The patients who have achieved LDL-C levels below the currently recommended targets may still experience cardiovascular events. To reduce further the risk of coronary heart disease (CHD), raising HDL-C and lowering TG may be the secondary therapeutic target. However, increased HDL-C levels do not mean increase in functional HDL-C. It also remains controversial whether functional HDL is more important than total circulating levels of HDL-C in reducing CHD. Actually, the increased concentration of HDL alone might be ineffective indicating that qualitative changes in HDL levels in response to drug interventions are required to result in clinical benefit. The investigators set up a clinical trial investigating effect of (rosuva)statin treatment on functional HDL-C levels particularly in Asian populations, who have relatively low HDL-C.
1. Study design Study subject Number of Subjects (N = 30) 2. Study outcome Primary outcome - functional HDL-C Secondary outcome - Non-HDL cholesterol 3. Evaluation of functional aspect of HDL Cholesterol efflux from macrophages LDL-induced monocyte chemotactic activity (MCA) Assay Quantitation of gene expression of monocyte chemotactic protein-1 (MCP-1)
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Rosuvastatin 20mg once a daily for 12 weeks
Seoul National University Bundang Hospital
Seongnam, South Korea
Functional HDL-C
1. Cholesterol efflux from macrophages 2. LDL-induced monocyte chemotactic activity (MCA) Assay 3. Quantitation of gene expression of monocyte chemotactic protein-1 (MCP-1)
Time frame: 12 weeks
Non-HDL-cholesterol = total cholesterol - HDL-C
Time frame: 12 weeks
Patients with LDL-C < 70 mg/dl and HDL > 40 mg/dl in men; > 50 in women
Time frame: 12 weeks
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