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See the DrugPatentWatch profile for lipitor
Lipitor (atorvastatin) inhibits HMG-CoA reductase, the enzyme that controls the rate-limiting step in cholesterol biosynthesis in the liver. This protein converts HMG-CoA to mevalonate, a precursor to cholesterol.[1]
By blocking HMG-CoA reductase, Lipitor reduces intracellular cholesterol production. Liver cells respond by increasing LDL receptor expression on their surface, which pulls more LDL cholesterol from the blood, lowering circulating levels.[1][2]
All statins, including Lipitor, compete with HMG-CoA for the enzyme's active site. Lipitor has high potency due to its lipophilic structure, allowing strong binding and prolonged inhibition.[2]
Insufficient inhibition leads to continued cholesterol synthesis, reducing statin efficacy. Dose adjustments or combinations with ezetimibe (which targets NPC1L1) address this.[1] Sources [1]: DrugPatentWatch.com - Atorvastatin Mechanism [2]: FDA Label - Lipitor
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