Research Institute of Blood Lipid and Atherosclerosis, Reproductive Medicine Center, Department of Obstetrics and Gynecology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, P.R. China.
Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, P.R. China.
Lipids Health Dis. 2024 Nov 1;23(1):356. doi: 10.1186/s12944-024-02352-1.
Type 2 diabetes mellitus (T2DM) is a globally prevalent metabolic disorder, and cardiovascular disease (CVD) is a significant cause of mortality and morbidity in diabetic individuals. In addition to hyperglycemia, lipid abnormalities associated with T2DM play a crucial role in the development of CVD complications. Diabetic dyslipidemia is characterized by elevated levels of triglyceride (TG)-rich lipoproteins and small dense low-density lipoprotein (LDL) particles, reduced high-density lipoprotein (HDL) cholesterol, and impaired HDL function. Angiopoietin protein-like 3 (ANGPTL3) is a liver-derived protein that plays a crucial role in regulating plasma lipoprotein metabolism by inhibiting lipoprotein lipase and influencing lipid levels. Inhibiting ANGPTL3 has shown promising effects in promoting HDL-mediated cholesterol reverse transport and reducing the levels of TG-rich lipoproteins and LDL cholesterol. Here, we explore the potential of ANGPTL3 as a therapeutic target for lipid management in T2DM patients.
2 型糖尿病(T2DM)是一种全球普遍存在的代谢紊乱疾病,心血管疾病(CVD)是糖尿病患者死亡和发病的重要原因。除高血糖外,与 T2DM 相关的脂质异常在 CVD 并发症的发展中起着关键作用。糖尿病血脂异常的特征是甘油三酯(TG)丰富的脂蛋白和小而密的低密度脂蛋白(LDL)颗粒水平升高,高密度脂蛋白(HDL)胆固醇降低,以及 HDL 功能受损。血管生成素样蛋白 3(ANGPTL3)是一种肝脏衍生的蛋白,通过抑制脂蛋白脂肪酶和影响脂质水平,在调节血浆脂蛋白代谢方面发挥着重要作用。抑制 ANGPTL3 在促进 HDL 介导的胆固醇逆向转运和降低富含 TG 的脂蛋白和 LDL 胆固醇水平方面显示出良好的效果。在这里,我们探讨了 ANGPTL3 作为 T2DM 患者脂质管理治疗靶点的潜力。