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2016 ; 10
(ä): 37-42
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CETP Inhibition: Past Failures and Future Hopes
#MMPMID26997876
Kosmas CE
; DeJesus E
; Rosario D
; Vittorio TJ
Clin Med Insights Cardiol
2016[]; 10
(ä): 37-42
PMID26997876
show ga
The atheroprotective role of high-density lipoprotein cholesterol (HDL-C) in
cardiovascular disease has been unequivocally established, and epidemiological
data have clearly demonstrated a strong inverse relationship between HDL-C levels
and the risk of cardiovascular events, which is independent of the low-density
lipoprotein cholesterol (LDL-C) levels. Thus, it would be logical to hypothesize
that raising HDL-C might potentially lead to a reduction of cardiovascular risk.
Cholesteryl ester transfer protein (CETP) promotes the transfer of cholesteryl
esters from HDL to very low-density lipoprotein and LDL. Therefore, CETP
inhibition raises HDL-C levels and decreases LDL-C levels. The first trials with
CETP inhibitors failed to show a reduction in cardiovascular events. However,
newer CETP inhibitors with more favorable effects on lipids are presently being
tested in clinical trials with the hope that their use may lead to a reduction in
cardiovascular risk. This review aims to provide the current evidence regarding
CETP inhibition, as well as the clinical and scientific data pertaining to the
new CETP inhibitors in development.