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See the DrugPatentWatch profile for lipitor
Lipitor (atorvastatin) is a statin. Its main action is to reduce cholesterol production inside liver cells by blocking an enzyme called HMG‑CoA reductase [1]. That enzyme is responsible for the rate-limiting step in making cholesterol. When cholesterol synthesis drops, liver cells respond by increasing the amount of LDL receptors (the cell-surface proteins that pull LDL cholesterol out of the blood). This lowers blood LDL (“bad”) cholesterol [1].
Lipitor doesn’t directly “alter” LDL receptors in the sense of modifying the receptor protein. Instead, by lowering intracellular cholesterol production, it triggers liver cells to upregulate LDL receptor expression (more LDL receptor protein on the cell surface) [1].
The direct molecular target is HMG‑CoA reductase, an enzyme that drives cholesterol biosynthesis. Inhibiting this enzyme leads to the downstream increase in LDL receptors and greater LDL clearance from the bloodstream [1]. Sources [1] https://www.drugs.com/atorvastatin.html
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