Emerging therapies in dyslipidaemias

Vascul Pharmacol. 2023 Dec:153:107229. doi: 10.1016/j.vph.2023.107229. Epub 2023 Sep 15.

Abstract

Several observations have shown that elevated levels of low-density lipoprotein cholesterol (LDL-C) are a cause of cardiovascular disease. Lowering LDL-C is a key strategy for reducing cardiovascular risk, with a continuous linear correlation between LDL-C reduction and cardiovascular benefit. Based on these observations, current guidelines have further lowered LDL-C goals and call for the use of more effective therapeutic interventions. In addition to statins, ezetimibe and the monoclonal antibodies targeting PCSK9, several new lipid-lowering agents are currently in phase 3 clinical trials to evaluate their clinical effects, and more are in development. The use of combination therapies targeting different pathways can increase the effectiveness of treatment.

Keywords: Lipid-lowering therapies; Lipoprotein(a); Low-density lipoprotein cholesterol; Triglycerides.

MeSH terms

  • Anticholesteremic Agents* / adverse effects
  • Cholesterol, LDL
  • Dyslipidemias* / diagnosis
  • Dyslipidemias* / drug therapy
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors* / adverse effects
  • Proprotein Convertase 9

Substances

  • PCSK9 protein, human
  • Proprotein Convertase 9
  • Cholesterol, LDL
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Anticholesteremic Agents