Clinical importance and therapeutic modulation of small dense low-density lipoprotein particles

被引:113
作者
Gazi, Irene F.
Tsimihodimos, Vasilis
Tselepis, Alexandros D.
Elisaf, Moses
Mikhailidis, Dimitri P.
机构
[1] Royal Free Hosp, Dept Clin Biochem, London NW3 2QG, England
[2] Univ Coll Med, London NW3 2QG, England
关键词
atherosclerosis; cardiovascular disease; diabetes mellitus; fibrates; metabolic syndrome; small dense low-density lipoprotein; statins; triglycerides;
D O I
10.1517/14712598.7.1.53
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
The National Cholesterol Education Programme Adult Treatment Panel III accepted the predominance of small dense low-density lipoprotein (sdLDL) as an emerging cardiovascular disease (CVD) risk factor. Most studies suggest that measuring low-density lipoprotein (LDL) particle size, sdLDL cholesterol content and LDL particle number provides additional assessment of CVD risk. Therapeutic modulation of small LDL size, number and distribution may decrease CVD risk; however, no definitive causal relationship is established, probably due to the close association between sdLDL and triglycerides and other risk factors (e.g., high-density lipoprotein, insulin resistance and diabetes). This review addresses the formation and measurement of sdLDL, as well as the relationship between sdLDL particles and CVD. The effect of hypolipidaemic (statins, fibrates and ezetimibe) and hypoglycaemic (glitazones) agents on LDL size and distribution is also discussed.
引用
收藏
页码:53 / 72
页数:20
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