Document Detail


HDL as a target in the treatment of atherosclerotic cardiovascular disease.
MedLine Citation:
PMID:  15738977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lipid abnormalities are among the key risk factors for cardiovascular disease. Indeed, lipid-modifying drugs - in particular, the statins, which primarily lower plasma levels of low-density lipoprotein (LDL) cholesterol - considerably reduce the risk of cardiovascular events, leading to their widespread use. Nevertheless, it seems that there might be limits to the degree of benefit that can be achieved by lowering LDL-cholesterol levels alone, which has led to increased interest in targeting other lipid-related risk factors for cardiovascular disease, such as low levels of high-density lipoprotein (HDL) cholesterol. In this article, we first consider the mechanisms that underlie the protective effect of HDL cholesterol, and then discuss several strategies that have recently emerged to increase levels of HDL cholesterol to treat cardiovascular disease, including nuclear receptor modulation, inhibition of cholesteryl ester transfer protein and infusion of apolipoprotein/phospholipid complexes.
Authors:
Patrick Linsel-Nitschke; Alan R Tall
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Nature reviews. Drug discovery     Volume:  4     ISSN:  1474-1776     ISO Abbreviation:  Nat Rev Drug Discov     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-01     Completed Date:  2005-04-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101124171     Medline TA:  Nat Rev Drug Discov     Country:  England    
Other Details:
Languages:  eng     Pagination:  193-205     Citation Subset:  IM    
Affiliation:
Division of Molecular Medicine, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York 10027, USA. pl2031@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Apolipoprotein A-I / administration & dosage,  therapeutic use
Arteriosclerosis / drug therapy*,  etiology
Cardiovascular Diseases / drug therapy*,  etiology,  prevention & control
Carrier Proteins / antagonists & inhibitors*
Cholesterol Ester Transfer Proteins
Cholesterol, HDL / blood*,  genetics,  physiology
Drug Delivery Systems
Glycoproteins / antagonists & inhibitors*
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
Peroxisome Proliferator-Activated Receptors / agonists*
Risk Factors
Chemical
Reg. No./Substance:
0/Apolipoprotein A-I; 0/CETP protein, human; 0/Carrier Proteins; 0/Cholesterol Ester Transfer Proteins; 0/Cholesterol, HDL; 0/Glycoproteins; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Peroxisome Proliferator-Activated Receptors
Comments/Corrections
Erratum In:
Nat Rev Drug Discov. 2005 Aug;4(8):648

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