The effect of atorvastatin on serum lipoproteins in acromegaly

Manoj Mishra, Paul Durrington, Mike Mackness, Kirk W. Siddals, Kalpana Kaushal, Rob Davies, Martin Gibson, David W. Ray

    Research output: Contribution to journalArticlepeer-review


    Objective: Acromegaly is associated with long-term adverse effects on cardiovascular mortality and morbidity. Reducing growth hormone secretion improves well-being and symptoms, but may not significantly improve the lipoprotein profile. An additional approach to cardiovascular risk reduction in acromegaly may therefore be to target lipoprotein metabolism directly. In this study we investigated the effect of statin treatment. Design: Double blind, placebo-controlled, crossover study of the effects on circulating lipoproteins of atorvastatin 10 mg daily vs. placebo. Each treatment was given for 3 months in random order. Subjects: Eleven patients with acromegaly. Measurements: Lipids, lipoproteins, apolipoproteins, enzyme activity and calculated cardiovascular risk. Results: Atorvastatin treatment compared to placebo resulted in a significant decrease in serum cholesterol (5.85 ± 1.04 mmol/l vs. 4.22 ± 0.69 mmol/l; mean ± SD; P <0.001), low-density lipoprotein (LDL) cholesterol (2.95 ± 1.07 mmol/l vs. 1.82 ± 0.92 mmol/l; P <0.001), very low-density lipoprotein (VLDL) cholesterol (0.31 (0.21-0.47) mmol vs. 0.23 (0.13-0.30) mmol/l median (interquartile range); P <0.05), apolipoprotein B (111 ± 28 mg/dl vs. 80 ± 18 mg/dl; P <0.001), and calculated coronary heart disease risk (6.8 (3.3-17.9) vs. 2.8 (1.5-5.7)% over next 10 years; P <0.01). Serum triglyceride was 1.34 (1.06-1.71) mmol/l on placebo and 1.14 (0.88-1.48) mmol/l on atorvastatin (ns). HDL cholesterol, apolipoprotein A1 and Lp(a) concentrations and cholesteryl ester transfer protein and lecithin: cholesterol acyl transferase activities were also not significantly altered. Conclusion: Atorvastatin treatment was safe, well tolerated and effective in improving the atherogenic lipoprotein profile in acromegaly. © 2005 Blackwell Publishing Ltd.
    Original languageEnglish
    Pages (from-to)650-655
    Number of pages5
    JournalClinical Endocrinology
    Issue number6
    Publication statusPublished - Jun 2005


    • blood: Acromegaly
    • Adult
    • Aged
    • Aged, 80 and over
    • therapeutic use: Anticholesteremic Agents
    • blood: Apolipoproteins B
    • blood: Cholesterol
    • Cross-Over Studies
    • Double-Blind Method
    • Female
    • blood: Growth Hormone
    • therapeutic use: Heptanoic Acids
    • Humans
    • analysis: Insulin-Like Growth Factor I
    • blood: Lipoproteins
    • Male
    • Middle Aged
    • therapeutic use: Pyrroles
    • Statistics, Nonparametric
    • blood: Triglycerides


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