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Updated: May 1, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Lipid pharmacotherapy for treatment of atherosclerosis
Stephen J Nicholls1, Anthony D Pisaniello, Yu Kataoka
1University of Adelaide, Discipline of Medicine, Adelaide , Australia.
Insights
Lowering low-density lipoprotein cholesterol remains key for atherosclerotic cardiovascular disease. New strategies are needed to address residual risk beyond statin therapy for better cardiovascular outcomes.
Area of Science:
- Cardiovascular Medicine
- Lipidology
- Atherosclerosis Research
Background:
- Low-density lipoprotein cholesterol reduction has been central to managing atherosclerotic cardiovascular disease for over 20 years.
- Despite statin therapy, a significant residual risk of clinical events persists, necessitating improved cardiovascular risk reduction strategies.
Purpose of the Study:
- To discuss current and future therapeutic approaches for dyslipidemia and inflammation in atherosclerosis.
- To evaluate the potential of novel strategies in managing atherosclerotic cardiovascular disease.
Main Methods:
- Review of current and emerging therapeutic targets for dyslipidemia.
- Discussion of strategies targeting inflammatory factors in atherosclerosis.
- Analysis of the role of lipoproteins and inflammatory mediators.
Main Results:
- Further reductions in atherogenic lipoproteins offer additional avenues for cardiovascular risk reduction.
- The clinical benefit of targeting protective lipid factors remains uncertain.
- The efficacy of targeting inflammatory mediators in atherosclerosis requires further investigation.
Conclusions:
- Continued efforts to lower atherogenic lipoproteins are valuable for reducing cardiovascular risk.
- The clinical utility of targeting protective lipids or inflammatory pathways in atherosclerosis needs further validation.
- Optimizing lipid management and exploring novel anti-inflammatory approaches are crucial for comprehensive cardiovascular disease prevention.
Introduction:
For more than two decades, lowering levels of low-density lipoprotein cholesterol has formed the cornerstone of management of patients with atherosclerotic cardiovascular disease. The substantial residual risk of clinical events in patients treated with statin therapy highlights the need to develop more effective strategies to reduce cardiovascular risk.
Areas Covered:
Current and future approaches targeting dyslipidemia and inflammatory factors implicated in atherosclerosis are discussed.
Expert Opinion:
Considerable efforts to further reduce levels of atherogenic lipoproteins provide additional strategies to lower cardiovascular risk. In contrast, it remains to be determined whether targeting protective lipid factors or inflammatory mediators of atherosclerosis will be clinically beneficial.
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