Low-density lipoprotein receptor genotype-dependent response to cholesterol lowering by combined pravastatin and cholestyramine in familial hypercholesterolemia

Am J Cardiol. 1998 Jul 1;82(1):113-7. doi: 10.1016/s0002-9149(98)00230-6.

Abstract

We compared the effects of cholesterol-lowering therapy on 2 patient groups genetically defined as heterozygous for familial hypercholesterolemia (FH), 5 with a deletion of exon 15 (FH(Tonami-1)), and 7 with a point mutation at codon 664 (FH(Kanazawa-2)). There were significant differences in both serum and low-density lipoprotein cholesterol reductions between the 2 groups after combination therapy with pravastatin and cholestyramine, and the overall effect of genotype on serial changes in both was significant.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Anion Exchange Resins / therapeutic use*
  • Anticholesteremic Agents / therapeutic use*
  • Bile / metabolism
  • Cholestyramine Resin / therapeutic use*
  • Drug Therapy, Combination
  • Female
  • Genotype
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Hyperlipoproteinemia Type II / drug therapy*
  • Hyperlipoproteinemia Type II / genetics*
  • Male
  • Middle Aged
  • Pravastatin / therapeutic use*
  • Receptors, LDL / genetics*
  • Treatment Outcome

Substances

  • Anion Exchange Resins
  • Anticholesteremic Agents
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Receptors, LDL
  • Cholestyramine Resin
  • Pravastatin