How a cholesterol drug cuts bad cholesterol in pigs

Original Title

Inhibition of HMG-CoA reductase by atorvastatin decreases both VLDL and LDL apolipoprotein B production in miniature pigs.

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Summary

A medicine called atorvastatin was given to pigs that ate a fatty, high-cholesterol diet. It made their livers produce less of the protein that carries bad cholesterol into the blood.

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Surprising Findings

Atorvastatin reduced hepatic apoB mRNA by 13% but left LDL receptor mRNA unchanged.

It’s widely believed statins lower LDL by increasing LDL receptor expression; this study shows no such effect, suggesting a novel mechanism.

Practical Takeaways

Don’t assume animal studies directly translate to human statin effects.

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