<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <chemical id="cbf104fc-1775-4c44-9d70-f4d80e2025c6">
    <casrn>25812-30-0</casrn>
    <jchem-inchi-key>HEMJJKBWTPKOJG-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>HEMJJKBWTPKOJG-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Gemfibrozil</preferred-name>
    <synonyms>
      <synonym>Pentanoic acid, 5-(2,5-dimethylphenoxy)-2,2-dimethyl-</synonym>
      <synonym>2,2-Dimethyl-5-(2,5-xylyloxy)valeric acid</synonym>
      <synonym>5-(2,5-Dimethylphenoxy)-2,2-dimethylpentanoic acid</synonym>
      <synonym>Decrelip</synonym>
      <synonym>gemfibrozilo</synonym>
      <synonym>Gevilon</synonym>
      <synonym>Lopizid</synonym>
      <synonym>Trialmin 900</synonym>
      <synonym>Valeric acid, 2,2-dimethyl-5-(2,5-xylyloxy)-</synonym>
    </synonyms>
    <dsstox-id>DTXSID0020652</dsstox-id>
  </chemical>
  <chemical id="f1771c09-7b70-4533-8bb9-740ed750e701">
    <casrn>41859-67-0</casrn>
    <jchem-inchi-key>IIBYAHWJQTYFKB-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>IIBYAHWJQTYFKB-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Bezafibrate</preferred-name>
    <synonyms>
      <synonym>Propanoic acid, 2-[4-[2-[(4-chlorobenzoyl)amino]ethyl]phenoxy]-2-methyl-</synonym>
      <synonym>Befizal</synonym>
      <synonym>Benzofibrate</synonym>
      <synonym>Bezafibrat</synonym>
      <synonym>bezafibrato</synonym>
      <synonym>Bezalip</synonym>
      <synonym>Bezatol</synonym>
      <synonym>Difaterol</synonym>
    </synonyms>
    <dsstox-id>DTXSID3029869</dsstox-id>
  </chemical>
  <chemical id="dccc99e5-6d6f-40d0-becc-9555b65005b9">
    <casrn>637-07-0</casrn>
    <jchem-inchi-key>KNHUKKLJHYUCFP-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>KNHUKKLJHYUCFP-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Clofibrate</preferred-name>
    <synonyms>
      <synonym>ethyl-p-chlorophenoxyisobutyrate</synonym>
      <synonym>Propanoic acid, 2-(4-chlorophenoxy)-2-methyl-, ethyl ester</synonym>
      <synonym>2-(p-Chlorophenoxy)-2-methylpropionic acid ethyl ester</synonym>
      <synonym>Abitrate</synonym>
      <synonym>Amotril</synonym>
      <synonym>Anparton</synonym>
      <synonym>Arteriosan</synonym>
      <synonym>Artevil</synonym>
      <synonym>Ateculon</synonym>
      <synonym>Ateriosan</synonym>
      <synonym>Atheropront</synonym>
      <synonym>Atromid S</synonym>
      <synonym>Atromidin</synonym>
      <synonym>Azionyl</synonym>
      <synonym>Bioscleran</synonym>
      <synonym>Cartagyl</synonym>
      <synonym>Claripex</synonym>
      <synonym>Claripex CPIB</synonym>
      <synonym>Clobren SF</synonym>
      <synonym>Clofibrat</synonym>
      <synonym>clofibrato</synonym>
      <synonym>Clofinit</synonym>
      <synonym>Ethyl (p-chlorophenoxy) isobutyrate</synonym>
      <synonym>Ethyl 2-(4-chlorophenoxy)-2-methylpropionate</synonym>
      <synonym>Ethyl 2-(4-chlorophenoxy)isobutyrate</synonym>
      <synonym>Ethyl 2-(p-chlorophenoxy)-2-methylpropionate</synonym>
      <synonym>Ethyl 2-(p-chlorophenoxy)isobutyrate</synonym>
      <synonym>Ethyl clofibrate</synonym>
      <synonym>Ethyl p-chlorophenoxyisobutyrate</synonym>
      <synonym>Ethyl α-(4-chlorophenoxy)isobutyrate</synonym>
      <synonym>Ethyl α-(4-chlorophenoxy)-α-methylpropionate</synonym>
      <synonym>Ethyl α-(p-chlorophenoxy)isobutyrate</synonym>
      <synonym>Ethyl α-(p-chlorophenoxy)-α-methylpropionate</synonym>
      <synonym>Hyclorate</synonym>
      <synonym>Lipavil</synonym>
      <synonym>Lipavlon</synonym>
      <synonym>Lipomid</synonym>
      <synonym>Liprinal</synonym>
      <synonym>Miscleron</synonym>
      <synonym>Misclerone</synonym>
      <synonym>Neo-Atromid</synonym>
      <synonym>Normolipol</synonym>
      <synonym>NSC 79389</synonym>
      <synonym>p-Chlorophenoxyisobutyric acid ethyl ester</synonym>
      <synonym>Propionic acid, 2-(p-chlorophenoxy)-2-methyl-, ethyl ester</synonym>
      <synonym>Recolip</synonym>
      <synonym>Regelan</synonym>
      <synonym>Serotinex</synonym>
      <synonym>Sklerepmexe</synonym>
      <synonym>Sklerolip</synonym>
      <synonym>Skleromexe</synonym>
      <synonym>Sklero-Tablinene</synonym>
      <synonym>Ticlobran</synonym>
      <synonym>Xyduril</synonym>
    </synonyms>
    <dsstox-id>DTXSID3020336</dsstox-id>
  </chemical>
  <chemical id="7d15c171-558e-4eac-b611-b761c478c7a4">
    <casrn>49562-28-9</casrn>
    <jchem-inchi-key>YMTINGFKWWXKFG-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>YMTINGFKWWXKFG-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Fenofibrate</preferred-name>
    <synonyms>
      <synonym>Propanoic acid, 2-[4-(4-chlorobenzoyl)phenoxy]-2-methyl-, 1-methylethyl ester</synonym>
      <synonym>2-[4-(4-Chlorobenzoyl)phenoxy]-2-methylpropanoic acid 1-methylethyl ester</synonym>
      <synonym>Ankebin</synonym>
      <synonym>Clorofibrate</synonym>
      <synonym>Elasterin</synonym>
      <synonym>Fenobrate</synonym>
      <synonym>Fenofibrat</synonym>
      <synonym>fenofibrato</synonym>
      <synonym>Fenogal</synonym>
      <synonym>Fenotard</synonym>
      <synonym>Isopropyl 2-[p-(p-chlorobenzoyl)phenoxy]-2-methylpropionate</synonym>
      <synonym>Lipanthyl</synonym>
      <synonym>Lipantil</synonym>
      <synonym>Lipicard</synonym>
      <synonym>Lipidil</synonym>
      <synonym>Lipidil Supra</synonym>
      <synonym>Lipirex</synonym>
      <synonym>Lipoclar</synonym>
      <synonym>Lipofene</synonym>
      <synonym>Liposit</synonym>
      <synonym>MeltDose</synonym>
      <synonym>Nolipax</synonym>
      <synonym>NSC 281319</synonym>
      <synonym>Procetofen</synonym>
      <synonym>Procetofene</synonym>
      <synonym>Procetoken</synonym>
      <synonym>Protolipan</synonym>
      <synonym>Secalip</synonym>
    </synonyms>
    <dsstox-id>DTXSID2029874</dsstox-id>
  </chemical>
  <chemical id="b32dd52c-b206-4030-80e1-8f7fb31ad945">
    <casrn>134523-00-5</casrn>
    <jchem-inchi-key>XUKUURHRXDUEBC-KAYWLYCHSA-N</jchem-inchi-key>
    <indigo-inchi-key>XUKUURHRXDUEBC-KAYWLYCHSA-N</indigo-inchi-key>
    <preferred-name>Atorvastatin</preferred-name>
    <synonyms>
      <synonym>Cardyl</synonym>
      <synonym>Atorvastatin acid</synonym>
      <synonym>1H-Pyrrole-1-heptanoic acid, 2-(4-fluorophenyl)-β,δ-dihydroxy-5-(1-methylethyl)-3-phenyl-4-[(phenylamino)carbonyl]-, (βR,δR)-</synonym>
    </synonyms>
    <dsstox-id>DTXSID8029868</dsstox-id>
  </chemical>
  <chemical id="f5b6e01c-5e27-4358-b951-9f2c201ec843">
    <casrn>79902-63-9</casrn>
    <jchem-inchi-key>RYMZZMVNJRMUDD-HGQWONQESA-N</jchem-inchi-key>
    <indigo-inchi-key>RYMZZMVNJRMUDD-HGQWONQESA-N</indigo-inchi-key>
    <preferred-name>Simvastatin</preferred-name>
    <synonyms>
      <synonym>Butanoic acid, 2,2-dimethyl-, (1S,3R,7S,8S,8aR)-1,2,3,7,8,8a-hexahydro-3,7-dimethyl-8-[2-[(2R,4R)-tetrahydro-4-hydroxy-6-oxo-2H-pyran-2-yl]ethyl]-1-naphthalenyl ester</synonym>
      <synonym>(+)-Simvastatin</synonym>
      <synonym>Apo-Simvastatin</synonym>
      <synonym>Bestatin 20</synonym>
      <synonym>Butanoic acid, 2,2-dimethyl-, 1,2,3,7,8,8a-hexahydro-3,7-dimethyl-8-[2-(tetrahydro-4-hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1-naphthalenyl ester, [1S-[1α,3α,7β,8β(2S*,4S*),8aβ]]-</synonym>
      <synonym>Cholestat</synonym>
      <synonym>Co-Simvastatin</synonym>
      <synonym>Kolestevan</synonym>
      <synonym>L 644128-000U</synonym>
      <synonym>Lipinorm</synonym>
      <synonym>Liponorm</synonym>
      <synonym>Lipovas</synonym>
      <synonym>Lodales</synonym>
      <synonym>Modutrol</synonym>
      <synonym>Nor-Vastina</synonym>
      <synonym>Novo-Simvastatin</synonym>
      <synonym>Pms-simvastatin</synonym>
      <synonym>Simastin 20</synonym>
      <synonym>Simovil</synonym>
      <synonym>Simvastatin lactone</synonym>
      <synonym>Simvotin</synonym>
      <synonym>Sinvacor</synonym>
      <synonym>Sinvascor</synonym>
      <synonym>Sivastin</synonym>
      <synonym>Starstat 20</synonym>
      <synonym>Synvinolin</synonym>
      <synonym>Valemia</synonym>
      <synonym>Velostatin</synonym>
    </synonyms>
    <dsstox-id>DTXSID0023581</dsstox-id>
  </chemical>
  <biological-object id="439a1f1f-ee2b-4631-aeba-c8ebbce1e1e5">
    <source-id>PR:000008636</source-id>
    <source>PR</source>
    <name>3-hydroxy-3-methylglutaryl-coenzyme A reductase</name>
  </biological-object>
  <biological-object id="b8ff592f-6c87-41c8-ad19-81d23e861129">
    <source-id>CHEBI:25350</source-id>
    <source>CHEBI</source>
    <name>mevalonate</name>
  </biological-object>
  <biological-object id="79a293bc-393d-43eb-9fd0-f068692686d4">
    <source-id>CHEBI:16113</source-id>
    <source>CHEBI</source>
    <name>cholesterol</name>
  </biological-object>
  <biological-object id="17621dbd-d52a-412d-a89d-2caab53c3b41">
    <source-id>CHEBI:17002</source-id>
    <source>CHEBI</source>
    <name>cholesteryl ester</name>
  </biological-object>
  <biological-object id="701fe323-26b8-4709-b1d9-c530daf66d86">
    <source-id>CHEBI:17347</source-id>
    <source>CHEBI</source>
    <name>testosterone</name>
  </biological-object>
  <biological-object id="b0b92e2c-783f-41af-a276-9850c24cf5f5">
    <source-id>UBERON:0000079</source-id>
    <source>UBERON</source>
    <name>male reproductive system</name>
  </biological-object>
  <biological-object id="287112c7-bc2d-4cdc-8068-8edd05504b74">
    <source-id>D005298</source-id>
    <source>MESH</source>
    <name>fertility</name>
  </biological-object>
  <biological-process id="132e1b22-6c05-4830-9d40-d4be96ba9d25">
    <source-id>GO:0042282</source-id>
    <source>GO</source>
    <name>hydroxymethylglutaryl-CoA reductase activity</name>
  </biological-process>
  <biological-process id="23b64c6e-a804-4b4d-a434-d6e7e56ca1a9">
    <source-id>GO:0006695</source-id>
    <source>GO</source>
    <name>cholesterol biosynthetic process</name>
  </biological-process>
  <biological-process id="2c06afc1-32cd-4301-ac1e-530f2b8c5b94">
    <source-id>GO:0030301</source-id>
    <source>GO</source>
    <name>cholesterol transport</name>
  </biological-process>
  <biological-action id="0be87719-058b-4b6d-a7a7-3c63d559b353">
    <source-id>2</source-id>
    <source>WIKI</source>
    <name>decreased</name>
  </biological-action>
  <biological-action id="9ae3204e-750f-4cc4-9c10-cfc21ea9b937">
    <source-id>8</source-id>
    <source>WIKI</source>
    <name>morphological change</name>
  </biological-action>
  <stressor id="fded0ebd-a5d1-4f68-9e24-5b861119140f">
    <name>Gemfibrozil</name>
    <description>&lt;p&gt;Fibrate drug&lt;/p&gt;
</description>
    <chemicals>
      <chemical-initiator chemical-id="cbf104fc-1775-4c44-9d70-f4d80e2025c6" user-term="Gemfibrozil"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:27</creation-timestamp>
    <last-modification-timestamp>2020-03-31T10:24:40</last-modification-timestamp>
  </stressor>
  <stressor id="6d076738-e63e-4c3d-a02b-07557724178d">
    <name>Bezafibrate</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="f1771c09-7b70-4533-8bb9-740ed750e701" user-term="Bezafibrate"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:27</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:27</last-modification-timestamp>
  </stressor>
  <stressor id="f1896457-66a0-4670-ab4b-b15c0337f80b">
    <name>Clofibrate</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="dccc99e5-6d6f-40d0-becc-9555b65005b9" user-term="Clofibrate"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:27</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:27</last-modification-timestamp>
  </stressor>
  <stressor id="4e7cc39d-c49d-42ce-bcc8-5a0daf5c727d">
    <name>Fenofibrate</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="7d15c171-558e-4eac-b611-b761c478c7a4" user-term="Fenofibrate"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:27</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:27</last-modification-timestamp>
  </stressor>
  <stressor id="d170908a-0e47-4b47-b01a-03dc282e1160">
    <name>Atorvastatin</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="b32dd52c-b206-4030-80e1-8f7fb31ad945" user-term="Atorvastatin"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2020-03-31T10:30:56</creation-timestamp>
    <last-modification-timestamp>2020-03-31T10:30:56</last-modification-timestamp>
  </stressor>
  <stressor id="a5030d99-1d02-44fb-95b2-91a09fc031b3">
    <name>Simvastatin</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="f5b6e01c-5e27-4358-b951-9f2c201ec843" user-term="Simvastatin"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2020-05-06T09:41:35</creation-timestamp>
    <last-modification-timestamp>2020-05-06T09:41:35</last-modification-timestamp>
  </stressor>
  <taxonomy id="f8e651a3-5c08-48b7-ae3b-39284ce962a9">
    <source-id>WikiUser_28</source-id>
    <source/>
    <name>Vertebrates</name>
  </taxonomy>
  <taxonomy id="e2c6acca-0966-40df-9fd4-c63d1c635a5c">
    <source-id>10095</source-id>
    <source>NCBI</source>
    <name>mice</name>
  </taxonomy>
  <taxonomy id="bf78776f-4470-463c-87e6-12de47d17729">
    <source-id>WCS_9606</source-id>
    <source>common toxicological species</source>
    <name>human</name>
  </taxonomy>
  <taxonomy id="50601eed-4d15-49d6-8c23-36ac24d84ad6">
    <source-id>10117</source-id>
    <source>NCBI</source>
    <name>Rattus rattus</name>
  </taxonomy>
  <key-event id="a165d4b9-7952-4058-9f3e-6abd83e51179">
    <title>Inhibition, HMG-CoA reductase</title>
    <short-name>Inhibition, HMG-CoA reductase</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology>&lt;p&gt;The activity of HMG-CoA reductase inhibition may be measured by a commercially available kit which measures a decrease in absorbance at 340 nm, which represents the oxidation of NADPH by the catalytic subunit of HMGR in the presence of the substrate HMG-CoA.   Sterol Regulatory element-binding factor 1 (SREBF) is the transcription factor controlling downstream regulation of HMG-CoA reductase.  The ToxCast assay ATG_SREBF1_CIS_up is one method of measuring transcriptional control of HMG-CoA reductase.
&lt;em&gt;
&lt;/em&gt;
&lt;/p&gt;</measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="439a1f1f-ee2b-4631-aeba-c8ebbce1e1e5" process-id="132e1b22-6c05-4830-9d40-d4be96ba9d25" action-id="0be87719-058b-4b6d-a7a7-3c63d559b353"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:33:28</last-modification-timestamp>
  </key-event>
  <key-event id="858052af-b373-44a9-919f-01b070284a33">
    <title>Decreased, mevalonate</title>
    <short-name>Decreased, mevalonate</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="b8ff592f-6c87-41c8-ad19-81d23e861129" action-id="0be87719-058b-4b6d-a7a7-3c63d559b353"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:37:52</last-modification-timestamp>
  </key-event>
  <key-event id="1342dbd2-e898-45c5-931b-b574b447ac0f">
    <title>Decreased, cholesterol</title>
    <short-name>Decreased, cholesterol</short-name>
    <biological-organization-level>Tissue</biological-organization-level>
    <description>&lt;p&gt;Most cholesterol synthesis in vertebrates occurs within the endoplasmic reticulum of hepatic cells. First, acetyl-CoA is converted to HMG-CoA via HMG-CoA synthase. Next, HMG-CoA is converted to mevalonate via HMG-CoA reductase. Several other steps follow, but conversion of HMG-CoA to mevalonate is the rate-limiting step of cholesterol synthesis (Cerqueira et al. 2016; Risley 2002). Consequently,&amp;nbsp;Statin drugs inhibit HMG-CoA reductase to reduce cholesterol (Pahan 2006).&lt;/p&gt;

&lt;p&gt;Cholesterol synthesis may also occur to a limited extent in steroidogenic cells where it&amp;rsquo;s used to produce steroid hormones (Azhar et al., 2007)&lt;/p&gt;

&lt;p&gt;Once cholesterol is produced in the liver, it&amp;rsquo;s transported in the plasma. Hydrophobic lipids like cholesterol, cholesteryl ester (a cholesterol molecule bound to a fatty acid), and triglycerides are transported via lipoprotein complexes. There are different groups of lipoproteins which use different proteins and ratios of lipids including high-density lipoprotein (HDL), low-density (LDL), and very low-density (VLDL).&lt;/p&gt;

&lt;p&gt;&lt;a href="https://www.genome.jp/pathway/ko04979+K05641"&gt;Cholesterol metabolism KEGG Pathway&lt;/a&gt;&amp;nbsp; ko04979&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Commerical assay kits are available for measuring cholesterol using either colorimetric&amp;nbsp;or&amp;nbsp;fluorometric&amp;nbsp;detection. Total cholesterol assay kits often include cholesteryl esters in the measurement (&lt;a href="https://www.cellbiolabs.com/total-cholesterol-assay-kit"&gt;Cell Bio Labs&lt;/a&gt;,&amp;nbsp;&lt;a href="https://www.thermofisher.com/order/catalog/product/A12216#/A12216"&gt;ThermoFisher&lt;/a&gt;). Additional kits are availalbe for measuring the cholesterol in the different lipoprotein complexes (&lt;a href="https://www.cellbiolabs.com/hdl-and-ldlvldl-cholesterol-assay-kit"&gt;Cell Bio Labs&lt;/a&gt;).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Oil Red O staining can be used for organisms such as zebrafish larvae that are clear, however it stains triglycerides and lipids not just cholesterol&amp;nbsp;(Zhou et al., 2015).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Plasma cholesterol is a common clinical measurement in humans and the Abell-Kendall technique is the standard chemical determination method (Cox et al. 1990), although there are a wide variety of viable methods.&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Taxonomic Applicability: Cholesterol is synthesized in plants but acts as a precursor for different products than in animals (Sonawane et al. 2016). Within the animal kingdom most deuterostomes (including vertebrata, cyclostomata, cephalochordate, and echinodermata, but not chordata) possess the genes necessary for cholesterol biosynthesis. However, most protostomes (including arthropoda and nematomorpha) have lost these genes (Zhang et al., 2019). Thus far vertebrates are the primary consideration&amp;nbsp;for this KE.&lt;/p&gt;

&lt;p&gt;Lifestage Applicability: Cholesterol can be measured in organisms at all life stages. However, the size of young organisms may limit the ability to collect plasma for cholesterol analysis. Whole-body measurements or pooled samples may be more feasible.&lt;/p&gt;

&lt;p&gt;Sex Applicability: Cholesterol measurements are applicable for all sexes&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0001969</source-id>
      <source>UBERON</source>
      <name>blood plasma</name>
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    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="f8e651a3-5c08-48b7-ae3b-39284ce962a9">
        <evidence>High</evidence>
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    </applicability>
    <biological-events>
      <biological-event object-id="79a293bc-393d-43eb-9fd0-f068692686d4" process-id="23b64c6e-a804-4b4d-a434-d6e7e56ca1a9" action-id="0be87719-058b-4b6d-a7a7-3c63d559b353"/>
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      <biological-event object-id="17621dbd-d52a-412d-a89d-2caab53c3b41" process-id="2c06afc1-32cd-4301-ac1e-530f2b8c5b94" action-id="0be87719-058b-4b6d-a7a7-3c63d559b353"/>
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    <references>&lt;p&gt;Al-Habsi, A.A., A. Massarsky, T.W. Moon (2016) &amp;ldquo;Exposure to gemfibrozil and atorvastatin affects cholesterol metabolism and steroid production in zebrafish (&lt;em&gt;Danio rerio&lt;/em&gt;)&amp;rdquo;, &lt;em&gt;Comparative Biochemistry and Physiology, Part B, &lt;/em&gt;Vol. 199, Elsevier, pp. 87-96. http://dx.doi.org/10.1016/j.cbpb.2015.11.009&lt;/p&gt;

&lt;p&gt;Azhar, S., E. Reaven (2007) &amp;ldquo;Regulation of Leydig cell cholesterol metabolism&amp;rdquo;, in A.H. Payne, M.P. Hardy (eds.) &lt;em&gt;The Leydig Cell in Health and Disease, &lt;/em&gt;Humana Press. https://doi.org/10.1007/978-1-59745-453-7&lt;/p&gt;

&lt;p&gt;Cox RA, Garc&amp;iacute;a-Palmieri MR. Cholesterol, Triglycerides, and Associated Lipoproteins. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 31.&amp;nbsp;Available from: https://www.ncbi.nlm.nih.gov/books/NBK351/&lt;/p&gt;

&lt;p&gt;Dai, W. et al. (2015) &amp;quot;High fat plus high cholesterol diet lead to hepatic steatosis in zebrafish larvae: a novel model for screening anti-hepatic steatosis drugs&amp;quot;,&amp;nbsp;&lt;em&gt;Nutrition and Metabolism&lt;/em&gt;, Vol. 12(42), Springer Nature.&amp;nbsp;DOI 10.1186/s12986-015-0036-z&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Du, Z.Y. et al. (2008) &amp;ldquo;Hypolipidaemic effect of fenofibrate and fasting in the herbivorous grass carp (&lt;em&gt;Ctenopharyngodon idella) &lt;/em&gt;fed a high-fat diet&amp;rdquo;, &lt;em&gt;British Journal of Nutrition, &lt;/em&gt;Vol. 100, Cambridge University Press, pp. 1200-1212. doi:10.1017/S0007114508986840&lt;/p&gt;

&lt;p&gt;Guo, X. et al. (2015) &amp;ldquo;Effects of lipid-lowering pharmaceutical clofibrate on lipid and lipoprotein metabolism of grass carp (&lt;em&gt;Ctenopharyngodon idellal &lt;/em&gt;Val.) fed with the high non-protein energy diets&amp;rdquo;, &lt;em&gt;Fish Physiology and Biochemistry, &lt;/em&gt;Vol. 41, Springer, pp. 331-343. doi: 10.1007/s10695-014-9986-8&lt;/p&gt;

&lt;p&gt;Cerqueira, N. M., Oliveira, E. F., Gesto, D. S., Santos-Martins, D., Moreira, C., Moorthy, H. N., ... &amp;amp; Fernandes, P. A. (2016). Cholesterol biosynthesis: a mechanistic overview.&amp;nbsp;&lt;em&gt;Biochemistry&lt;/em&gt;,&amp;nbsp;&lt;em&gt;55&lt;/em&gt;(39), 5483-5506.&lt;/p&gt;

&lt;p&gt;Prindiville, J.S. et al. (2011) &amp;ldquo;The fibrate drug gemfibrozil disrupts lipoprotein metabolism in rainbow trout&amp;rdquo;, &lt;em&gt;Toxicology and Applied Pharmacology, &lt;/em&gt;Vol. 251, Elsevier, pp. 201-238. doi:10.1016/j.taap.2010.12.013&lt;/p&gt;

&lt;p&gt;Pahan, K. (2006). Lipid-lowering drugs.&amp;nbsp;&lt;em&gt;Cellular and molecular life sciences CMLS&lt;/em&gt;,&amp;nbsp;&lt;em&gt;63&lt;/em&gt;(10), 1165-1178.&lt;/p&gt;

&lt;p&gt;Risley, J. M. (2002). Cholesterol biosynthesis: Lanosterol to cholesterol.&amp;nbsp;&lt;em&gt;Journal of chemical education&lt;/em&gt;,&amp;nbsp;&lt;em&gt;79&lt;/em&gt;(3), 377.&lt;/p&gt;

&lt;p&gt;Sonawane, P.D. et al. (2016) &amp;ldquo;Plant cholesterol biosynthetic pathway overlaps with phytosterol metabolism&amp;rdquo;, &lt;em&gt;Nature Plants, &lt;/em&gt;Vol. 3, Nature Publishing Group, https://doi.org/10.1038/nplants.2016.205&lt;/p&gt;

&lt;p&gt;Velasco-Santamar&amp;iacute;a, Y.M. et al. (2011) &amp;ldquo;Bezafibrate, a lipid-lowering pharmaceutical, as a potential endocrine disruptor in male zebrafish (&lt;em&gt;Danio rerio&lt;/em&gt;)&amp;rdquo;, &lt;em&gt;Aquatic Toxicology, &lt;/em&gt;Vol. 105, Elsevier, pp. 107-118. doi:10.1016/j.aquatox.2011.05.018&lt;/p&gt;

&lt;p&gt;Zhang, T. et al. (2019) &amp;ldquo;Evolution of the cholesterol biosynthesis pathway in animals&amp;rdquo;, &lt;em&gt;Molecular Biology and Evolution, &lt;/em&gt;Vol. 36(11), Oxford University Press, pp. 2548-2556. doi:10.1093/molbev/msz167&lt;/p&gt;

&lt;p&gt;Zhou, J. et al. (2015) &amp;quot;Rapid analysis of hypolipidemic drugs in a live zebrafish assay&amp;quot;,&amp;nbsp;&lt;em&gt;Journal of Pharmacological and Toxicological Methods,&amp;nbsp;&lt;/em&gt;Vol. 72, Elsevier, pp. 47-52.&amp;nbsp;http://dx.doi.org/10.1016/j.vascn.2014.12.002&lt;/p&gt;
</references>
    <source>AOPWiki</source>
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    <measurement-methodology></measurement-methodology>
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    <biological-organization-level>Individual</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
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    <organ-term>
      <source-id>UBERON:0000079</source-id>
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        <evidence>High</evidence>
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    <title>HMG-CoA reductase inhibition leading to decreased fertility</title>
    <short-name>HMGCR inhibition to male fertility</short-name>
    <point-of-contact>Cataia Ives</point-of-contact>
    <authors>&lt;p&gt;Kellie Fay&lt;/p&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>BY-SA</wiki-license>
    </status>
    <oecd-project>1.29</oecd-project>
    <handbook-version>1.0</handbook-version>
    <abstract>&lt;p&gt;During sexual differentiation and gonadal development in utero or in ovo, androgenic tissues develop, in part, under the control of testosterone (Viger et al. 2005). Reduction of circulating testosterone during this crucial time of development can result in malformed reproductive tracts in males. Exposure to drugs (e.g., statins) or other compounds may cause male reproductive tract abnormalities by inhibiting HMG-CoA reductase, which is the rate-limiting enzyme in the production of cholesteron, the precursor of testosterone.&lt;/p&gt;
</abstract>
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      <sex>
        <evidence>Not Specified</evidence>
        <sex>Male</sex>
      </sex>
      <life-stage>
        <evidence>Low</evidence>
        <life-stage>Fetal</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="50601eed-4d15-49d6-8c23-36ac24d84ad6">
        <evidence>Not Specified</evidence>
      </taxonomy>
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    <overall-assessment>
      <description>&lt;p&gt;This AOP was developed primarily from one study of exposure of rats in utero to simvastatin (as well as a phthalate ester; Beverley et al., 2015) and biological plausibility. It currently should be considered putative and untested.&lt;/p&gt;
</description>
      <applicability></applicability>
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    </overall-assessment>
    <potential-applications></potential-applications>
    <references>&lt;p&gt;Beverly, B. E. J., et al. (2014). &amp;quot;Simvastatin and Dipentyl Phthalate Lower Ex Vivo Testicular Testosterone Production and Exhibit Additive Effects on Testicular Testosterone and Gene Expression Via Distinct Mechanistic Pathways in the Fetal Rat.&amp;quot; Toxicological Sciences.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
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