It is certain distinct pharmacologic and pharmacokinetic characteristics. It has significant LDL-C lowering potential, the minimal potential for CYP3A4 interactions, and low extrahepatic tissue penetration. A completely synthesized HMG-CoA reductase inhibitor is rosuvastatin. Other HMG-CoA reductase inhibitors are either synthetically made from heptanoic acid or naturally produced from mevalonic acid. A novel class of 3, 5-dihydroxy-heptanoate and N-methane sulfonyl pyrrole-substituted methane sulphonamide pyrimidines include rosuvastatin. Rosuvastatin selectively and permanently inhibits HMG-CoA reductase by competitive inhibition. In the cholesterol biosynthetic route, this enzyme transforms HMG-CoA into mevalonic acid, which is the rate-limiting step in cholesterol production.
References
Luvai, Ahai, et al. “Rosuvastatin: A Review of the Pharmacology and Clinical Effectiveness in Cardiovascular Disease.†Clinical Medicine Insights: Cardiology, vol. 6, Jan. 2012, p. CMC.S4324, https://doi.org/10.4137/cmc.s4324. ‌
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