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Fibrate Mechanism of Action - The Center for Cholesterol Management

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Fen<strong>of</strong>ibrate & LDL Receptors<br />

Proprotein Convertase Subtilisin / Kexin<br />

Type 9 (PCSK9) is a protease involved<br />

with LDL receptor catabolism<br />

PCSK9<br />

Response<br />

element<br />

Decreased PCSK9 activity<br />

mRNA<br />

X<br />

PCSK9<br />

LDL Receptors<br />

Decreased LDLr<br />

proteolysis<br />

Clearance <strong>of</strong> apoB/E particles with<br />

reduction in apoB and LDL-C<br />

PPAR-α agonism with fen<strong>of</strong>ibrate decreases PCSK9 activity<br />

Lambert G Endocrinology 2006;147:4985-95

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