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Related Experiment Videos

High density lipoprotein: are elevated levels desirable and achievable?

C L Bisgaier1, M E Pape

  • 1Department of Vascular and Cardiac Diseases, Parke-Davis Pharmaceutical Research, Division of Warner-Lambert Company, Ann Arbor, MI 48105, USA. Bisgaic@aa.wl.com

Current Pharmaceutical Design
|April 10, 1999
PubMed
Summary

Elevated high-density lipoprotein (HDL) levels are linked to reduced coronary heart disease (CHD) risk. This review explores strategies for developing HDL-raising therapies for hypoalphalipoproteinemia and CHD.

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Area of Science:

  • Cardiovascular Science
  • Lipid Metabolism
  • Pharmacology

Background:

  • High-density lipoprotein (HDL) plays a crucial role in reverse cholesterol transport.
  • The clinical significance of elevated HDL levels and strategies to increase HDL are areas of active research.

Purpose of the Study:

  • To evaluate if elevated HDL is a desirable clinical target for cardiovascular disease prevention.
  • To explore potential therapeutic strategies for increasing HDL levels.

Main Methods:

  • Review of human epidemiologic and prospective data on HDL and coronary heart disease (CHD).
  • Analysis of HDL structure, enzymatic features, and metabolic origins.
  • Examination of data from human mutations, animal models, and in vitro systems focusing on HDL metabolism.

Related Experiment Videos

  • Evaluation of existing and novel HDL-raising compounds and therapeutic approaches.
  • Main Results:

    • Epidemiologic data supports HDL as a protective factor against CHD.
    • Understanding HDL metabolism involves key plasma and cell-associated proteins.
    • Various strategies, including small molecules, gene therapy, and biologicals, are proposed for HDL elevation.

    Conclusions:

    • Elevated HDL is a desirable clinical endpoint for reducing CHD risk.
    • Promising agents and unconventional approaches exist for treating hypoalphalipoproteinemia and CHD by raising HDL.