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Updated: Oct 15, 2025

Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
[Atherosclerosis prevention: new therapeutic strategies on the horizon]
Stefania Angela Di Fusco1, Sara Di Michele1, Furio Colivicchi1
1U.O.C. Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri, ASL Roma 1, Roma.
Abstract:
In order to comprehensively address atherosclerotic risk, the need to achieve and maintain very low LDL-cholesterol levels and manage other atherogenic factors has led to the development of new therapeutic options. This review reports the main agents in an advanced status of development that have LDL-cholesterol, triglycerides, lipoprotein(a), inflammation, and body weight as therapeutic targets. We discuss the mechanism of action, biological effects, and safety profile of these new drugs (bempedoic acid, lomitapide, inclisiran, evinacumab, vupanorsen, mipomersen, eicosapent ethyl, volanesorsen, pemafibrate, AKCEA-APO(a)-LRx, colchicine, semaglutide). Lastly, we briefly report therapeutic interventions based on biotechnological methods that could be implemented in the near future.
Insights
New therapies target multiple factors like LDL-cholesterol, triglycerides, and inflammation to reduce atherosclerotic risk. This review details advanced agents and their mechanisms, biological effects, and safety profiles.
Area of Science:
- Cardiology
- Pharmacology
- Metabolic Diseases
Background:
- Atherosclerotic risk requires managing LDL-cholesterol and other atherogenic factors.
- Novel therapeutic targets are crucial for comprehensive risk reduction.
Purpose of the Study:
- To review emerging therapeutic agents targeting LDL-cholesterol, triglycerides, lipoprotein(a), inflammation, and body weight.
- To discuss the mechanisms, biological effects, and safety of these advanced treatments.
Main Methods:
- Literature review of agents in advanced development for atherosclerotic risk.
- Analysis of mechanisms of action, biological effects, and safety profiles.
- Inclusion of novel drugs and biotechnological interventions.
Main Results:
- Detailed review of agents including bempedoic acid, inclisiran, semaglutide, and others.
- Discussion of targets such as LDL-cholesterol, triglycerides, Lp(a), inflammation, and weight.
- Exploration of novel mechanisms and their clinical implications.
Conclusions:
- Multiple new agents are in advanced development to comprehensively manage atherosclerotic risk.
- These therapies target key atherogenic factors with diverse mechanisms and safety profiles.
- Future interventions may include advanced biotechnological methods.
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