Cited by 33Lipoproteins and Cardiovascular HealthCholesterol and Lipid MetabolismParaoxonase enzyme and polymorphisms

HDLs in crises

Open access
von Eckardstein, Arnold, Rohrer, Lucia·2016·Current Opinion in Lipidology

Abstract

PURPOSE OF REVIEW: The clinical utility of HDLs has been scrutinized upon the publication of Mendelian randomization studies showing no effect of HDL-cholesterol (HDL-C) modifying variants on cardiovascular disease (CVD) outcome. The failures of randomized controlled HDL-C-directed intervention trials have further fueled this skepticism. This general criticism originates from oversimplification that has equated 'HDL-C' with 'HDL' and misconceived both as the 'good cholesterol'. RECENT FINDINGS: HDL particles are heterogeneous and carry hundreds of different lipids, proteins, and microRNAs. Many of them but not cholesterol, that is, HDL-C, contributes to the multiple protective functions of HDLs that probably evolved to manage potentially life-threatening crises. Inflammatory processes modify the composition of HDL particles as well as their individual protein and lipid components, and, as a consequence, also their functionality. Gain of dominant-negative functions makes dysfunctional HDL a part rather than a solution of the endangering situation. Quantification of HDL particle numbers, distinct proteins or lipids, and modifications thereof as well as bioassays of HDL functionality are currently explored toward their diagnostic performance in risk prediction and monitoring of treatment response. SUMMARY: Any successful clinical exploitation of HDLs will depend on the identification of the most relevant (dys)functions and their structural correlates. Stringent or prioritized structure-(dys)function relationships may provide biomarkers for better risk assessment and monitoring of treatment response. The most relevant agonists carried by either functional or dysfunctional HDLs as well as their cellular responders are interesting targets for drug development.

Integrity signals

Registry

Crossref · 10.1097/mol.0000000000000294

Cites

108 of 108 references verified0 citation errors · 0 not checkable

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  • CETP inhibition probably also extends the lifespan of dysfunctional HDL.

    “CETP inhibition probably also extends the lifespan of dysfunctional HDL.”

    From HDL cholesterol: reappraisal of its clinical relevance (2017) · cites this paper as [108]

  • CETP inhibition may eliminate the postulated atheroprotective effect of HDL or even be harmful if HDL gained adverse properties.

    “This may not only eliminate the postulated atheroprotective effect but even be harmful if HDL gained adverse properties [9, 74, 108].”

    From HDL cholesterol: reappraisal of its clinical relevance (2017) · cites this paper as [108]

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Authors
von Eckardstein, A., & Rohrer, L.
Affiliations
University Hospital Zurich (CH)
Venue
Current Opinion in Lipidology
Published
2016-06
Volume
27
Issue
3
Pages
264-273
ISSN
0957-9672 (ISSN-L)
OpenAlex
W2319148502
Cited by
33
References
108
Citations by year
2025: 3 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 1 · 2019: 2 · 2018: 6 · 2017: 8 · 2016: 1
FWCI
1.12
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Current Opinion in Lipidology (publishedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich)
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 particles, HDL cholesterol, HDL heterogeneity, HDL dysfunction, cardiovascular disease, HDL particle number, microRNA, inflammation, structure-function relationship, biomarkers, cardiovascular risk prediction, treatment response monitoring, drug development
MeSH terms
Animals, Cardiovascular Diseases, Humans, Lipoproteins, HDL, Cholesterol, HDL, Signal Transduction

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