Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia

The role of lipids is essential in any phase of the atherosclerotic process, which is considered a chronic lipid-related and inflammatory condition. The traditional lipid profile (including the evaluation of total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein) is...

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Main Authors: Melania Gaggini, Francesca Gorini, Cristina Vassalle
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/1/75
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author Melania Gaggini
Francesca Gorini
Cristina Vassalle
author_facet Melania Gaggini
Francesca Gorini
Cristina Vassalle
author_sort Melania Gaggini
collection DOAJ
description The role of lipids is essential in any phase of the atherosclerotic process, which is considered a chronic lipid-related and inflammatory condition. The traditional lipid profile (including the evaluation of total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein) is a well-established tool to assess the risk of atherosclerosis and as such has been widely used as a pillar of cardiovascular disease prevention and as a target of pharmacological treatments in clinical practice over the last decades. However, other non-traditional lipids have emerged as possible alternative predictors of cardiometabolic risk in addition to traditional single or panel lipids, as they better reflect the overall interaction between lipid/lipoprotein fractions. Therefore, this review deals with the lipid involvement characterizing the pathophysiology of atherosclerosis, discussing some recently proposed non-traditional lipid indices and, in the light of available knowledge, their actual potential as new additive tools to better stratify cardiovascular risk in patients with hyperlipidemia as well as possible therapeutic targets in the clinical practice.
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spelling doaj.art-d92ddac61e9149b3ba042309f4440c662023-11-16T15:28:56ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-12-012417510.3390/ijms24010075Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with HyperlipidemiaMelania Gaggini0Francesca Gorini1Cristina Vassalle2Institute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, ItalyInstitute of Clinical Physiology, National Research Council, Via Moruzzi 1, 56124 Pisa, ItalyFondazione CNR—Regione Toscana G Monasterio, Via Moruzzi 1, 56124 Pisa, ItalyThe role of lipids is essential in any phase of the atherosclerotic process, which is considered a chronic lipid-related and inflammatory condition. The traditional lipid profile (including the evaluation of total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein) is a well-established tool to assess the risk of atherosclerosis and as such has been widely used as a pillar of cardiovascular disease prevention and as a target of pharmacological treatments in clinical practice over the last decades. However, other non-traditional lipids have emerged as possible alternative predictors of cardiometabolic risk in addition to traditional single or panel lipids, as they better reflect the overall interaction between lipid/lipoprotein fractions. Therefore, this review deals with the lipid involvement characterizing the pathophysiology of atherosclerosis, discussing some recently proposed non-traditional lipid indices and, in the light of available knowledge, their actual potential as new additive tools to better stratify cardiovascular risk in patients with hyperlipidemia as well as possible therapeutic targets in the clinical practice.https://www.mdpi.com/1422-0067/24/1/75atherosclerosislipidsnon-invasive lipid indicesnon-HDLCRI-ICRI-II
spellingShingle Melania Gaggini
Francesca Gorini
Cristina Vassalle
Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
International Journal of Molecular Sciences
atherosclerosis
lipids
non-invasive lipid indices
non-HDL
CRI-I
CRI-II
title Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
title_full Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
title_fullStr Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
title_full_unstemmed Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
title_short Lipids in Atherosclerosis: Pathophysiology and the Role of Calculated Lipid Indices in Assessing Cardiovascular Risk in Patients with Hyperlipidemia
title_sort lipids in atherosclerosis pathophysiology and the role of calculated lipid indices in assessing cardiovascular risk in patients with hyperlipidemia
topic atherosclerosis
lipids
non-invasive lipid indices
non-HDL
CRI-I
CRI-II
url https://www.mdpi.com/1422-0067/24/1/75
work_keys_str_mv AT melaniagaggini lipidsinatherosclerosispathophysiologyandtheroleofcalculatedlipidindicesinassessingcardiovascularriskinpatientswithhyperlipidemia
AT francescagorini lipidsinatherosclerosispathophysiologyandtheroleofcalculatedlipidindicesinassessingcardiovascularriskinpatientswithhyperlipidemia
AT cristinavassalle lipidsinatherosclerosispathophysiologyandtheroleofcalculatedlipidindicesinassessingcardiovascularriskinpatientswithhyperlipidemia