title: [Changes in lipid status during pravastatin treatment].
abstract: Reduced cholesterolemia lowers the risk of ischemic cardiopathy, especially if LDL cholesterol levels are reduced. Today this effect can be achieved using drugs following the discovery of a new class of molecules: statins are specific inhibitors of HMG-CoA-reductase, a key enzyme in cholesterol biosynthesis. These molecules act by modifying the intracellular quota of cholesterol, especially at a hepatocytic level, thus enabling an enhanced expression of those genes responsible for forming receptors for membrane LDL with an increased number of receptors. This leads to a modulation of receptor activity which interferes with LDL uptake, promoting more rapid clearance. The aim of this study was to confirm the efficacy and tolerability of pravastatin when used for long periods in patients with high cholesterol levels, and to compare its activity to that of gemfibrozil.
authors.affiliation: Università degli Studi di Milano, Ospedale S. Paolo.
authors.forename: A
authors.initials: A
authors.lastname: Craveri
authors.forename: L
authors.initials: L
authors.lastname: Colombo
authors.forename: C
authors.initials: C
authors.lastname: Citella
authors.forename: L
authors.initials: L
authors.lastname: Pedrazzini
authors.forename: S
authors.initials: S
authors.lastname: Altomare
authors.forename: L
authors.initials: L
authors.lastname: Giavardi
authors.forename: S
authors.initials: S
authors.lastname: Picollo
authors.forename: A
authors.initials: A
authors.lastname: Vignati
authors.forename: M
authors.initials: M
authors.lastname: Lanfredini
mesh_terms: D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D004311:Double-Blind Method; D015248:Gemfibrozil / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000188:drug therapy*; D008055:Lipids / Q000097:blood*; D008875:Middle Aged; D017035:Pravastatin / Q000008:administration & dosage / Q000627:therapeutic use*; D013997:Time Factors; D014280:Triglycerides / Q000097:blood
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D008055:Lipids; D014280:Triglycerides; D002784:Cholesterol; D017035:Pravastatin; D015248:Gemfibrozil
vernacular_title: Modificazioni del quadro lipidico durante trattamento con pravastatina.