Hypertriglyceridemia – today and tomorrow
Authors:
Martin Šatný; Michal Vrablík
Authors place of work:
Centrum preventivní kardiologie, III. interní klinika – klinika endokrinologie a metabolismu 1. LF UK a VFN v Praze
Published in the journal:
AtheroRev 2020; 5(3): 163-167
Category:
Reviews
Summary
Hypertriglyceridemia (HTG) is the marker of elevated levels of highly atherogenic, triglyceride (TG) rich, i.e. remnant particles. These play a major role not only in the development of atherosclerotic vascular lesions, but also in serious gastrointestinal complications: acute pancreatitis. Influencing the level of TG, or remnant particles, is considered to be one of the modalities for reducing residual cardiovascular risk. Therapeutic intervention is based on regimen measures (a diet and regular physical activity), which is supplemented by pharmacotherapy in indicated cases. Statins remain the drug of choice also in HTG treatment; optionally they are combined with fibrates or omega-3 fatty acids. At present, we have (in part within studies) new therapeutic possibilities available for influencing HTG, using, for example, antisense oligonucleotides or targeted antibodies.
Keywords:
statins – hypertriglyceridemia – remnant particles
Zdroje
- Hegele RA, Ginsberg HN, Chapman MJ et al. The polygenic nature of hypertriglyceridaemia: implications for definition, diagnosis, and management. Lancet Diabetes Endocrinol 2013; 2(8): 655–666. Dostupné z DOI: <http://doi 10.1016/S2213–8587(13)70191–8>.
- Gofman JW, Strisower B, deLalla O et al. Index of coronary artery atherogenesis. Mod Med 1953; 21: 119–140.
- Zilversmit DB. A proposal linking atherogenesis to the interaction of endothelial lipoprotein lipase with triglyceride-rich lipoproteins. Circ Res 1973; 33(6): 633–638. Dostupné z DOI: <http://doi 10.1161/01.res.33.6.633>.
- Austin MA. Plasma triglyceride and coronary heart disease. Arterioscler Thromb 1991; 11(1): 2–14. Dostupné z DOI: <http://doi 10.1161/01.atv.11.1.2>.
- Langsted A, Freiberg JJ, Tybjærg-Hansen A et al. Nonfasting cholesterol and triglycerides and association with risk of myocardial infarction and total mortality: the Copenhagen City Heart Study with 31 years of follow-up. J Intern Med 2011; 270(1): 65–75. Dostupné z DOI: <http://doi 10.1111/j.1365–2796.2010.02333.x>.
- Hokanson JE, Austin MA. Plasma triglyceride level is a risk factor for cardiovascular disease independent of high-density lipoprotein cholesterol level: a meta-analysis of population-based prospective studies. J Cardiovasc Risk 1996; 3(2): 213–219.
- Reiner Z. Managing the residual cardiovascular disease risk associated with HDL-cholesterol and triglycerides in statin-treated patients: a clinical update. Nutr Metab Cardiovasc Dis 2013; 23(9): 799–807. Dostupné z DOI: <http://doi 10.1016/j.numecd.2013.05.002>.
- Estruch R, Eos E, Salas-Salvadó J et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. NEJM 2018; 378(25) Dostupné z DOI: <http://www.nejm.org/doi/10.1056/NEJMoa1800389>.
- Gardner CD, Kiazand A, Alhassan S et al. Comparison of the Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweight Premenopausal Women. JAMA 2007; 297(9). Dostupné z DOI: <http://doi 10.1001/jama.297.9.969>.
- Gavin C, Sigal RJ, Cousins M et al. Resistance exercise but not aerobic exercise lowers remnant-like lipoprotein particle cholesterol in type 2 diabetes: A randomized controlled trial. Atherosclerosis 2010; 213(2): 552–557. Dostupné z DOI: <https://doi.org/10.1016/j.atherosclerosis.2010.08.071>.
- Reiner Z. Combined therapy in the treatment of dyslipidemia. Fundam Clin Pharmacol 2010; 24(1): 19–28. Dostupné z DOI: <https://doi 10.1111/j.1472–8206.2009.00764.x>.
- Sharma A, Joshi PH, Rinehart S et al. Baseline very low-density lipoprotein cholesterol is associated with the magnitude of triglyceride lowering on statins, fenofibric acid, or their combination in patients with mixed dyslipidemia. J Cardiovasc Transl Res 2014; 7(4): 465–474. Dostupné z DOI: <https://doi 10.1007/s12265–014–9559–3>.
- Saha SA, Kizhakepunnur LG, Bahekar A, Arora RR. The role of fibrates in the prevention of cardiovascular disease--a pooled meta-analysis of long-term randomized placebo-controlled clinical trials. Am Heart J 2007; 154(5): 943–953. Dostupné z DOI: <https://doi 10.1016/j.ahj.2007.07.011>.
- Shah A, Rader DJ, Millar JS: The effect of PPAR-alpha agonism on apolipoprotein metabolism in humans. Atherosclerosis 2010; 210(1): 35–40. Dostupné z DOI: <https://doi 10.1016/j.atherosclerosis.2009.11.010>.
- McKeage K, Keating GM. Fenofibrate: a review of its use in dyslipidaemia. Drugs 2011; 71(14): 1917–1946. Dostupné z DOI: <https://doi 10.2165/11208090–000000000–00000>.
- Mach F, Baigent C, Catapano AL et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J 2020; 41(1): 111–188. Dostupné z DOI: <https://doi 10.1093/eurheartj/ehz455>.
- Reyes-Soffer G, Ngai CI, Lovato L et al. Effect of Combination Therapy With Fenofibrate and Simvastatin on Postprandial Lipemia in the ACCORD Lipid Trial. Diabetes Care 2013; 36(2): 422–428. Dostupné z DOI: <https://doi 10.2337/dc11–2556>.
- Bhatt DL, Steg PG, Miller M et al. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia. NEJM 2019; 380(1): 11–22. Dostupné z DOI: <https://doi 10.1056/NEJMoa1812792>.
- Cannon CP, Blazing MA, Giugliano RP et al. Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes. NEJM 2015; 372(25): 2387–2397. Dostupné z DOI: <https://doi 10.1056/NEJMoa1410489>.
- Raper A, Kolansky DM, Sachais BS et al. Long-term clinical results of microsomal triglyceride transfer protein inhibitor use in a patient with homozygous familial hypercholesterolemia. J Clin Lipidol 2015; 9(1): 107–112. Dostupné z DOI: <https://doi 10.1016/j.jacl.2014.08.005>.
- Sacks FM, Stanesa M, Hegele RA. Severe hypertriglyceridemia with pancreatitis: thirteen years’ treatment with lomitapide. JAMA Intern Med 2014; 174(3): 443–447. Dostupné z DOI: <https://doi 10.1001/jamainternmed.2013.13309>.
- Gouni-Berthold I, Berthold HK. Mipomersen and lomitapide: two new drugs for the treatment of homozygous familial hypercholesterolemia. Atheroscler Suppl 2015; 18: 28–34. Dostupné z DOI: <https://doi 10.1016/j.atherosclerosissup.2015.02.005>.
- Najam O, Ray KK. Familial hypercholesterolemia: a review of the natural history, diagnosis, and management. Cardiol Ther 2015; 4(1): 25–38. Dostupné z DOI: <https://doi 10.1007/s40119–015–0037-z>.
- Li N, Li Q, Tian XQ et al. Mipomersen is a promising therapy in the management of hypercholesterolemia: a meta-analysis of randomized controlled trials. Am J Cardiovasc Drugs 2014; 14(5): 367–376. Dostupné z DOI: <https://doi 10.1007/s40256–014–0077–0>.
- Giugliano RP, Sabatine MS. Are PCSK9 inhibitors the next breakthrough in the cardiovascular field? J Am Coll Cardiol 2015; 65(24): 2638–2651. Dostupné z DOI: <https://doi 10.1016/j.jacc.2015.05.001>.
- Gelrud A, Digenio A, Alexander V et al. Treatment with Volanesorsen (VLN) Reduced Triglycerides and Pancreatitis in Patients with FCS and sHTG vs Placebo: Results of the APPROACH and COMPASS. J Clin Lipidol 2018; 12(2). Dostupné z DOI: <https://doi 10.1016/j.jacl.2018.03.032>.
- Ahmad Z, Banerjee P, Hamon S et al. Inhibition of Angiopoietin-Like Protein 3 With a Monoclonal Antibody Reduces Triglycerides in Hypertriglyceridemia. Circulation 2019; 140(6): 470–486. Dostupné z DOI: <https://doi 10.1161/CIRCULATIONAHA.118.039107>.
Štítky
Angiology Diabetology Internal medicine Cardiology General practitioner for adultsČlánok vyšiel v časopise
Athero Review
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