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- W2044691010 abstract "Recent studies involving HDL-raising therapeutics have greatly changed our understanding of this field. Despite effectively raising HDL-C levels, niacin remains of uncertain clinical benefit. Synthetic niacin receptor agonists are unlikely to raise HDL-C or have other beneficial effects on plasma lipids. Despite the failure in phase 3 of 2 CETP inhibitors, 2 potent CETP inhibitors that raise HDL-C levels by >100 % (and reduce LDL-C substantially) are in late stage clinical development. Infusions of recombinant HDL containing ‘wild-type’ apoA-I or apoA-I Milano, as well as autologous delipidated HDL, all demonstrated promising early results, and remain in clinical development. A small molecule that causes upregulation of endogenous apoA-I production is also in clinical development. Finally, upregulation of macrophage cholesterol efflux pathways through agonism of liver X receptors or antagonism of miR-33 remains of substantial interest. The field of HDL therapeutics is poised to transition from the ‘HDL-cholesterol hypothesis’ to the ‘HDL flux hypothesis’ in which the impact on flux from macrophage to feces is deemed to be of greater therapeutic benefit than the increase in steady-state concentrations of HDL cholesterol." @default.
- W2044691010 created "2016-06-24" @default.
- W2044691010 creator A5066952426 @default.
- W2044691010 creator A5067149045 @default.
- W2044691010 creator A5090234654 @default.
- W2044691010 date "2012-09-19" @default.
- W2044691010 modified "2023-09-27" @default.
- W2044691010 title "Targeting High Density Lipoproteins in the Prevention of Cardiovascular Disease?" @default.
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- W2044691010 doi "https://doi.org/10.1007/s11886-012-0317-3" @default.
- W2044691010 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3517174" @default.
- W2044691010 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22991041" @default.
- W2044691010 hasPublicationYear "2012" @default.
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