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2020, Number 2

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Correo Científico Médico 2020; 24 (2)

New therapeutic approaches to dyslipidemias

Ojeda AI, Expósito LA, González BSN, Freire MEN, Campoverde BJA
Full text How to cite this article

Language: Spanish
References: 38
Page: 720-740
PDF size: 307.23 Kb.


Key words:

dyslipidemias, hypercholesterolemia, hypertriglyceridemia, low HDL-cholesterol, cardiovascular disease, prevention, lipid-lowering therapy.

ABSTRACT

Dyslipidemia is a major modifiable risk factor for cardiovascular disease due to atherosclerosis. A literature review was conducted with the descriptors dyslipidemia and treatment, in English and Spanish, in PubMed, PubMed Central, SciELO and Clinical Key. Emphasis was placed on new therapeutic modalities approved or under development that act mainly on molecular targets: subtilisin/kexin type 9 paraprotein converter (PCSK9), cholesterol ester transfer protein (CETP), angiopoietin-like protein 3 (ANGPTL3), receptor activated by peroxisome alpha proliferator (PPARα), acetyl-CoA carboxylase, ATP citrate lyase, diacylglycerol acyltransferase, apo A1, apo C-III, apo (a) and microsomal triglyceride transfer protein (MTP). The key therapeutic modalities were monoclonal antibodies (alirocumab and evolocumab), no-sense oligonucleotides (inclisiran, volanesorsen), vaccines, genome editing, enzyme inhibitors (gemcaben, prodigastat) and nutritional supplements (omega 3).


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