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Nature Clinical Practice Cardiovascular Medicine (2006) 3, 366-367
doi:10.1038/ncpcardio0599  
Received 23 April 2006 | Accepted 11 May 2006

Can ACAT inhibition limit the progression of atherosclerosis in patients with coronary artery disease?

Jean-Claude Tardif* and Therese Heinonen

Correspondence *Montreal Heart Institute, 5000 Belanger Street, Montreal, QC H1T 1C8, Canada

Email
 jean-claude.tardif@icm-mhi.org

This article has no abstract so we have provided the first paragraph of the full text.

Current lipid-lowering therapies can reduce cardiovascular event rates by approximately a third. This reduction highlights their effectiveness; however, considering that the majority of events are not prevented, it also highlights the medical needs that remain. Inhibition of the enzyme ACAT, leading to reduced cholesterol esterification, has been a promising therapeutic target for atherosclerosis prevention. Indeed, inhibition of the ubiquitous ACAT1 could, in theory, prevent the transformation of macrophages into foam cells in the arterial wall, and inhibition of ACAT2 found in the liver and intestine could reduce serum lipids levels.1 Demonstration of the effect of ACAT inhibitors on both lipid lowering and reduction of plaque burden in animal models provided hope that these results would translate to clinical trials.

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