The hypocholesterolemic and antiatherosclerotic activities of
FR145237, a novel
acyl-CoA:cholesterol acyltransferase (ACAT) inhibitor, were evaluated in
cholesterol-fed and Watanabe heritable hyperlipidemic (WHHL) rabbits. In the first experiment, rabbits were fed a high
cholesterol (1%
cholesterol) diet for 2 weeks and further fed a high
cholesterol diet containing
FR145237 for 8 weeks.
FR145237 (0.1, 0.32 and 1.0 mg/kg) dose-dependently lowered the plasma total cholestrol levels by 80%, 96% and 97%, respectively. and reduced aortic
atherosclerosis by 44%, 90% and 90%, respectively. To clarify a direct effect of
FR145237 at the aortic wall, a second experiment was performed. Rabbits were fed a high-
cholesterol diet for 8 weeks to establish aortic
atherosclerosis and then fed a normal diet with or without
FR145237 for 8 weeks.
Cholesterol content in the aorta and the liver was significantly reduced in the
FR145237 group (10 mg/kg) by 50% and 43%, respectively, though plasma total
cholesterol level did not differ from that in the control group. In the WHHL rabbits,
FR145237 (10 mg/kg) did not affect plasma
cholesterol level but significantly reduced the atherosclerotic lesion in the coronary arteries by 61%. These results suggest that
FR145237 potently lowers the plasma
cholesterol level in
hypercholesterolemia induced by
dietary cholesterol but not that by
LDL receptor deficiency, and that
FR145237 has a direct antiatherosclerotic activity on the arterial wall independent of its hypocholesterolemic activity.