Τίτλος:
HDL as a prognostic biomarker for coronary atherosclerosis: the role of inflammation
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Introduction: Emerging evidence suggests that the role of high density lipoprotein (HDL) in the atherosclerotic process is not as clear as previously thought, since atheroprotective HDL becomes atherogenic in states of increased inflammatory processes. Areas covered: In this review we aim to elucidate the role of HDL as a prognostic biomarker and we discuss therapeutic approaches that aim to increase HDL and their possible clinical benefit. Expert opinion: Given the structural variability and biological complexity of the HDL particle, its role in the atherosclerotic process is far from clear. According to current evidence, the atheroprotective role of HDL turns atherogenic in states of increased inflammatory processes, while even minor alterations in systemic inflammation are likely to hinder the endothelial protective effects of HDL. In accordance, significant data have revealed that HDL-related drugs may be effective in reducing cardiovascular mortality; however they are not as encouraging or unanimous as expected. Possible future goals could be to quantify either HDL subclasses or functions in an attempt to reach safer conclusions as to the prognostic importance of HDL in coronary atherosclerosis. Having achieved that, a more targeted therapy that would aim to raise either HDL functionality or to remodel HDL structure would be more easily designed. © 2016 Informa UK Limited, trading as Taylor & Francis Group.
Συγγραφείς:
Papageorgiou, N.
Zacharia, E.
Androulakis, E.
Briasoulis, A.
Charakida, M.
Tousoulis, D.
Περιοδικό:
Expert Opinion on Therapeutic Targets
Εκδότης:
Taylor and Francis Ltd.
Λέξεις-κλειδιά:
high density lipoprotein; high density lipoprotein 2; high density lipoprotein 3; biological marker; high density lipoprotein, antiinflammatory activity; antioxidant activity; atherogenesis; cardiovascular mortality; cardiovascular risk; coronary artery atherosclerosis; human; inflammation; nonhuman; prognosis; protein function; protein structure; Review; animal; coronary artery disease; drug design; inflammation; metabolism; mortality; pathology; prognosis; vascular endothelium, Animals; Biomarkers; Coronary Artery Disease; Drug Design; Endothelium, Vascular; Humans; Inflammation; Lipoproteins, HDL; Prognosis
DOI:
10.1517/14728222.2016.1152264
