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A Familial Hypercholesterolemia Human Liver Chimeric Mouse Model Using Induced Pluripotent Stem Cell-derived Hepatocytes
Published on: September 15, 2018
Treatment of heterozygous familial hypercholesterolemia: what does the future hold?
Georgios Polychronopoulos1, Konstantinos Tziomalos1
1First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital , Thessaloniki, Greece.
Insights
New lipid-lowering agents inclisiran and bempedoic acid show promise for managing heterozygous familial hypercholesterolemia (heFH). Further research is needed to confirm their impact on cardiovascular health and cost-effectiveness.
Area of Science:
- Cardiovascular Medicine
- Metabolic Disorders
- Pharmacology
Background:
- Heterozygous familial hypercholesterolemia (heFH) is a prevalent genetic condition increasing cardiovascular risk.
- Current lipid-lowering therapies often fail to achieve target low-density lipoprotein cholesterol (LDL-C) levels in a significant number of heFH patients.
Purpose of the Study:
- To review the safety and efficacy of novel LDL-C lowering agents, inclisiran and bempedoic acid.
- To discuss their potential role in managing patients with heterozygous familial hypercholesterolemia (heFH).
Main Methods:
- Comprehensive literature search of the PubMed database up to August 2020.
- Review and synthesis of data on the efficacy and safety of inclisiran and bempedoic acid.
Main Results:
- Inclisiran demonstrates a prolonged lipid-lowering effect, potentially improving treatment adherence in heFH.
- Bempedoic acid offers additional LDL-C reduction in patients on high-intensity statins, with oral administration as a potential advantage.
Conclusions:
- Inclisiran and bempedoic acid represent potential advancements in heFH management.
- Further evaluation of their impact on cardiovascular morbidity and cost-effectiveness is crucial before widespread clinical adoption.
Introduction:
Heterozygous familial hypercholesterolemia (heFH) is a common metabolic disease associated with increased cardiovascular risk. Despite treatment with the currently available lipid-lowering agents (statins, ezetimibe, and proprotein convertase subtilisin/kexin type 9 inhibitors), a substantial proportion of patients with heFH does not achieve low-density lipoprotein cholesterol (LDL-C) targets.
Areas Covered:
The PubMed database was reviewed for relevant papers published up to August 2020. The safety and efficacy of novel agents, namely inclisiran and bempedoic acid, that lower LDL-C levels and might be useful in the management of patients with heFH are discussed.
Expert Opinion:
The prolonged lipid-lowering effect of inclisiran might improve adherence to treatment in patients with heFH. Bempedoic acid provides additional reductions in LDL-C levels in patients on high-intensity statin treatment; oral administration of this agent might be attractive to some patients. However, it is important to evaluate the effects of these agents on cardiovascular morbidity before they are incorporated in the management of heFH. The cost/benefit of treatment should also be considered, given the increasing complexity of lipid-lowering treatment.
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