最近的载脂蛋白iii试验。

IF 3.8 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Current opinion in lipidology Pub Date : 2022-12-01 DOI:10.1097/MOL.0000000000000849
Daniele Tramontano, Simone Bini, Laura D'Erasmo, Marcello Arca
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引用次数: 3

摘要

综述目的:本综述将简要修订有关高甘油三酯血症患者载脂蛋白CIII (ApoCIII)药理抑制的证据。最近发现:ApoCIII是一种血浆载脂蛋白,在富含甘油三酯的脂蛋白,即乳糜微粒和极低密度脂蛋白的代谢中起主要作用,并参与动脉粥样硬化的病理过程。因此,ApoCIII是降低血浆trl水平,从而降低心血管风险的潜在新靶点。近年来,有广泛的临床前和临床药理学研究,旨在测试针对ApoCIII的药物。摘要:本文首先对ApoCIII在脂蛋白代谢中的分子功能进行综述。然后,我们将根据Volansesorsen的临床试验结果,研究ApoCIII的药理学抑制的降脂潜力,Volansesorsen是第一个被批准的针对ApoCIII mRNA的反义治疗性寡核苷酸。ApoCIII抑制的未来前景也将被修订。
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Recent Apolipoprotein CIII trials.

Purpose of review: This review will briefly revise the evidence concerning the pharmacological inhibition of Apolipoprotein CIII (ApoCIII) in patients with hypertriglyceridemia.

Recent findings: ApoCIII is a plasma apolipoprotein playing a major role in the metabolism of triglyceride-rich lipoproteins, namely chylomicrons and very-low-density lipoproteins as well as in the pathological processes involved in atherosclerosis. Therefore, ApoCIII is a potential new target for reducing plasma levels of TRLs and, thereby, cardiovascular risk. In recent years, there have been extensive preclinical and clinical pharmacological studies aimed at testing drugs directed against ApoCIII.

Summary: In this review, firstly we will summarize the molecular function of ApoCIII in lipoprotein metabolism. Then, we will examine the lipid-lowering potential of the pharmacological inhibition of ApoCIII based on the results of clinical trial employing Volansesorsen, the first approved antisense therapeutic oligonucleotide against ApoCIII mRNA. The future perspectives for ApoCIII inhibition will be also revised.

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来源期刊
Current opinion in lipidology
Current opinion in lipidology 医学-内分泌学与代谢
CiteScore
6.70
自引率
4.50%
发文量
64
审稿时长
6-12 weeks
期刊介绍: With its easy-to-digest reviews on important advances in world literature, Current Opinion in Lipidology offers expert evaluation on a wide range of topics from six key disciplines including nutrition and metabolism, genetics and molecular biology, and hyperlipidaemia and cardiovascular disease. Published bimonthly, each issue covers in detail the most pertinent advances in these fields from the previous year. This is supplemented by a section of Bimonthly Updates, which deliver an insight into new developments at the cutting edge of the disciplines covered in the journal.
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