Hmg-Coa-Reduktasehemmer - Statin, Rosuvastatin, Fluvastatin, Pitavastatin, Atorvastatin, Cerivastatin, Pravastatin, Simvastatin, Lovastatin (English, German, Paperback)

Kapitel: Statin, Rosuvastatin, Fluvastatin, Pitavastatin, Atorvastatin, Cerivastatin, Pravastatin, Simvastatin, Lovastatin, Mevastatin. Aus Wikipedia. Nicht dargestellt. Auszug: The statins (or HMG-CoA reductase inhibitors) are a class of drug used to lower plasma cholesterol level. They lower cholesterol by inhibiting the enzyme HMG-CoA reductase, which is the rate-limiting enzyme of the mevalonate pathway of cholesterol synthesis. Inhibition of this enzyme in the liver results in decreased cholesterol synthesis as well as increased synthesis of LDL receptors, resulting in an increased clearance of low-density lipoprotein (LDL) from the bloodstream. The first results can be seen after one week of use and the effect is maximal after four to six weeks. Akira Endo and Masao Kuroda of Tokyo, Japan commenced research into inhibitors of HMG-CoA reductase in 1971 (Endo 1992). This team reasoned that certain microorganisms may produce inhibitors of the enzyme to defend themselves against other organisms, as mevalonate is a precursor of many substances required by organisms for the maintenance of their cell wall (ergosterol) or cytoskeleton (isoprenoids). The first agent isolated was mevastatin (ML-236B), a molecule produced by the fungus Penicillium citrinum. The pharmaceutical company Merck