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Published on: November 10, 2017
HDL functionality in familial hypercholesterolemia: effects of treatment modalities and pharmacological interventions
Shiva Ganjali1, Amir Abbas Momtazi-Borojeni2, Maciej Banach3
1Department of Medical Biotechnology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Assessing high-density lipoprotein (HDL) functionality offers better cardiovascular risk evaluation than cholesterol levels alone. This review examines how lipid-modifying therapies affect HDL functionality in familial hypercholesterolemia (FH).
Area of Science:
- Cardiovascular Medicine
- Lipidology
- Pharmacology
Background:
- High-density lipoprotein (HDL) cholesterol measurement is less effective than HDL functionality assessment for evaluating cardiovascular risk.
- Familial hypercholesterolemia (FH) is characterized by qualitative HDL particle abnormalities, presenting potential therapeutic targets.
- Optimizing HDL functionality may offer a novel treatment strategy for FH.
Purpose of the Study:
- To review the impact of various lipid-modifying therapies on HDL functionality in patients with FH.
- To address the gap in comprehensive reviews on this specific topic.
Main Methods:
- Literature review of studies investigating lipid-modifying therapies and HDL functionality in FH patients.
- Synthesis of existing data on HDL particle quality and therapeutic interventions.
Main Results:
- (Not applicable for a review article, results are synthesized from existing studies)
Conclusions:
- Understanding the effects of lipid-modifying therapies on HDL functionality is crucial for developing effective FH treatments.
- Further research is needed to fully elucidate the therapeutic potential of targeting HDL functionality in FH.
Abstract:
Recent studies have demonstrated that assessment of high-density lipoprotein (HDL) functionality indices, instead of HDL cholesterol measurement, is a more robust tool for the evaluation of the functional status of HDL and cardiovascular risk. There are qualitative abnormalities of HDL particles in familial hypercholesterolemia (FH) patients that might represent potential therapeutic targets. Despite the potential promise of optimizing HDL functionality for the treatment of FH, there has been no prior comprehensive review focusing on the impact of different lipid-modifying therapies on HDL functionality in FH patients. In the present review, we aim to fulfill this gap and provide a concise summary on the impact of different lipid-modifying therapies on HDL functionality in FH.
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