Coronary heart disease risk: Low-density lipoprotein and beyond

Gabriel E. Shaya, Thorsten M. Leucker, Steven R. Jones, Seth S. Martin, Peter P. Toth

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Coronary heart disease (CHD) is the leading cause of morbidity and mortality world-wide and has been characterized as a chronic immunoinflammatory, fibroproliferative disease fueled by lipids. Great advances have been made in elucidating the complex mechanistic interactions among risk factors associated with CHD, yielding abundant success towards preventive measures and the development of pharmaceuticals to prevent and treat CHD via attenuation of lipoprotein-mediated risk. However, significant residual risk remains. Several potentially modifiable CHD risk factors ostensibly contributing to this residual risk have since come to the fore, including systemic inflammation, diabetes mellitus, high-density lipoprotein, plasma triglycerides (TG) and remnant lipoproteins (RLP), lipoprotein(a) (Lp[a]), and vascular endothelial dysfunction (ED). Herein, we summarize the body of evidence implicating each of these risk factors in residual CHD risk.

Original languageEnglish (US)
Pages (from-to)181-194
Number of pages14
JournalTrends in Cardiovascular Medicine
Volume32
Issue number4
DOIs
StatePublished - May 2022

Keywords

  • Atherosclerotic cardiovascular disease
  • Diabetes
  • Inflammation
  • Insulin resistance
  • Lipoprotein(a)
  • Remnant lipoproteins
  • Triglycerides

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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