Cited by 67Lipoproteins and Cardiovascular HealthCholesterol and Lipid MetabolismParaoxonase enzyme and polymorphisms

Emerging therapies for raising high-density lipoprotein cholesterol (HDL-C) and augmenting HDL particle functionality

Barylski, Marcin, Toth, Peter P., Nikolic, Dragana, Banach, Maciej, Rizzo, Manfredi, Montalto, Giuseppe·2014·Best Practice & Research Clinical Endocrinology & Metabolism

Abstract

High-density lipoprotein (HDL) particles are highly complex polymolecular aggregates capable of performing a remarkable range of atheroprotective functions. Considerable research is being performed throughout the world to develop novel pharmacologic approaches to: (1) promote apoprotein A-I and HDL particle biosynthesis; (2) augment capacity for reverse cholesterol transport so as to reduce risk for the development and progression of atherosclerotic disease; and (3) modulate the functionality of HDL particles in order to increase their capacity to antagonize oxidation, inflammation, thrombosis, endothelial dysfunction, insulin resistance, and other processes that participate in arterial wall injury. HDL metabolism and the molecular constitution of HDL particles are highly complex and can change in response to both acute and chronic alterations in the metabolic milieu. To date, some of these interventions have been shown to positively impact rates of coronary artery disease progression. However, none of them have as yet been shown to significantly reduce risk for cardiovascular events. In the next 3-5 years a variety of pharmacologic interventions for modulating HDL metabolism and functionality will be tested in large, randomized, prospective outcomes trials. It is hoped that one or more of these therapeutic approaches will result in the ability to further reduce risk for cardiovascular events once low-density lipoprotein cholesterol and non-HDL-cholesterol targets have been attained.

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Crossref · 10.1016/j.beem.2013.11.001

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Authors
Barylski, M., Toth, P. P., Nikolic, D., Banach, M., Rizzo, M., & Montalto, G.
Affiliations
  • Medical University of Lodz (PL)
  • CGH Medical Center (US)
  • Istituto Euro Mediterraneo di Scienza e Tecnologia (IT)
  • University of Palermo (IT)
Corresponding author
Toth, Peter P.
Venue
Best Practice & Research Clinical Endocrinology & Metabolism
Publisher
Elsevier BV
Published
2014-06
Volume
28
Issue
3
Pages
453-461
ISSN
1521-690X (ISSN-L)
OpenAlex
W2158712961
Cited by
67
References
61
Citations by year
2025: 2 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 6 · 2016: 7 · 2015: 15 · 2014: 8 · 2013: 1
FWCI
1.83
Type
journal article
Language
en
Open access
closed
Locations
  • Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
Keywords
HDL cholesterol, HDL metabolism, apolipoprotein A-I, reverse cholesterol transport, atherosclerosis, coronary artery disease, HDL-targeted therapy, cardiovascular risk reduction, endothelial dysfunction, inflammation, thrombosis, insulin resistance, HDL oxidation
MeSH terms
Cardiovascular Diseases, Humans, Cholesterol, HDL, Genetic Therapy, Up-Regulation, Therapies, Investigational, Dyslipidemias

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