetics</subject><subject>Lipoproteins, LDL - blood</subject><subject>Lipoproteins, LDL - genetics</subject><subject>Lymphocytes</subject><subject>Lymphocytes - drug effects</subject><subject>Lymphocytes - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oxidation</subject><subject>Oxidation-Reduction</subject><subject>Pharmacology. 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Vitamins</topic><topic>Genotype &amp; phenotype</topic><topic>Humans</topic><topic>Hypolipidemic Agents - therapeutic use</topic><topic>Kinetics</topic><topic>Lipid metabolism</topic><topic>Lipoproteins</topic><topic>Lipoproteins (high density)</topic><topic>Lipoproteins (low density)</topic><topic>Lipoproteins - genetics</topic><topic>Lipoproteins, HDL - blood</topic><topic>Lipoproteins, HDL - genetics</topic><topic>Lipoproteins, LDL - blood</topic><topic>Lipoproteins, LDL - genetics</topic><topic>Lymphocytes</topic><topic>Lymphocytes - drug effects</topic><topic>Lymphocytes - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oxidation</topic><topic>Oxidation-Reduction</topic><topic>Pharmacology. 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Effects of ciprofibrate were studied on HDL subpopulations, HDL ability to esterify cholesterol (FER(HDL)), susceptibility of LDL to oxidation as well as on in vivo oxidative DNA damage in peripheral lymphocytes, measured as strand breaks (SBs) by the comet assay. Ciprofibrate treatment significantly decreased total cholesterol, and triglycerides, and increased HDL-cholesterol. The FER(HDL) showed a significant reduction (29.5+/-7.4 to 23+/-7.5% x h(-1), P=0.0001). The relative concentrations of HDL subclasses did not differ between baseline and after treatment. Ciprofibrate induced a significant increase in LDL oxidation lag time (93+/-7 to 102=11 min, P=0.02) and a decrease in DNA strand breaks (34.0+/-16.2 to 17.8+/-7.5, P=0.02). A significant correlation between maximal rate of diene production and strand breaks was found (r=0.55, P=0.01). These findings may be explained by an improvement of LDL resistance to oxidation, resulting in a decrease in oxidatively modified LDL's cytotoxic effect. Ciprofibrate treatment favourably affected the quality of plasma HDL, probably by the improvement of triglyceride rich lipoprotein metabolism and/or LDL subpopulation profile, increased LDL resistance to oxidation, and decreased the level of DNA damage in peripheral lymphocytes.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>9923570</pmid><doi>10.1007/s002280050537</doi><tpages>3</tpages></addata></record>
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subjects Arteriosclerosis - genetics
Biological and medical sciences
Cholesterol
Ciprofibrate
Clofibric Acid - analogs & derivatives
Clofibric Acid - therapeutic use
Comet assay
Cytotoxicity
Deoxyribonucleic acid
DNA
DNA Damage
Female
Fibric Acids
General and cellular metabolism. Vitamins
Genotype & phenotype
Humans
Hypolipidemic Agents - therapeutic use
Kinetics
Lipid metabolism
Lipoproteins
Lipoproteins (high density)
Lipoproteins (low density)
Lipoproteins - genetics
Lipoproteins, HDL - blood
Lipoproteins, HDL - genetics
Lipoproteins, LDL - blood
Lipoproteins, LDL - genetics
Lymphocytes
Lymphocytes - drug effects
Lymphocytes - metabolism
Male
Medical sciences
Middle Aged
Oxidation
Oxidation-Reduction
Pharmacology. Drug treatments
Phenotype
Triglycerides
title Ciprofibrate treatment in patients with atherogenic lipoprotein phenotype : effects on HDL quality, LDL susceptibility to oxidation and DNA damage
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