Familial Hypercholesterolemia: Do HDL Play a Role?

Cardiovascular disease (CVD) in heterozygous familial hypercholesterolemia (HeFH), the most frequent monogenic disorder of human metabolism, is largely driven by low-density lipoprotein (LDL) cholesterol concentrations. Since the CVD rate differs considerably in this population, beyond the lifetime...

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Main Authors: Juan Pedro-Botet, Elisenda Climent, David Benaiges
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/7/810
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author Juan Pedro-Botet
Elisenda Climent
David Benaiges
author_facet Juan Pedro-Botet
Elisenda Climent
David Benaiges
author_sort Juan Pedro-Botet
collection DOAJ
description Cardiovascular disease (CVD) in heterozygous familial hypercholesterolemia (HeFH), the most frequent monogenic disorder of human metabolism, is largely driven by low-density lipoprotein (LDL) cholesterol concentrations. Since the CVD rate differs considerably in this population, beyond the lifetime LDL cholesterol vascular accumulation, other classical risk factors are involved in the high cardiovascular risk of HeFH. Among other lipoprotein disturbances, alterations in the phenotype and functionality of high-density lipoproteins (HDL) have been described in HeFH patients, contributing to the presence and severity of CVD. In fact, HDL are the first defensive barrier against the burden of high LDL cholesterol levels owing to their contribution to reverse cholesterol transport as well as their antioxidant and anti-inflammatory properties, among others. In this context, the present narrative review aimed to focus on quantitative and qualitative abnormalities in HDL particles in HeFH, encompassing metabolic, genetic and epigenetic aspects.
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spelling doaj.art-5ce7ac5b33934a63b9499cc405a091ab2023-11-22T03:17:26ZengMDPI AGBiomedicines2227-90592021-07-019781010.3390/biomedicines9070810Familial Hypercholesterolemia: Do HDL Play a Role?Juan Pedro-Botet0Elisenda Climent1David Benaiges2Endocrinology and Nutrition Department, Hospital del Mar, 08003 Barcelona, SpainEndocrinology and Nutrition Department, Hospital del Mar, 08003 Barcelona, SpainEndocrinology and Nutrition Department, Hospital del Mar, 08003 Barcelona, SpainCardiovascular disease (CVD) in heterozygous familial hypercholesterolemia (HeFH), the most frequent monogenic disorder of human metabolism, is largely driven by low-density lipoprotein (LDL) cholesterol concentrations. Since the CVD rate differs considerably in this population, beyond the lifetime LDL cholesterol vascular accumulation, other classical risk factors are involved in the high cardiovascular risk of HeFH. Among other lipoprotein disturbances, alterations in the phenotype and functionality of high-density lipoproteins (HDL) have been described in HeFH patients, contributing to the presence and severity of CVD. In fact, HDL are the first defensive barrier against the burden of high LDL cholesterol levels owing to their contribution to reverse cholesterol transport as well as their antioxidant and anti-inflammatory properties, among others. In this context, the present narrative review aimed to focus on quantitative and qualitative abnormalities in HDL particles in HeFH, encompassing metabolic, genetic and epigenetic aspects.https://www.mdpi.com/2227-9059/9/7/810familial hypercholesterolemiacardiovascular diseasehigh density lipoproteinsHDL functionalitygeneticsepigenetics
spellingShingle Juan Pedro-Botet
Elisenda Climent
David Benaiges
Familial Hypercholesterolemia: Do HDL Play a Role?
Biomedicines
familial hypercholesterolemia
cardiovascular disease
high density lipoproteins
HDL functionality
genetics
epigenetics
title Familial Hypercholesterolemia: Do HDL Play a Role?
title_full Familial Hypercholesterolemia: Do HDL Play a Role?
title_fullStr Familial Hypercholesterolemia: Do HDL Play a Role?
title_full_unstemmed Familial Hypercholesterolemia: Do HDL Play a Role?
title_short Familial Hypercholesterolemia: Do HDL Play a Role?
title_sort familial hypercholesterolemia do hdl play a role
topic familial hypercholesterolemia
cardiovascular disease
high density lipoproteins
HDL functionality
genetics
epigenetics
url https://www.mdpi.com/2227-9059/9/7/810
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AT davidbenaiges familialhypercholesterolemiadohdlplayarole