HDL Functions—Current Status and Future Perspectives

Cardiovascular disease (CVD) is the leading cause of death in Western countries. A low HDL-C is associated with the development of CVD. However, recent epidemiology studies have shown U-shaped curves between HDL-C and CVD mortality, with paradoxically increased CVD mortality in patients with extreme...

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Main Authors: Yasuhiro Endo, Masanori Fujita, Katsunori Ikewaki
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/13/1/105
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author Yasuhiro Endo
Masanori Fujita
Katsunori Ikewaki
author_facet Yasuhiro Endo
Masanori Fujita
Katsunori Ikewaki
author_sort Yasuhiro Endo
collection DOAJ
description Cardiovascular disease (CVD) is the leading cause of death in Western countries. A low HDL-C is associated with the development of CVD. However, recent epidemiology studies have shown U-shaped curves between HDL-C and CVD mortality, with paradoxically increased CVD mortality in patients with extremely high HDL-C levels. Furthermore, HDL-C raising therapy using nicotinic acids or CETP inhibitors mostly failed to reduce CVD events. Based on this background, HDL functions rather than HDL-C could be a novel biomarker; research on the clinical utility of HDL functionality is ongoing. In this review, we summarize the current status of HDL functions and their future perspectives from the findings of basic research and clinical trials.
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spelling doaj.art-5d0c24b8c69a4ca089a60930143c7ae52023-11-30T21:22:51ZengMDPI AGBiomolecules2218-273X2023-01-0113110510.3390/biom13010105HDL Functions—Current Status and Future PerspectivesYasuhiro Endo0Masanori Fujita1Katsunori Ikewaki2Division of Anti-Aging and Vascular Medicine, Department of Internal Medicine, National Defense Medical College, Saitama 359-8513, JapanDivision of Environmental Medicine, National Defense Medical College Research Institute, Saitama 359-8513, JapanDivision of Anti-Aging and Vascular Medicine, Department of Internal Medicine, National Defense Medical College, Saitama 359-8513, JapanCardiovascular disease (CVD) is the leading cause of death in Western countries. A low HDL-C is associated with the development of CVD. However, recent epidemiology studies have shown U-shaped curves between HDL-C and CVD mortality, with paradoxically increased CVD mortality in patients with extremely high HDL-C levels. Furthermore, HDL-C raising therapy using nicotinic acids or CETP inhibitors mostly failed to reduce CVD events. Based on this background, HDL functions rather than HDL-C could be a novel biomarker; research on the clinical utility of HDL functionality is ongoing. In this review, we summarize the current status of HDL functions and their future perspectives from the findings of basic research and clinical trials.https://www.mdpi.com/2218-273X/13/1/105HDLcholesterol efflux capacityreverse cholesterol transport
spellingShingle Yasuhiro Endo
Masanori Fujita
Katsunori Ikewaki
HDL Functions—Current Status and Future Perspectives
Biomolecules
HDL
cholesterol efflux capacity
reverse cholesterol transport
title HDL Functions—Current Status and Future Perspectives
title_full HDL Functions—Current Status and Future Perspectives
title_fullStr HDL Functions—Current Status and Future Perspectives
title_full_unstemmed HDL Functions—Current Status and Future Perspectives
title_short HDL Functions—Current Status and Future Perspectives
title_sort hdl functions current status and future perspectives
topic HDL
cholesterol efflux capacity
reverse cholesterol transport
url https://www.mdpi.com/2218-273X/13/1/105
work_keys_str_mv AT yasuhiroendo hdlfunctionscurrentstatusandfutureperspectives
AT masanorifujita hdlfunctionscurrentstatusandfutureperspectives
AT katsunoriikewaki hdlfunctionscurrentstatusandfutureperspectives