リポタンパク質(a)と大動脈弁狭窄症:病態生理から新たな薬理学的薬剤まで
Federica Agnello1,2, Giulia Laterra1,2, Lorenzo Scalia2
1Faculty of Medicine and Surgery, Università degli Studi di Enna "Kore", Piazza dell'Università, 94100 Enna, Italy.
Abstract:
Aortic valve stenosis (AVS) is the most common valvular disease in developed countries, and no pharmacological therapy is currently available. Increasing evidence identifies lipoprotein(a) [Lp(a)] as a causal factor linking lipid metabolism, inflammation, and valve calcification. Lp(a) levels are largely genetically determined and remain stable throughout life, making them a potential therapeutic target. This review summarizes the current evidence on Lp(a) and AVS pathophysiology, the diagnostic and prognostic role of Lp(a), and the therapeutic potential of Lp(a)-lowering agents. Emerging Lp(a)-targeted therapies, including antisense oligonucleotides and siRNA-based agents, could reshape AVS management by providing the first pharmacological option to slow disease progression in selected high-risk patients.
関連する概念動画
Atherosclerosis III: Management
Atherosclerosis I: Introduction
Aortic Regurgitation III: Medical Management
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Peripheral Artery Disease I: Introduction
Coronary Artery Disease II: Pathophysiology

