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Updated: Jul 1, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
High density lipoprotein cholesterol and statin trials
Anna Kakafika1, Vasilios G Athyros, Konstantinos Tziomalos
1Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippokration Hospital, Thessaloniki, Greece.
High-density lipoprotein cholesterol (HDL-C) is linked to lower vascular event risk. While statins raise HDL-C, their specific benefit beyond lowering LDL-C for vascular event prevention remains unclear.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Epidemiology
Background:
- High-density lipoprotein cholesterol (HDL-C) levels are inversely associated with vascular event risk.
- Statins are primary treatments for dyslipidemias and proven for vascular event prevention.
- Statins are known to increase HDL-C, though the extent varies.
Purpose of the Study:
- To evaluate the relationship between statin-induced HDL-C increases and clinical/surrogate endpoints.
- To determine the contribution of statin-mediated HDL-C elevation to vascular risk reduction.
Main Methods:
- Literature search for studies investigating statin effects on HDL-C.
- Analysis of relationships between HDL-C changes and vascular outcomes.
Main Results:
- Evidence is insufficient to quantify vascular risk reduction from statin-induced HDL-C increments.
- The additional benefit of statins that raise HDL-C, beyond LDL-C lowering, is not established.
Conclusions:
- The precise impact of statin-driven HDL-C increases on preventing vascular events requires further investigation.
- Further research is needed to confirm if elevated HDL-C by statins offers incremental cardiovascular protection.
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