Mechanisms of disease: HDL metabolism as a target for novel therapies
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Updated: Jul 17, 2026

Cell-free Biochemical Fluorometric Enzymatic Assay for High-throughput Measurement of Lipid Peroxidation in High Density Lipoprotein
Published on: October 12, 2017
1Institute for Translational Medicine and Therapeutics, University of Pennsylvania School of Medicine, 654 BRB II/III, 421 Curie Boulevard, Philadelphia, PA 19104, USA. rader@mail.med.upenn.edu
Insights
New therapies aim to boost high-density lipoprotein (HDL) cholesterol or enhance its function to reduce coronary heart disease risk, as current methods are insufficient. This review covers novel HDL metabolism therapies.
Area of Science:
- Cardiovascular Medicine
- Metabolic Research
- Pharmacology
Background:
- Plasma high-density lipoprotein (HDL) cholesterol levels are inversely correlated with coronary heart disease (CHD) risk.
- Low HDL-cholesterol is a risk factor for CHD, even with aggressive low-density lipoprotein (LDL) reduction.
- Existing therapies have limited efficacy in raising HDL-cholesterol levels.
Purpose of the Study:
- To review the current status of novel therapies targeting HDL metabolism.
- To explore new therapeutic strategies for raising HDL-cholesterol or improving HDL function.
Main Methods:
- Review of recent developments in HDL metabolism research.
- Analysis of novel therapeutic approaches targeting HDL.
Main Results:
- Current therapeutic approaches to increase HDL-cholesterol are limited.
- Significant focus on developing novel therapies to modulate HDL levels or function.
Conclusions:
- There is a critical need for novel therapies to address low HDL-cholesterol levels.
- Therapeutic strategies are being developed to either increase HDL-cholesterol or enhance its cardioprotective functions.
Abstract:
Plasma concentrations of HDL cholesterol are inversely correlated with risk of coronary heart disease, and low HDL-cholesterol levels are a risk factor even in patients aggressively treated for LDL reduction. Thus, there is great interest in targeting HDL cholesterol therapeutically. The existing approaches are limited in their ability to raise HDL-cholesterol levels, and there has, therefore, been a major focus on the development of novel therapies. The goal of new approaches is to either raise HDL-cholesterol levels or improve the function of HDL. Here, the current status of the development of novel therapies targeted toward HDL metabolism is reviewed.
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