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Updated: May 29, 2026

A Familial Hypercholesterolemia Human Liver Chimeric Mouse Model Using Induced Pluripotent Stem Cell-derived Hepatocytes
Published on: September 15, 2018
Familial hypercholesterolemia: present and future management
B Sjouke1, D M Kusters, J J P Kastelein
1Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Insights
Familial hypercholesterolemia (FH) patients need new treatments beyond statins to lower low-density lipoprotein cholesterol (LDL-C) and prevent cardiovascular disease (CVD). Emerging therapies, including mRNA antisense, show promise for managing severe dyslipidemia in FH.
Area of Science:
- Cardiovascular Medicine
- Metabolic Disorders
- Pharmacology
Background:
- Familial hypercholesterolemia (FH) is a genetic disorder causing high LDL-C levels.
- Elevated LDL-C significantly increases the risk of premature cardiovascular disease (CVD).
- Current treatments, primarily statins, may not be sufficient for all FH patients.
Purpose of the Study:
- To review advancements in understanding LDL metabolism.
- To explore novel therapeutic targets and treatment modalities for FH.
- To assess the potential of emerging therapies in managing FH.
Main Methods:
- Review of recent scientific literature on FH, LDL metabolism, and novel therapies.
- Analysis of emerging treatment modalities, including mRNA antisense therapy.
- Evaluation of clinical evidence for novel agents in lowering LDL-C.
Main Results:
- Significant progress has been made in identifying new therapeutic targets for FH.
- Novel treatment modalities, such as mRNA antisense therapy, are emerging.
- Some new therapies demonstrate effectiveness in reducing plasma LDL-C levels.
Conclusions:
- Emerging therapies hold promise for FH patients, particularly those unresponsive to or intolerant of statins.
- New treatments are expected to enhance the management of severe dyslipidemia in FH.
- Advancements in LDL metabolism research are paving the way for future therapeutic strategies against CVD.
Abstract:
Patients suffering from familial hypercholesterolemia (FH) are characterized by increased plasma levels of low-density lipoprotein cholesterol (LDL-C) levels and are at increased risk for premature cardiovascular disease (CVD). Current guidelines emphasize the need to aggressively lower LDL-C in FH patients, and statins are the cornerstone in the current regimen. However, additional therapies are eagerly awaited, especially for those patients not tolerating statin therapy or not reaching the goals for therapy. Our understanding of LDL metabolism has improved over the last years and an increasing number of potential novel targets for therapy have been recently identified. Apart from novel targets, we have also been confronted with novel modalities of treatment, such as mRNA antisense therapy. Some of these emerging therapies have proven to be effective in lowering plasma LDL-C levels and are as such expected to have beneficial effects on CVD. Hopefully, they will enrich our armamentarium against the severe dyslipidemia observed in FH patients in the not too distant future.
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