Inheritance of high and low HDL : mechanisms and management

PURPOSE OF REVIEW: The inverse association between plasma high-density lipoprotein cholesterol (HDL-C) concentration and the incidence of cardiovascular disease (CVD) has been unequivocally proven by many epidemiological studies. There are several genetic disorders affecting HDL-C plasma levels, either providing atheroprotection or predisposing to premature atherosclerosis. However, up to date, there has not been any pharmacological intervention modulating HDL-C levels, which has been clearly shown to prevent the progression of CVD. Thus, clarifying the exact underlying mechanisms of inheritance of these genetic disorders that affect HDL is a current goal of the research, as key roles of molecular components of HDL metabolism and function can be revealed and become targets for the discovery of novel medications for the prevention and treatment of CVD.

RECENT FINDINGS: Primary genetic disorders of HDL can be either associated with longevity or, in contrast, may lead to premature CVD, causing high morbidity and mortality to their carriers. A large body of recent research has closely examined the genetic disorders of HDL and new promising therapeutic strategies have been developed, which may be proven beneficial in patients predisposed to CVD in the near future.

SUMMARY: We have reviewed recent findings on the inheritance of genetic disorders associated with high and low HDL-C plasma levels and we have discussed their clinical features, as well as information about new promising HDL-C-targeted therapies that are under clinical trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Current opinion in lipidology - 30(2019), 4 vom: 23. Aug., Seite 307-313

Sprache:

Englisch

Beteiligte Personen:

Sourlas, Andreas [VerfasserIn]
Kosmas, Constantine E [VerfasserIn]

Links:

Volltext

Themen:

Cholesterol, HDL
Cholesterol, LDL
Journal Article
Review

Anmerkungen:

Date Completed 06.07.2020

Date Revised 06.07.2020

published: Print

Citation Status MEDLINE

doi:

10.1097/MOL.0000000000000610

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM297536230