HDL and ASCVD

Hongtu Cui1, Qian Du2

  • 1Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital, NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing Key Laboratory of Cardiovascular Receptors Research, Beijing, China.

Insights

High-density lipoprotein (HDL) plays a key role in atherosclerotic cardiovascular disease (ASCVD). New HDL-based therapies are emerging to combat this condition.

Area of Science:

  • Cardiovascular Science
  • Lipid Metabolism
  • Immunology

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) remains a leading cause of mortality worldwide.
  • High-density lipoprotein (HDL) is a critical lipoprotein involved in reverse cholesterol transport.
  • Dysfunctional HDL is implicated in the pathogenesis of ASCVD.

Purpose of the Study:

  • To elucidate the multifaceted relationship between circulating HDL and ASCVD.
  • To explore the cellular actions of HDL in key cell types relevant to atherogenesis.
  • To review recent advancements in HDL-targeting therapies for ASCVD.

Main Methods:

  • Literature review and synthesis of existing research on HDL and ASCVD.
  • Analysis of studies investigating HDL's cellular interactions (endothelial cells, macrophages, T lymphocytes).
  • Overview of novel therapeutic strategies modulating HDL function or levels.

Main Results:

  • HDL exhibits protective effects against ASCVD through various mechanisms.
  • HDL interacts with diverse cell types, influencing inflammatory and metabolic processes within the arterial wall.
  • Emerging therapies aim to enhance HDL's atheroprotective functions.

Conclusions:

  • The intricate relationship between HDL and ASCVD underscores HDL's therapeutic potential.
  • Targeting HDL offers a promising avenue for novel ASCVD treatments.
  • Further research into HDL's cellular roles will refine therapeutic strategies.

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