CYP3A4 genotypes and plasma lipoprotein levels before and after treatment with atorvastatin in primary hypercholesterolemia

Am J Cardiol. 2004 Jan 1;93(1):104-7. doi: 10.1016/j.amjcard.2003.08.078.

Abstract

To test whether genetic variation in the CYP system may influence the statin response, a promoter (A-290G) and 2 nonsynonymous polymorphisms (F189S and M445T) in the CYP3A4 gene locus were examined in 340 hypercholesterolemic patients who were treated with atorvastatin 10 mg. The A-290G variant allele was significantly associated with higher levels of post-treatment low-density lipoprotein cholesterol, whereas the M445T variant was associated with lower levels of low-density lipoprotein cholesterol before and after treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anticholesteremic Agents / therapeutic use
  • Atorvastatin
  • Cholesterol / blood
  • Cholesterol, HDL / blood
  • Cholesterol, LDL / blood
  • Cytochrome P-450 CYP3A
  • Cytochrome P-450 Enzyme System / genetics*
  • Female
  • Genetic Variation
  • Genotype
  • Heptanoic Acids / therapeutic use
  • Humans
  • Hypercholesterolemia / blood*
  • Hypercholesterolemia / drug therapy
  • Hypercholesterolemia / genetics*
  • Lipoproteins / blood*
  • Male
  • Middle Aged
  • Pyrroles / therapeutic use
  • Triglycerides / blood

Substances

  • Anticholesteremic Agents
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Heptanoic Acids
  • Lipoproteins
  • Pyrroles
  • Triglycerides
  • Cytochrome P-450 Enzyme System
  • Cholesterol
  • Atorvastatin
  • CYP3A protein, human
  • Cytochrome P-450 CYP3A
  • CYP3A4 protein, human