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Updated: Aug 5, 2025

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Published on: June 23, 2014
HDL-Based Therapy: Vascular Protection at All Stages
Anastasia V Poznyak1, Vasily N Sukhorukov2, Ilya I Eremin3
1Institute for Atherosclerosis Research, Osennyaya 4-1-207, 121609 Moscow, Russia.
Insights
Lipid metabolism disorders contribute to numerous diseases. This review explores high-density lipoprotein (HDL) based therapies targeting these conditions, highlighting HDL
Area of Science:
- Biochemistry
- Pathology
- Pharmacology
Background:
- Lipid metabolism disorders are implicated in diverse pathologies, including cardiovascular, metabolic, neurodegenerative diseases, and cancer.
- These conditions present complex pathogenesis, complicating diagnosis and treatment.
- High-density lipoprotein (HDL) plays a crucial role in lipid metabolism, notably in reverse cholesterol transport and vascular protection.
Purpose of the Study:
- To review current and emerging high-density lipoprotein (HDL)-based therapeutic strategies.
- To explore the role of HDL in various pathologies and its potential as a therapeutic target.
Main Methods:
- Literature review of studies investigating HDL function in disease.
- Analysis of HDL-based therapeutic approaches in preclinical and clinical development.
- Examination of the correlation between HDL cholesterol levels and cardiovascular risk.
Main Results:
- HDL exhibits protective functions in conditions such as Alzheimer's disease and atherosclerosis.
- Serum HDL cholesterol levels negatively correlate with cardiovascular risk.
- HDL-C presents a promising target for therapeutic interventions.
Conclusions:
- HDL-based therapies offer a promising avenue for managing diseases linked to lipid metabolism disorders.
- Further research into HDL's multifaceted roles can unlock novel treatment strategies.
- Targeting HDL may mitigate risks associated with cardiovascular and other related diseases.
Abstract:
It is known that lipid metabolism disorders are involved in a wide range of pathologies. These pathologies include cardiovascular, metabolic, neurodegenerative diseases, and even cancer. All these diseases lead to serious health consequences, which makes it impossible to ignore them. Unfortunately, these diseases most often have a complex pathogenesis, which makes it difficult to study them and, in particular, diagnose and treat them. HDL is an important part of lipid metabolism, performing many functions under normal conditions. One of such functions is the maintaining of the reverse cholesterol transport. These functions are also implicated in pathology development. Thus, HDL contributes to vascular protection, which has been demonstrated in various conditions: Alzheimer's disease, atherosclerosis, etc. Many studies have shown that serum levels of HDL cholesterol correlate negatively with CV risk. With these data, HDL-C is a promising therapeutic target. In this manuscript, we reviewed HDL-based therapeutic strategies that are currently being used or may be developed soon.
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