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Updated: Jun 5, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Emerging targets for the treatment of dyslipidemia
A Tavridou1, G Ragia, V G Manolopoulos
1Laboratory of Pharmacology, Medical School, Democritus University of Thrace, Dragana Campus, Alexandroupolis, Greece. atavrid@med.duth.gr
Insights
New therapies are emerging to manage dyslipidemia and reduce cardiovascular disease (CVD) risk. These treatments target low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides, offering better patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Biochemistry
Background:
- Dyslipidemia is a primary risk factor for atherosclerotic cardiovascular disease (CVD).
- Current statin therapies are insufficient for many patients, leaving residual cardiovascular risk.
- Low high-density lipoprotein (HDL)-cholesterol and high triglyceride levels contribute significantly to this residual risk.
Purpose of the Study:
- To review novel therapeutic agents for dyslipidemia management.
- To explore alternative approaches beyond statins for lipid-lowering.
- To discuss HDL-targeted therapies for improving antiatherosclerotic properties.
Main Methods:
- Review of preclinical and clinical development of novel dyslipidemia agents.
- Categorization of therapies by mechanism of action (e.g., enzyme inhibition, gene silencing, receptor agonism).
- Examination of HDL-targeted strategies including CETP inhibitors and HDL-mimetic agents.
Main Results:
- Several novel agents are in development, including squalene synthase inhibitors, apoB-100 targeting antisense oligonucleotides, PCSK9 inhibitors, MTP inhibitors, PPAR agonists, and THR agonists.
- HDL-targeted therapies aim to increase HDL-cholesterol or enhance its protective functions.
- Combination therapy with existing drugs shows promise for enhanced lipid management.
Conclusions:
- Emerging agents offer new monotherapy or combination treatment options for dyslipidemia.
- These novel therapies have the potential for more effective CVD risk reduction.
- Improved management of dyslipidemia can significantly decrease the global burden of cardiovascular disease.
Abstract:
Dyslipidemia is one of the main risk factors leading to atherosclerotic cardiovascular disease (CVD). According to recent treatment guidelines, subjects at substantial risk of CVD should meet more aggressive targets for low-density lipoprotein(LDL)-cholesterol levels. Treatment with statins fails to protect a significant percentage of patients from cardiovascular events despite efficient cholesterol-lowering. Moreover, clinical and epidemiologic data highlight the need of therapies to reduce the residual cardiovascular risk associated with low high-density lipoprotein(HDL)-cholesterol and elevated triglyceride levels. There are several novel agents undergoing preclinical or clinical development for the treatment of dyslipidemia. Squalene synthase inhibitors, antisense oligonucleotides targeting the production of apolipoprotein(apo)B-100, inhibitors of proprotein convertase subtilisin/kexin type 9, microsomal triglyceride transfer protein inhibitors, peroxisome proliferator-activated receptor agonists, and thyroid hormone receptor agonists are some of the alternative approaches for lipid-lowering. Moreover, HDL-targeted therapies such as the cholesteryl ester transfer protein inhibitors, HDLderived proteins, and mimetic peptides/lipids can increase HDL-cholesterol levels or improve the antiatherosclerotic properties of HDL. In conclusion, the emergence of agents that act in monotherapy or in combination with available lipid-modifying drugs may allow more effective management of dyslipidemia and, consequently, reduce the burden of CVD.
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