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Lipid Lowering Therapy: An Era Beyond Statins

Lipid Lowering Therapy: An Era Beyond Statins

Source : https://www.sciencedirect.com/science/article/abs/pii/S0146280622002390?via=ihub

Available online 31 July 2022, 101342 Dyslipidemia, specifically elevated LDL cholesterol levels, causes atherosclerotic cardiovascular disease (ASCVD) and increases the risk of myocardial infarction and stroke. Statins, a class of...



Conclusion/Relevance: Overall, although statins continue to be the gold standard, non-statin therapies are set to play an increasingly important role in managing dyslipidemia.

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    Key Points • Source: Current Problems in Cardiology • Conclusion: “This review explores non-statin lipid-lowering therapies and examines recent advances and emerging research. Over the previous decades, several lipid-lowering therapies, both as monotherapy and Show More
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Effects of PCSK9 inhibitors on HDL cholesterol efflux and serum cholesterol loading capacity in familial hypercholesterolemia subjects: a multi-lipid-center real-world evaluation

Effects of PCSK9 inhibitors on HDL cholesterol efflux and serum cholesterol loading capacity in familial hypercholesterolemia subjects: a multi-lipid-center real-world evaluation

Source : https://www.frontiersin.org/articles/10.3389/fmolb.2022.925587/full

Proprotein convertase subtilisin/kexin type 9 (PCSK9), beyond regulating LDL cholesterol (LDL-c) plasma levels, exerts several pleiotropic effects by modulating lipid metabolism in extrahepatic cells such as macrophages. Macrophage cholesterol homeostasis...



Conclusion: PCSK9-i treatment significantly increased HDL-CEC through ABCG1 and aqueous diffusion pathways and reduced the serum CLC in FH patients. The favorable effect of PCSK9-i on functional lipid profile could contribute to the cardiovascular benefit of these drugs in FH patients.

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PCSK9 Promotes Endothelial Dysfunction During Sepsis Via the TLR4/MyD88/NF-κB and NLRP3 Pathways - PubMed

PCSK9 Promotes Endothelial Dysfunction During Sepsis Via the TLR4/MyD88/NF-κB and NLRP3 Pathways - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/35930089/

Endothelial dysfunction often accompanies sepsis. We aimed to explore the role of PCSK9 in septic endothelial dysfunction. Sepsis was induced by lipopolysaccharide (LPS) treatment of human umbilical vein endothelial cells...



Relevance: Endothelial dysfunction often accompanies sepsis. We aimed to explore the role of PCSK9 in septic endothelial dysfunction.

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Evolocumab on top of empagliflozin improves endothelial function of individuals with diabetes: randomized active-controlled trial - Cardiovascular Diabetology

Evolocumab on top of empagliflozin improves endothelial function of individuals with diabetes: randomized active-controlled trial - Cardiovascular Diabetology

Source : https://cardiab.biomedcentral.com/articles/10.1186/s12933-022-01584-8

Background Sodium-glucose cotransporter 2 inhibitors (SGLT2i) improve endothelial dysfunction and reduce cardiovascular events in individuals with type 2 diabetes (T2D). Proprotein convertase subtilisin/kexin 9 (PCSK9i) inhibitors reduce cardiovascular events in...



Conclusions: In individuals with T2D, the addition of evolocumab on top of empagliflozin improves endothelial function.

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New Therapeutic Approaches in Treatment of Dyslipidaemia-A Narrative Review - PubMed

New Therapeutic Approaches in Treatment of Dyslipidaemia-A Narrative Review - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/35890138/

Dyslipidaemia is a well-known risk factor for the development of cardiovascular disease, a leading cause of morbidity and mortality in developed countries. As a consequence, the medical community has been...



Conclusion: This article provides a short summary of new agents currently used or being developed for lipid lowering treatment.



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