从LDL-C到脂蛋白 - - 那些未能从历史中吸取教训的人注定要重复历史
Ashish Sarraju1,2, Steve E Nissen1,2
1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.
American journal of preventive cardiology
|December 31, 2025
概括
尽管LDL-C疗法在治疗动脉样硬化心血管疾病 (ASCVD) 中的重要性仍然存在,但LDL-C疗法的低最佳使用仍然存在. 学习的经验可以指导未来的ASCVD残留风险降低策略,包括新型脂蛋白 (a) 疗法.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学 是一个学科.
- 公共卫生 公共卫生
背景情况:
- 动脉样性心血管疾病 (ASCVD) 仍然是全球主要的死亡原因.
- 尽管有像他类药物这样的可用疗法,但实现低密度脂蛋白胆固醇 (LDL-C) 目标是不理想的.
- 即使降低了LDL-C,残留ASCVD风险仍然存在,需要采用替代策略.
研究的目的:
- 审查从低最佳LDL-C治疗实施的经验教训.
- 为未来的ASCVD残留风险降低策略提供信息.
- 突出针对脂蛋白 (a) (Lp(a)) 的新疗法的潜力.
主要方法:
- 对LDL-C治疗实施的文献综述.
- 分析导致残留ASCVD风险的因素.
- 检查新兴的Lp (a) 降低疗法和临床试验.
主要成果:
- 在LDL-C目标的最佳程度以下的实现会影响ASCVD风险管理.
- 脂蛋白 (a) (Lp(a)) 是新疗法的一个关键目标.
- 目前正在进行的试验正在评估Lp(a) 降低剂对ASCVD事件的疗效.
结论:
- 从实施LDL-C治疗中吸取的教训对于未来的残留风险策略至关重要.
- 有效实施新型Lp(a) 疗法可以显著减少ASCVD事件.
- 未来的研究和临床实践应专注于超越LDL-C的全面ASCVD风险降低.
相关概念视频
Atherosclerosis I: Introduction
765
Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
765
Receptor-mediated Endocytosis
110.3K
Overview
110.3K
Cholesterol: Significance and Regulation
1.2K
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
1.2K
Blood Studies for Cardiovascular System III: Serum Lipid Profile
532
Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
532
Lipid-derived Compounds in the Human Body
6.2K
Fats and lipids are crucial components in the human body. Some lipid-derived compounds, such as fat-soluble vitamins, eicosanoids, lipoproteins, and glycolipids, also play unique roles to support various biological processes .
Fat-soluble Vitamins
Fat-soluble vitamins, including vitamins A, D, E, and K, are required in minimal quantities, but their deficiencies can lead to severely abnormal physiological conditions. For example, vitamin A deficiency can cause night blindness, dry skin,...
Fat-soluble Vitamins
Fat-soluble vitamins, including vitamins A, D, E, and K, are required in minimal quantities, but their deficiencies can lead to severely abnormal physiological conditions. For example, vitamin A deficiency can cause night blindness, dry skin,...
6.2K
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
1.3K
Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
1.3K


