2011
DOI: 10.1177/1753944711419197
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The facts behind niacin

Abstract: Although low-density lipoprotein cholesterol (LDL-C) lowering represents the mainstay of current lipid treatment, high-density lipoprotein cholesterol (HDL-C) has generated increasing interest as a secondary therapeutic target because of strong evidence that serum HDL-C concentration is inversely associated with coronary heart disease risk. Niacin is a lipid-altering drug that has been used to lower cholesterol since the 1950s. In addition to its LDL-C-lowering effects, niacin is the most effective agent curre… Show more

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Cited by 19 publications
(5 citation statements)
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References 67 publications
(78 reference statements)
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“…Within this pathway we notably detected the downregulation of Apolipoprotein E ( APOE , logFC = - 4.93, FDR = 0.01), which is involved in many steps in lipid and lipoprotein homeostasis, for the triglyceride-rich lipoproteins and for HDL [ 112 ]. High expression levels of hepatic apoE are traditionally associated with an increase in VLDL triglyceride secretion [ 113 ]; thus, its downregulation appeared in line with the well documented effect of niacin in decreasing of hepatic synthesis of triglycerides and VLDL particles [ 114 ].…”
Section: Discussionmentioning
confidence: 93%
“…Within this pathway we notably detected the downregulation of Apolipoprotein E ( APOE , logFC = - 4.93, FDR = 0.01), which is involved in many steps in lipid and lipoprotein homeostasis, for the triglyceride-rich lipoproteins and for HDL [ 112 ]. High expression levels of hepatic apoE are traditionally associated with an increase in VLDL triglyceride secretion [ 113 ]; thus, its downregulation appeared in line with the well documented effect of niacin in decreasing of hepatic synthesis of triglycerides and VLDL particles [ 114 ].…”
Section: Discussionmentioning
confidence: 93%
“…Niacin is a commonly employed anti-hyperlipidemia drug but it is also widely known to induce hyperglycemia during chronic and high-dose therapy [ 5 , 6 ]. Despite this, the mechanistic action of niacin and its receptor GPR109a in the regulation of glucose homeostasis, in particular with intestinal glucose uptake, remains ambiguous.…”
Section: Discussionmentioning
confidence: 99%
“…Meanwhile, the incidence rate of impaired fasting blood glucose was increased by 29%. In patients suffering from hyperglycemia, high doses of niacin also increased their level of Hemoglobin A1c by about 0.3% [ 6 ]. It is recognized that oral niacin elevated blood glucose levels and thereby deteriorated diabetes in some patients; however, the precise mechanism still remains unknown [ 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…It may differ from the final official version of record. (Hochholzer et al 2011). Other side effects reported are mild increases in uric acid and of liver enzymes, hypotension, nausea, vomiting, diarrhea, and precipitation of angina in patients on vasodilators (Markel 2011;Yadav et al 2012a).…”
Section: Adverse Events Of Niacinmentioning
confidence: 95%