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Related Experiment Videos

Fenofibrate: metabolic and pleiotropic effects.

Vasilis Tsimihodimos1, George Miltiadous, Stella S Daskalopoulou

  • 1Department of Internal Medicine, Medical School, University of Ioannina, 451 10 Ioannina, Greece.

Current Vascular Pharmacology
|January 11, 2005
PubMed
Summary

Fenofibrate, a fibric acid derivative, effectively manages dyslipidaemia and improves associated vascular risk factors. It offers antiatherogenic benefits beyond lipid modification, proving useful in various patient groups and combinable with statins.

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Area of Science:

  • Cardiovascular Medicine
  • Pharmacology
  • Metabolic Disorders

Background:

  • Disturbances in lipoprotein metabolism are key risk factors for vascular events.
  • Dyslipidaemia often coexists with endothelial dysfunction, hypertension, inflammation, and hyperuricaemia, accelerating atherosclerosis.
  • Ideal lipid-modifying drugs should address both lipoprotein metabolism and these coexisting abnormalities.

Purpose of the Study:

  • To review the evidence for fenofibrate's lipid-modifying and other antiatherogenic actions.
  • To assess fenofibrate's utility in primary and secondary dyslipidaemias.
  • To evaluate fenofibrate's role in combination therapy for refractory dyslipidaemia.

Main Methods:

  • Review of current scientific literature on fenofibrate.

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  • Analysis of studies on fenofibrate's effects on lipoprotein metabolism.
  • Examination of evidence regarding fenofibrate's impact on non-lipid cardiovascular risk factors.
  • Main Results:

    • Fenofibrate, a peroxisome proliferator-activated receptor alpha (PPARα) activator, effectively modifies lipids.
    • Fenofibrate demonstrates additional antiatherogenic effects beyond lipid management.
    • Studies support fenofibrate's use in primary and secondary dyslipidaemias, including those linked to diabetes, metabolic syndrome, and HIV.

    Conclusions:

    • Fenofibrate is a valuable therapeutic option for patients with primary and secondary dyslipidaemias.
    • Fenofibrate's pleiotropic effects contribute to its antiatherogenic profile.
    • Combination therapy with statins is a viable strategy for refractory dyslipidaemia.