Authors: Remaley, Alan T; Amar, Marcelo; Sviridov, Dmitri

Source: Expert Review of Cardiovascular Therapy, Volume 6, Number 9, October 2008 , pp. 1203-1215(13)

Publisher: Expert Reviews

Abstract:

HDL-replacement therapy is a promising new treatment strategy involving the acute administration of HDL to rapidly stabilize patients at imminent risk for developing a myocardial infarction, such as those with acute coronary syndrome. This review will first focus on the anti-atherogenic mechanisms for HDL, such as the stimulation of the reverse cholesterol transport pathway, and then discuss the other potential beneficial biological effects of HDL on atherosclerosis. The various types of HDL-replacement therapies that are being investigated and developed will be reviewed and ongoing clinical trials and other possible clinical indications for HDL-replacement therapy besides the prevention of myocardial infarction will also be described. Finally, HDL-replacement therapy will be put into perspective by summarizing the current gaps in our knowledge of HDL metabolism and identifying challenges for future research in this area.

Keywords: apolipoprotein A-I; atherosclerosis; cholesterol; coronary heart disease; HDL; lipoprotein; therapy

Document Type: Research article

DOI: http://dx.doi.org/10.1586/14779072.6.9.1203

Affiliations: 1: National Institutes of Health, Lipoprotein Metabolism Section, Pulmonary and Vascular Medicine Branch, National Heart, Lung, and Blood Institute, Building 10, Room 7N-115, 10 Center Drive, Bethesda, MD 20892-21508, USA., Email: aremaley@cc.nih.go

Publication date: 2008-10-01

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• Expert Review of Cardiovascular Therapy provides expert commentary on the clinical applications of the new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage inculdes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery.
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