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动脉粥样硬化的病理生理学与治疗:脂蛋白修饰治疗的当前观点与未来展望

Pathophysiology and treatment of atherosclerosis : Current view and future perspective on lipoprotein modification treatment.

作者信息

Bergheanu S C, Bodde M C, Jukema J W

机构信息

Centre for Human Drug Research, Leiden, The Netherlands.

InterEuropa Clinical Research, Rotterdam, The Netherlands.

出版信息

Neth Heart J. 2017 Apr;25(4):231-242. doi: 10.1007/s12471-017-0959-2.

Abstract

Recent years have brought a significant amount of new results in the field of atherosclerosis. A better understanding of the role of different lipoprotein particles in the formation of atherosclerotic plaques is now possible. Recent cardiovascular clinical trials have also shed more light upon the efficacy and safety of novel compounds targeting the main pathways of atherosclerosis and its cardiovascular complications.In this review, we first provide a background consisting of the current understanding of the pathophysiology and treatment of atherosclerotic disease, followed by our future perspectives on several novel classes of drugs that target atherosclerosis. The focus of this update is on the pathophysiology and medical interventions of low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG) and lipoprotein(a) (Lp(a)).

摘要

近年来,动脉粥样硬化领域取得了大量新成果。现在有可能更好地理解不同脂蛋白颗粒在动脉粥样硬化斑块形成中的作用。近期的心血管临床试验也进一步揭示了针对动脉粥样硬化主要途径及其心血管并发症的新型化合物的疗效和安全性。在本综述中,我们首先介绍动脉粥样硬化疾病病理生理学和治疗的当前认识背景,随后阐述我们对几类针对动脉粥样硬化的新型药物的未来展望。本次更新的重点是低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)和脂蛋白(a) [Lp(a)]的病理生理学和医学干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e47d/5355390/57bca8df7aed/12471_2017_959_Fig1_HTML.jpg

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