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Fibrate Mechanism of Action - The Center for Cholesterol Management

Fibrate Mechanism of Action - The Center for Cholesterol Management

Fibrate Mechanism of Action - The Center for Cholesterol Management

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Effects <strong>of</strong> Fen<strong>of</strong>ibrate and Simvastatin on<br />

HDL-related Biomarkers in Low-HDL Patients<br />

ABCA-I Mediated <strong>Cholesterol</strong> Efflux, %<br />

14 P=.015 P=.413<br />

12<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

Baseline<br />

Fen<strong>of</strong>ibrate<br />

8 week Baseline 8 week<br />

Simvastatin<br />

Fen<strong>of</strong>ibrate, not the statin<br />

upregulates ABCA1<br />

ATP Binding Cassette Transporter A1<br />

Unlipidated pre β-HDL<br />

Larger α-HDL<br />

Franceschini G, et al. Atherosclerosis 195 (2007) 385–391

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