Τόμος 20 (2006) – Τεύχος 2 – Άρθρο 9 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 20 (2006) – Issue 2 – Article 9 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title The cholesteryl ester transfer protein taql B polymorphism is associated with improved response to atorvastatin therapy in Greek patients
Authors Antonis Goulas¹, Maria S. Kosmidou², Apostolos I. Hatzitolios², Dimitra Molyva¹, Liana Fidani³, Georgios Parharidis and Vasiliki Mirtsou¹

1.      Department of  Exp. Pharmacology

2.     1st Propedeutic Department of Internal Medicine

3.     Department of General Biology

4.     1st Department of Cardiology, School of Medicine, Aristotle Univesity, Thessaloniki 54124, Greece

Citation Goulas, A., Kosmidou, M.S., Hatzitolios, A.I., Molyva, D., Fidani, L. et al: The cholesteryl ester transfer protein taql B polymorphism is associated with improved response to atorvastatin therapy in Greek patients, Epitheorese Klin. Farmakol. Farmakokinet. 20(2): 94-96 (2006)
Publication Date Accepted for publication: 19-20 May 2006
Full Text Language English
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Keywords Cholesteryl ester transfer protein, lipoproteins, HDL-C, atorvastatin, pharmacogenetics.
Other Terms review article
Summary Cholesteryl ester transfer protein (CETP) plays a vital role in lipid homeostasis, by facilitating the transfer of cholesteryl esters from high density lipoprotein (HDL) to triglyceride rich lipoproteins. A number of studies have addressed the issue of a possible association be- tween polymorphisms in the CETP gene and the efficacy of statin treatment, but the results have been inconclusive. ln our study we examined the effect of the CETP Taql 8 polymorphism on the plasma lipid concentration changes induced by a daily dose of 10 mg of atorvastatin in 40 prospectively enrolled Greek dyslipidemic patients. Plasma lipid and lipoprotein levels were measured before and after a 4-week follow-up. CETP Taql 8 genotypes were scored with a restriction fragment length polymorphism (RFLP) protocol. After adjustment for covariates, CETP 8282 homozygotes showed a greater HDL cholesterol (HDL-C) increase compared to 8182 and 8181 genotypes (16,9% vs. 3,2% and -1,5%, P = 0,002). No statistically significant association was observed with respect to other lipid parameters. Our results are in favor of the CETP Taql 8 polymorphism exerting an influence on the response to atorvastatin and indicate that dyslipidemic patients with the 8282 genotype may benefit more in terms of HDL-C improvement, compared to 81 carriers.
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