Remnant lipoproteins as therapeutic targets
Abstract
Increasing evidence suggests that subsets of triglyceride-rich lipoproteins are particularly atherogenic. These include particles with some, but not necessarily all the properties classically attributed to remnants. Cholesteryl ester-enrichment seems to be a common feature of these particles, some of which can be taken up by macrophages by a novel receptor that recognizes species of apolipoprotein B but not apolipoprotein E. These characteristics seem to be common to postprandial and hypertriglyceridemic very low density lipoproteins as well as chylomicron remnants. Remnant-like triglyceride-rich lipoproteins that exhibit several potentially atherogenic properties can be quantified by a simple test that shows promise for identifying individuals at high risk for lesion formation and clinical events. Available hygienic and pharmaceutical measures that effectively lower the concentration of atherogenic triglyceride-rich lipoproteins deserve wider use.
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The increase in the postprandial levels of remnant lipoprotein after meals can cause atherosclerosis.
“Zilversmit et al. proposed that the increase in the postprandial levels of remnant lipoprotein after meals can cause atherosclerosis. Considerable evidence has been accumulated thereafter, and this hypothesis has therefore been established as the disease concept238, 243–245).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [244]
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- Authors
- Havel, R. J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Havel, Richard J.
- Venue
- Current Opinion in Lipidology
- Published
- 2000-12
- Volume
- 11
- Issue
- 6
- Pages
- 615-620
- ISSN
- 0957-9672 (ISSN-L)
- OpenAlex
- W2084853272
- Cited by
- 107
- References
- 59
- Citations by year
- 2026: 2 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 7 · 2012: 3
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Lipidology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- remnant lipoproteins, triglyceride-rich lipoproteins, atherogenic lipoproteins, macrophage uptake, chylomicron remnants, VLDL, postprandial lipemia, hypertriglyceridemia, atherosclerosis risk assessment, therapeutic target, lipid-lowering therapy
- MeSH terms
- Animals, Apolipoproteins B, Apolipoproteins E, Arteriosclerosis, Cholesterol Esters, Chylomicrons, Humans, Lipoproteins, Lipoproteins, HDL, Lipoproteins, VLDL, Macrophages, Triglycerides, Hypertriglyceridemia, Chylomicron Remnants
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