NCIt definition : A synthetic lipid-lowering agent with antilipidemic and potential antineoplastic properties.
Fluvastatin competitively inhibits hepatic 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA)
reductase, which catalyzes the conversion of HMG-CoA to mevalonate, a key step in
cholesterol synthesis. This agent lowers plasma cholesterol and lipoprotein levels,
and modulates immune responses through the suppression of MHC II (major histocompatibility
complex II) on interferon gamma-stimulated antigen-presenting cells such as human
vascular endothelial cells. Due to its anti-inflammatory effects mediated by alterations
of lipid metabolism, fluvastatin may possess chemopreventive and therapeutic antineoplastic
properties.;