To the Editor: Nissen et al. (March 23 issue)1 report on theACAT Intravascular Atherosclerosis Treatment Evaluation (ACTIVATE)study, in which patients with coronary disease were treatedwith an enzyme acylcoenzyme A:cholesterol acyltransferase(ACAT) inhibitor, pactimibe, to evaluate the potential for beneficialeffects on coronary-artery atherosclerosis. We believe the authors'sweeping conclusion that ACAT inhibition is not an effectivestrategy for limiting atherosclerosis and that such treatmentmay promote atherogenesis is premature.
As the article pointed out, there are two types of ACATs (ACAT1and ACAT2), which have distinct physiologic roles. Studies inanimals show that the inhibition of ACAT1 . . . [Full Text of this Article]
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Chang, T.-Y., Li, B.-L., Chang, C. C. Y., Urano, Y.
(2009). Acyl-coenzyme A:cholesterol acyltransferases. Am. J. Physiol. Endocrinol. Metab.
297: E1-E9
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