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High density lipoprotein cholesterol: an evolving target of therapy in the management of cardiovascular disease
Review
(2906) Views (764) Full article downloads
Authors: Navin K Kapur, Dominique Ashen, Roger S Blumenthal
Published Date March 2008
Volume 2008:4(1) Pages 39 - 57
DOI: http://dx.doi.org/10.2147/VHRM.S1940
Navin K Kapur, Dominique Ashen, Roger S Blumenthal
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Abstract: Since the pioneering work of John Gofman in the 1950s, our understanding of high density lipoprotein cholesterol (HDL-C) and its relationship to coronary heart disease (CHD) has grown substantially. Numerous clinical trials since the Framingham Study in 1977 have demonstrated an inverse relationship between HDL-C and one’s risk of developing CHD. Over the past two decades, preclinical research has gained further insight into the nature of HDL-C metabolism, specifically regarding the ability of HDL-C to promote reverse cholesterol transport (RCT). Recent attempts to harness HDL’s ability to enhance RCT have revealed the complexity of HDL-C metabolism. This review provides a detailed update on HDL-C as an evolving therapeutic target in the management of cardiovascular disease.
Keywords: high density lipoprotein cholesterol (HDL-C), coronary, atherosclerosis, reverse cholesterol transport
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