Menu Expand
Lipidology, An Issue of Cardiology Clinics, E-Book

Lipidology, An Issue of Cardiology Clinics, E-Book

Stephen J. Nicholls

(2018)

Additional Information

Book Details

Abstract

This issue of Cardiology Clinics, edited by Dr. Stephen Nicholls, focuses on Lipidology. Topics include, but are not limited to: Impact of lipoproteins on atherobiology; Lessons from genomic studies; Lipids and lipoproteins in risk prediction; Optimizing statins and ezetimibe in guideline focused management; Statin intolerance; Lipid lowering agents and diabetes risk; PCSK9 inhibitors; Bempedoic Acid; Triglyceride rich lipoproteins; Omega 3 Fatty Acids; Lipoprotein; CETP inhibitors; HDL infusions; and Targeting HDL functionality.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Lipidology\r i
Copyright\r ii
Contributors iii
EDITORIAL BOARD iii
EDITOR iii
AUTHORS iii
Contents vii
Preface: Lipidology vii
Impact of Lipoproteins on Atherobiology: Emerging Insights vii
Causal Effect of Lipids and Lipoproteins on Atherosclerosis: Lessons from Genomic Studies vii
Lipids and Lipoproteins in Risk Prediction vii
Optimizing Statins and Ezetimibe in Guideline-Focused Management vii
Statin Intolerance: Some Practical Hints viii
Treating Dyslipidemia in Type 2 Diabetes viii
Proprotein Convertase Subtilisin Kexin 9 Inhibitors viii
Bempedoic Acid (ETC-1002): A Current Review viii
Triglyceride-Rich Lipoproteins ix
Evolution of Omega-3 Fatty Acid Therapy and Current and Future Role in the Management of Dyslipidemia ix
Is Lipoprotein(a) Ready for Prime-Time Use in the Clinic? ix
Cholesteryl Ester Transfer Protein Inhibitors as Agents to Reduce Coronary Heart Disease Risk ix
High-Density Lipoprotein Infusions ix
High-Density Lipoproteins: Effects on Vascular Function and Role in the Immune Response x
Intravascular Ultrasound Studies of Plaque Progression and Regression: Impact of Lipid-Modifying Therapies x
CARDIOLOGY CLINICS\r xi
FORTHCOMING ISSUES xi
August 2018 xi
November 2018 xi
RECENT ISSUES xi
February 2018 xi
November 2017 xi
Preface:\rLipidology xiii
Impact of Lipoproteins on Atherobiology 193
Key points 193
INTRODUCTION 193
FOCUS ON THE ATHEROBIOLOGY OF APOLIPOPROTEIN B–CONTAINING LIPOPROTEINS 194
LIPOPROTEINS 195
BIOLOGICAL ACTIVITIES OF HIGH-DENSITY LIPOPROTEIN RELEVANT TO PROTECTION OF THE ENDOTHELIUM AND ARTERIAL WALL 196
INTERRELATIONSHIPS BETWEEN THE BIOLOGICAL ACTIVITIES AND INTRAVASCULAR METABOLISM OF HIGH-DENSITY LIPOPROTEIN 196
PROTEINS AND LIPIDS IN HIGH-DENSITY LIPOPROTEIN ASSOCIATED WITH ATHEROPROTECTIVE ACTIVITIES 197
DEFECTIVE HIGH-DENSITY LIPOPROTEIN BIOLOGICAL ACTIVITIES IN DYSLIPIDEMIAS ASSOCIATED WITH PREMATURE ATHEROSCLEROTIC CARDIOV ... 197
WHICH FACTORS CAN UNDERLIE SUBNORMAL OR ELEVATED LEVELS OF HIGH-DENSITY LIPOPROTEIN CHOLESTEROL? 198
SUMMARY 198
REFERENCES 199
Causal Effect of Lipids and Lipoproteins on Atherosclerosis 203
Key points 203
INTRODUCTION 203
MENDELIAN RANDOMIZATION 204
LOW-DENSITY LIPOPROTEIN CHOLESTEROL 204
What is the Causal Effect of Lowering Low-Density Lipoprotein Cholesterol by Inhibiting HMG-CoA Reductase? 205
What is the Causal Effect of Lowering Low-Density Lipoprotein Cholesterol by Inhibiting NPC1L1? 205
What is the Causal Effect of Lowering Low-Density Lipoprotein Cholesterol by Inhibiting PCSK9? 206
Does the Mechanism of Lowering Low-Density Lipoprotein Cholesterol Matter? 206
Is Atherosclerosis Caused by Low-Density Lipoprotein Cholesterol or Low-Density Lipoprotein Particles? 207
TRIGLYCERIDE-RICH VERY LOW-DENSITY LIPOPROTEINS AND THEIR REMNANTS 207
HIGH-DENSITY LIPOPROTEINS 208
LIPOPROTEIN(A) 209
SUMMARY 210
REFERENCES 210
Lipids and Lipoproteins in Risk Prediction 213
Key points 213
INTRODUCTION 213
TRADITIONAL LIPID RISK FACTORS 215
Non–High-Density Lipoprotein Cholesterol 215
Triglycerides 215
High-Density Lipoprotein Cholesterol 216
Total Cholesterol to High-Density Lipoprotein Cholesterol Ratio 216
EMERGING RISK FACTORS 216
Apolipoproteins 216
Lipoprotein(a) 217
Lipoprotein Particles 217
SUMMARY 217
REFERENCES 218
Optimizing Statins and Ezetimibe in Guideline-Focused Management 221
Key points 221
INTRODUCTION 221
DISCUSSION 222
SUMMARY 223
REFERENCES 223
Statin Intolerance 225
Key points 225
DEFINITION AND PREVALENCE 225
SYMPTOMS AND CAUSALITY 226
FOUR-STEP DIAGNOSIS 227
TREATMENT CHALLENGES 228
SUMMARY 229
REFERENCES 229
Treating Dyslipidemia in Type 2 Diabetes 233
Key points 233
INTRODUCTION 233
DYSLIPIDEMIA IN DIABETES 233
STATINS AND DIABETES 234
ADDITIONAL LOW-DENSITY LIPOPROTEIN CHOLESTEROL-LOWERING AGENTS AND DIABETES 234
FIBRIC ACID DERIVATIVES 235
ADDITIONAL TRIGLYCERIDE-LOWERING STRATEGIES 235
HIGH-DENSITY LIPOPROTEIN TARGETED THERAPIES 236
SUMMARY 236
REFERENCES 236
Proprotein Convertase Subtilisin Kexin 9 Inhibitors 241
Key points 241
INTRODUCTION 241
PROPROTEIN CONVERTASE SUBTILISIN KEXIN 9 242
CLINICAL STUDIES ON EVOLOCUMAB AND ALIROCUMAB 242
Evolocumab 243
Alirocumab 247
OTHER MONOCLONAL ANTIBODIES TO PROPROTEIN CONVERTASE SUBTILISIN KEXIN 9 251
Bococizumab 251
LY3015014 251
NEW APPROACHES FOR THE INHIBITION OF PROPROTEIN CONVERTASE SUBTILISIN KEXIN 9 252
Adnectins 252
Inclisiran 252
Anti–Proprotein Convertase Subtilisin Kexin 9 Vaccines 252
SUMMARY 253
REFERENCES 253
Bempedoic Acid (ETC-1002) 257
Key points 257
INTRODUCTION 257
MECHANISM OF ACTION 258
POTENTIAL MECHANISM OF LOWERING MYOTOXICITY AND ATHEROSCLEROSIS 259
GENETIC DATA ON ATP CITRATE LYASE INHIBITION 259
PHASE 1 AND 2 STUDIES 259
PHASE 3 STUDIES 261
SUMMARY 262
REFERENCES 262
Triglyceride-Rich Lipoproteins 265
Key points 265
INTRODUCTION 265
TRIGLYCERIDE METABOLISM 265
CAUSES OF HYPERTRIGLYCERIDEMIA 266
APPROACH TO THE CONVENTIONAL TREATMENT OF ELEVATED TRIGLYCERIDES 267
OTHER AND NOVEL THERAPIES TARGETING ELEVATED TRIGLYCERIDES 268
Triglycerides Production 268
TARGETING CLEARANCE OF TRIGLYCERIDE-RICH LIPOPROTEINS 270
Lipoprotein Lipase 270
ApolipoproteinCII 270
ApolipoproteinAV 271
ApolipoproteinCIII 271
Angiopoietin-Like Proteins 271
Glycosylphosphatidylinositol-Anchored High-Density Lipoprotein Binding Protein-1 272
Lipase Maturation Factor-1 272
SUMMARY 272
REFERENCES 272
Evolution of Omega-3 Fatty Acid Therapy and Current and Future Role in the Management of Dyslipidemia 277
Key points 277
INTRODUCTION 277
AVAILABLE OMEGA-3 FATTY ACID FORMULATIONS 278
OMEGA-3 FATTY ACIDS’ BENEFITS AND MECHANISM OF ACTION 278
DYSLIPIDEMIA SUBGROUPS WITH THE GREATEST ANTICIPATED BENEFIT 280
RESIDUAL RISK DESPITE STATIN THERAPY 280
CURRENT AND FUTURE ROLE OF OMEGA-3 FATTY ACID THERAPY 280
RISKS OF OMEGA-3 FATTY ACID THERAPY 282
SUMMARY 282
REFERENCES 283
Is Lipoprotein(a) Ready for Prime-Time Use in the Clinic? 287
Key points 287
INTRODUCTION 287
BIOLOGY AND EPIDEMIOLOGY OF LIPOPROTEIN(A) 287
CAUSAL ROLE OF LIPOPROTEIN(A) IN ATHEROSCLEROTIC CARDIOVASCULAR DISEASE 289
THERAPEUTIC LOWERING OF LIPOPROTEIN(A): TOWARD WIDER CLINICAL USE OR CLINICAL TRIALS? 289
Niacin, Aspirin, and Estrogen 290
Lipoprotein Apheresis 290
Newer Therapies, Nonspecific Lowering of Lipoprotein(a): Proprotein Convertase Subtilisin/Kexin Type 9 Inhibitors, Mipomers ... 290
Proprotein convertase subtilisin/kexin type 9 inhibitors 290
Mipomersen 291
Microsomal triglyceride transfer protein inhibitors 291
Cholesteryl ester transfer protein inhibitors 291
Others agents: thyromimetics, interleukin-6 receptor monoclonal antibodies, and farnesoid X receptor agonists 291
Selective lowering of lipoprotein(a): apolipoprotein(a) antisense and silencing agents 292
PRACTICAL CONSIDERATIONS FOR A FUTURE MODEL OF CARE 292
International Guidelines: Is There Consensus and How Strong Is the Evidence? 292
Detection: Targeted and Systematic Screening 292
Analytical caveats: a thorny issue 292
Risk Assessment: Toward Precision Medicine 294
Lifestyle and Pharmacotherapy: Is It All About Low-Density Lipoprotein Cholesterol? 294
SUMMARY: PRIME-TIME USE? 295
REFERENCES 296
Cholesteryl Ester Transfer Protein Inhibitors as Agents to Reduce Coronary Heart Disease Risk 299
Key points 299
INTRODUCTION 299
WHAT IS CHOLESTERYL ESTER TRANSFER PROTEIN, AND WHAT DOES IT DO? 299
EFFECTS OF CHOLESTERYL ESTER TRANSFER PROTEIN ON PLASMA LIPOPROTEINS 300
IMPACT OF CHOLESTERYL ESTER TRANSFER PROTEIN ACTIVITY ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE 301
Studies in Animals 301
Genetic Studies in People 302
EFFECT OF CHOLESTERYL ESTER TRANSFER PROTEIN INHIBITORS IN HUMAN CLINICAL TRIALS 302
Torcetrapib 302
Dalcetrapib 303
Evacetrapib 303
Anacetrapib 304
TA-8995 (AMG-8995) 307
REASONS FOR THE CONFLICTING RESULTS IN HUMAN CLINICAL OUTCOME TRIALS OF CHOLESTERYL ESTER TRANSFER PROTEIN INHIBITORS 307
Harm Caused by Torcetrapib 307
No Reduction in Cardiovascular Events with Dalcetrapib 307
No Reduction in Cardiovascular Events with Evacetrapib 307
EFFECT OF CHOLESTERYL ESTER TRANSFER PROTEIN INHIBITION ON THE RISK OF DEVELOPING DIABETES 307
SUMMARY 308
REFERENCES 308
High-Density Lipoprotein Infusions 311
Key points 311
INTRODUCTION 311
HIGH-DENSITY LIPOPROTEIN AND PROTECTION 311
HIGH-DENSITY LIPOPROTEIN EFFECTS OF EXISTING LIPID THERAPIES 312
APOA-I MILANO 312
CER 312
CSL 313
IMPLICATIONS OF THESE FINDINGS 313
SUMMARY 313
REFERENCES 313
High-Density Lipoproteins 317
Key points 317
HIGH-DENSITY LIPOPROTEIN CHOLESTEROL HYPOTHESIS 317
POTENTIAL ATHEROPROTECTIVE EFFECTS OF HIGH-DENSITY LIPOPROTEIN IN ENDOTHELIAL CELLS 317
POTENTIAL REGULATORY FUNCTIONS OF HIGH-DENSITY LIPOPROTEIN IN INFECTION CONTROL AND (AUTO-) IMMUNE DISORDERS 318
REGULATORY PROPERTIES OF HIGH-DENSITY LIPOPROTEIN IN INNATE AND ADAPTIVE IMMUNITY: THE ROLE OF LIPID RAFTS 318
HIGH-DENSITY LIPOPROTEIN CHOLESTEROL AS THERAPEUTIC TARGET: RESULTS FROM RANDOMIZED, CONTROLLED CLINICAL TRIALS 319
DYSFUNCTIONAL HIGH-DENSITY LIPOPROTEIN IN PATIENTS WITH CARDIOVASCULAR DISEASE 321
ALTERATION AND MODIFICATION OF HIGH-DENSITY LIPOPROTEIN PROTEIN CARGO: A DETERMINANT OF ITS FUNCTIONAL VASCULAR PROPERTIES 322
ALTERED PROPERTIES OF HIGH-DENSITY LIPOPROTEIN UNDER INFLAMMATORY CONDITIONS 322
THE SHIFT IN HIGH-DENSITY LIPOPROTEIN FUNCTION IS LINKED TO INFLAMMATORY PATHWAYS 322
MODIFICATIONS OF HIGH-DENSITY LIPOPROTEIN CONTRIBUTING TO THE SHIFT IN HIGH-DENSITY LIPOPROTEIN FUNCTION IN RESPONSE TO INF ... 323
SUMMARY 324
ACKNOWLEDGMENTS 324
REFERENCES 324
Intravascular Ultrasound Studies of Plaque Progression and Regression 329
Key points 329
INTRODUCTION 329
EARLY IMAGING CLINICAL TRIALS 329
INTRAVASCULAR ULTRASOUND 330
STATIN ADMINISTRATION 330
LOW-DENSITY LIPOPROTEIN LOWERING BEYOND STATINS 331
ADDITIONAL ATHEROGENIC LIPID TARGETS 331
HIGH-DENSITY LIPOPROTEIN AS A THERAPEUTIC TARGET 331
IMPLICATIONS AND FUTURE STEPS 332
SUMMARY 332
REFERENCES 332