Rosuvastatin: Difference between revisions

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<applet  load="" size="480" color="" frame="true"  spin="on" Scene ="User:David_Canner/Sandbox_crestor/Rosu/1" align="right" caption="Rosuvastatin, also known as Crestor"/>
<StructureSection load='' size='340' side='right' caption='Rosuvastatin, also known as Crestor' scene='User:David_Canner/Sandbox_crestor/Rosu/1'>
===Better Known as: Crestor===
===Better Known as: Crestor===
* Marketed By: AstraZeneca Plc.<br />
* Marketed By: AstraZeneca Plc.<br />
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* Date of FDA Approval (Patent Expiration): 2003 (2016)<br />
* Date of FDA Approval (Patent Expiration): 2003 (2016)<br />
* 2009 Sales: $4.5 Billion <ref>http://www.reuters.com/article/idUSN2223558720100222</ref>
* 2009 Sales: $4.5 Billion <ref>http://www.reuters.com/article/idUSN2223558720100222</ref>
* Why You Should Care: Sales of Crestor are the fastest growing among the statins. Statins are so ubiquitous, doctors have even suggested handing them out with fast food. See: [http://www.bbc.co.uk/news/health-10955522 the article] <br />
* Importance: Sales of Crestor are the fastest growing among the statins. Statins are so ubiquitous, doctors have even suggested handing them out with fast food. See: [http://www.bbc.co.uk/news/health-10955522 the article] <br />
* The following is a list of Pharmacokinetic Parameters. See: [[Pharmaceutical Drugs]] for more information
* See [[Pharmaceutical Drugs]] for more information about other drugs and disorders
 
===Mechanism of Action===
===Mechanism of Action===
[[Rosuvastatin]] is an inhibitor of [[HMG-CoA Reductase]] (HMGR), a <scene name='Rosuvastatin/Statin_rosu/2'>highly regulated enzyme</scene> responsible for the committed step in cholesterol synthesis. Rosuvastatin, like most of the statins, <scene name='HMG-CoA_Reductase/Statin_rosu/6'>binds HMGR</scene> via a number of polar interactions with the "cis loop" of HMGR, particularly residues Ser 684, Asp 690, Lys 691, Lys 692, and hydrogen bond interactions between Glu 559 and Asp 767 with the O5-hydroxyl of the statins. Van der Waals interactions between Leu 562, Val 683, Leu 853, Ala 856, and Leu 857 of HMGR and hydrophobic ring structures of Rosuvastatin contribute to binding as well.<ref>PMID:11349148</ref> These interactions help Rosuvastatin outcompete HMG-CoA, the substrate of HMGR, in binding to HMGR.<ref>PMID:7784310</ref>
[[Rosuvastatin]] is an inhibitor of [[HMG-CoA Reductase]] (HMGR), a <scene name='Rosuvastatin/Statin_rosu/2'>highly regulated enzyme</scene> responsible for the committed step in cholesterol synthesis. Rosuvastatin, like most of the statins, <scene name='HMG-CoA_Reductase/Statin_rosu/6'>binds HMGR</scene> via a number of polar interactions with the "cis loop" of HMGR, particularly residues Ser 684, Asp 690, Lys 691, Lys 692, and hydrogen bond interactions between Glu 559 and Asp 767 with the O5-hydroxyl of the statins. Van der Waals interactions between Leu 562, Val 683, Leu 853, Ala 856, and Leu 857 of HMGR and hydrophobic ring structures of Rosuvastatin contribute to binding as well.<ref>PMID:11349148</ref> These interactions help Rosuvastatin outcompete HMG-CoA, the substrate of HMGR, in binding to HMGR.<ref>PMID:7784310</ref>
 
</StructureSection>
===Pharmacokinetics===
===Pharmacokinetics===
 
<table style="background: cellspacing="0px" align="" cellpadding="0px" width="42%">  
{| class="wikitable" border="1" width="48%" style="text-align:center"
<tr>
|-
<td style="width:100%; vertical-align:top;border-width:0px; border-style:inset">
!  colspan="6" align="center"| Statin [[Pharmaceutical_Drugs#Pharmacokinetics_Translated|Pharmacokinetics]] at 10mg Dosage.<ref>PMID:11907637</ref><ref>PMID:15198967</ref><ref>PMID:12686673</ref><ref>PMID:18176327</ref><ref>PMID: 17452418</ref> <ref>PMID:12895195</ref>
<div style="height:100%; width: 100%">
|-
{{:Statin Pharmacokinetics}}
! Parameter
</div>
! [[Atorvastatin]] (Lipitor)
</td>
! [[Fluvastatin]] (Lescol)
</tr>
! [[Lovastatin]] (Mevacor)
</table>
! [[Simvastatin]] (Zocor)
! [[Rosuvastatin]] (Crestor)
! [[Cerivastatin]] (Baycol)
|-
! [[Pharmaceutical_Drugs#Tmax|T<sub>max</sub>]] (hr)
! 2.5
! 1
! 3
! 1.5
! 4
! 1.5
|-
! [[Pharmaceutical_Drugs#Cmax|C<sub>max</sub>]] (ng/ml)
! 27-66
! 448
! 10-20
! 7.3
! 4.34
! 3.43
|-
! [[Pharmaceutical_Drugs#Bioavailability_.28F.29|Bioavailability]] (%)
! 12
! 19-29
! 5
! 5
! 20
! 60
|-
! [[Pharmaceutical_Drugs#Protein_Binding|Protein Binding]] (%)
! 80-90
! 99
! 95
! 95
! 88
! 99
|-
! [[Pharmaceutical_Drugs#Half_Life_.28T1.2F2.29|T<sub>1/2</sub>]] (hr)
! 15-30
! 2
! 3
! 2.7
! 19
! 2.2
|-
! [[Pharmaceutical_Drugs#Area_Under_the_Curve_.28AUC.29|AUC]] (ng/ml/hr)
! 104
! ~150
! 33
! 125
! 48
! 14.5
|-
! [[Pharmaceutical_Drugs#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] (nM)
! 154
! 198
! 800-4200
! 66
! 320
! 50-90
|-
! Equivalent LDL Reduction Dosage (mg)
! 10
! --
! 80
! 20
! 5
! --
|-
! Metabolism
! Hepatic <br/>(CYP3A4)
! Hepatic <br/>(CYP2C9)
! Hepatic <br/>(CYP3A4)
! Hepatic <br/>(CYP3A4)
! Not <br/>Metabolized
! Hepatic <br />(CYP2C8)
|}


===Effectiveness and Side Effects===
===Effectiveness and Side Effects===

Proteopedia Page Contributors and Editors (what is this?)Proteopedia Page Contributors and Editors (what is this?)

David Canner, Alexander Berchansky