Evidence map›Paper›PMID 27313057›Full record

ArticleJournal of lipid research2016

Statins increase hepatic cholesterol synthesis and stimulate fecal cholesterol elimination in mice.

Marleen Schonewille, Jan Freark de Boer, Laura Mele, Henk Wolters, Vincent W Bloks, Justina C Wolters, Jan A Kuivenhoven, Uwe J F Tietge, Gemma Brufau, Albert K Groen

Open access · hybridAbstract read
In one paragraph

Article in Journal of lipid research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.

  1. Statins as Repurposed Drugs in Gynecological Cancer: A Review.International journal of molecular sciences · 2022
    Pooled it
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  4. Review
  5. Effects ofFrontiers in immunology · 2026
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  11. Allosteric regulation of UBIAD1 trafficking from ER to Golgi revealed by chemical genetic screening.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  14. Ethanol extract ofFrontiers in pharmacology · 2025
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  16. Article
  17. Review
  18. Direct binding to sterols accelerates endoplasmic reticulum-associated degradation of HMG CoA reductase.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  19. Article
  20. Review

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Marleen SchonewilleDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands m.schonewille@umcg.nl.
Jan Freark de BoerDepartment of Pediatrics, Section Molecular Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Laura MeleDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Henk WoltersDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Vincent W BloksDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Justina C WoltersDepartment of Pediatrics, Section Molecular Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jan A KuivenhovenDepartment of Pediatrics, Section Molecular Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Uwe J F TietgeDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Gemma BrufauDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Albert K GroenDepartment of Pediatrics University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Department of Laboratory Medicine, Center for Liver, Digestive and Metabolic Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Amsterdam Diabetes Center, Department of Vascular Medicine, Academic Medical Center, The Netherlands.
University Medical Center Groningen · NLUniversity of Groningen · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Statins are competitive inhibitors of HMG-CoA reductase, the rate-limiting enzyme of cholesterol synthesis. Statins reduce plasma cholesterol levels, but whether this is actually caused by inhibition of de novo cholesterol synthesis has not been clearly established. Using three different statins, we investigated the effects on cholesterol metabolism in mice in detail. Surprisingly, direct measurement of whole body cholesterol synthesis revealed that cholesterol synthesis was robustly increased in statin-treated mice. Measurement of organ-specific cholesterol synthesis demonstrated that the liver is predominantly responsible for the increase in cholesterol synthesis. Excess synthesized cholesterol did not accumulate in the plasma, as plasma cholesterol decreased. However, statin treatment led to an increase in cholesterol removal via the feces. Interestingly, enhanced cholesterol excretion in response to rosuvastatin and lovastatin treatment was mainly mediated via biliary cholesterol secretion, whereas atorvastatin mainly stimulated cholesterol removal via the transintestinal cholesterol excretion pathway. Moreover, we show that plasma cholesterol precursor levels do not reflect cholesterol synthesis rates during statin treatment in mice. In conclusion, cholesterol synthesis is paradoxically increased upon statin treatment in mice. However, statins potently stimulate the excretion of cholesterol from the body, which sheds new light on possible mechanisms underlying the cholesterol-lowering effects of statins.

Indexed as

AnimalsCholesterolDrug Evaluation, PreclinicalGene ExpressionGlutaratesHydroxymethylglutaryl-CoA Reductase InhibitorsHypercholesterolemiaIntestinal EliminationIntestine, SmallLiverLovastatinMaleMice, Inbred C57BLCholesterolGlutaratesHydroxymethylglutaryl-CoA Reductase InhibitorsLovastatinbiliary cholesterolcholesterol/absorptioncholesterol/biosynthesisintestinelivertransintestinal cholesterol excretion

Identifiers

PMID27313057
PMCPMC4959861
OpenAlexW2422869189

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.