The first of the hydroxymethylglutaryl coenzyme A (HMG-CoA)reductase inhibitors (collectively referred to as "statins")was identified in 1976.1 This enzyme was an ideal target fortreating hypercholesterolemia, since it catalyzes the conversionof HMG-CoA to mevalonate, a limiting step in cholesterol synthesis.Today, statins are the most powerful hypolipidemic drugs availableand are widely prescribed throughout the world.
Because lipid intermediates of cholesterol synthesis (isoprenoids)allow the attachment to the cell membrane of signaling proteinsinvolved in various functions, statins have other biologic effects.2They can stimulate bone formation, alter the function of endothelialcells, induce apoptosis of smooth-muscle . . . [Full Text of this Article]
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