Remnant cholesterol and low-grade inflammation jointly in atherosclerotic cardiovascular disease: implications for

Daniel Elías-López1,2,3, Takahito Doi1,2, Børge G Nordestgaard1,2,4

  • 1Department of Clinical Biochemistry, Copenhagen University Hospital - Herlev Gentofte.

Insights

Elevated remnant cholesterol and low-grade inflammation significantly increase atherosclerotic cardiovascular disease (ASCVD) risk. Their combined presence poses a particularly high risk, necessitating further research into targeted therapies for ASCVD prevention.

Area of Science:

  • Cardiovascular Medicine
  • Inflammation Research
  • Lipid Metabolism

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) remains a leading cause of mortality globally.
  • Residual ASCVD risk is partly explained by elevated remnant cholesterol and low-grade inflammation.
  • The combined effect of these factors on ASCVD risk is a growing area of concern.

Approach:

  • Review of recent observational and genetic Mendelian randomization studies.
  • Analysis of the independent and combined roles of remnant cholesterol and inflammation in ASCVD.
  • Evaluation of current evidence on the dual threat of high remnant cholesterol and low-grade inflammation.

Key Points:

  • Recent studies confirm a causal link between elevated remnant cholesterol, low-grade inflammation, and ASCVD risk.
  • The coexistence of high remnant cholesterol and low-grade inflammation amplifies ASCVD risk.
  • Observational data highlights this dual risk factor combination as particularly dangerous.

Conclusions:

  • Elevated remnant cholesterol and low-grade inflammation are critical contributors to ASCVD risk.
  • The synergistic effect of these factors warrants increased clinical attention.
  • Further research is needed to explore the efficacy of combined lipid-lowering and anti-inflammatory treatments for ASCVD.
Abstract

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