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Assessing Whole-Body Lipid-Handling Capacity in Mice
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トリグリセリドと心血管疾患
Børge G Nordestgaard1, Anette Varbo1
1Department of Clinical Biochemistry and The Copenhagen General Population Study, Herlev Hospital, Copenhagen University Hospital, Herlev, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Lancet (London, England)
|August 19, 2014
まとめ
トリグリセリドの値上昇は,心血管疾患と死亡率の重要な危険因子としてますます認識されています. 新しいトリグリセリドを下げる薬剤と進行中の試験は,その心臓血管の利点を確認することを目指しています.
科学分野:
- 心血管医学 心血管医学
- 脂質代謝についてです.
- 薬理学 薬理学とは
背景:
- 臨床的焦点は,LDLコレステロールとHDLコレステロールからトリグリセリドに移行しました.
- 遺伝学的および疫学的証拠は,トリグリセリド,残留コレステロール,およびトリグリセリドに富んだリポタンパク質を心血管疾患 (CVD) の危険因子として強調しています.
- 低HDLコレステロールは,以前考えられていたほど,心血管疾患の原因ではないかもしれません.
研究 の 目的:
- 心血管疾患におけるトリグリセリドの役割に関する現在の理解をレビューする.
- トリグリセリド管理における新たな証拠と薬物開発の影響を議論する.
主な方法:
- 遺伝子研究とランダム化制御試験のレビュー.
- トリグリセリド値と心血管リスクに関する疫学データの分析.
- トリグリセリドを下げる現在の治療法と新興治療法の議論.
主要な成果:
- 2〜10mmol/Lのトリグリセリド濃度は,心血管疾患のリスクの増加と関連しています.
- トリグリセリド濃度>10 mmol/Lは,急性炎および潜在的にCVDのリスクを高めます.
- ランダム化試験におけるトリグリセリドの減少による心血管上の利点を支持する証拠は限られているが,新しいものである.
結論:
- 心血管疾患の重要な要因としてトリグリセリドに対する新たな関心があります.
- 新しいトリグリセリドを下げる薬が開発されており,大規模な試験が進行中です.
- トリグリセリド減少の心臓血管上の利点に関する決定的な証拠は,現在進行中の研究から予想されます.
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