PMID- 15891397 OWN - NLM STAT- MEDLINE DCOM- 20050816 LR - 20191026 IS - 0957-9672 (Print) IS - 0957-9672 (Linking) VI - 16 IP - 3 DP - 2005 Jun TI - High-density lipoproteins as therapeutic targets. PG - 345-9 AB - PURPOSE OF REVIEW: The concentration of cholesterol in HDL is an inverse predictor of future cardiovascular disease, with evidence mounting that therapies that increase HDL concentration are antiatherogenic. The best known antiatherogenic function of HDL particles relates to their ability to promote the efflux of cholesterol from cells. However, they also have antioxidant, antiinflammatory and antithrombotic properties. RECENT FINDINGS: The past year has seen the publication of several papers that highlight a potential major protective role of HDL in states of acute inflammation. Papers showing extremely promising results using novel inhibitors of cholesteryl ester transfer protein as HDL-raising agents have also appeared. Finally, the discovery that ATP-binding cassette transporter G1 (ABCG1) transports cell cholesterol to large HDL particles in the extracellular space has largely reconciled apparent inconsistencies between basic research indicating that small, pre-beta-migrating HDL particles are the antiatherogenic components of HDL and epidemiological research that implicates larger HDL particles as the protective fraction. SUMMARY: The finding that ABCG1 promotes the efflux of cholesterol from cells to large HDL particles also provides powerful circumstantial evidence that cholesteryl ester transfer protein inhibition (which increases HDL size) may enhance, rather than reduce, cholesterol efflux, and thus inhibit the development of atherosclerosis. FAU - Nicholls, Stephen J AU - Nicholls SJ AD - The Heart Research Institute, Sydney, Australia. FAU - Rye, Kerry-Anne AU - Rye KA FAU - Barter, Philip J AU - Barter PJ LA - eng PT - Journal Article PT - Review PL - England TA - Curr Opin Lipidol JT - Current opinion in lipidology JID - 9010000 RN - 0 (ABCG1 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily G, Member 1) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Cholesterol, HDL) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - ATP Binding Cassette Transporter, Subfamily G, Member 1 MH - ATP-Binding Cassette Transporters/*physiology MH - Animals MH - Arteriosclerosis/*physiopathology/prevention & control MH - Cholesterol/metabolism MH - Cholesterol, HDL/metabolism/*physiology/therapeutic use MH - Humans MH - Inflammation/*immunology MH - Infusions, Intravenous MH - Rabbits RF - 32 EDAT- 2005/05/14 09:00 MHDA- 2005/08/17 09:00 CRDT- 2005/05/14 09:00 PHST- 2005/05/14 09:00 [pubmed] PHST- 2005/08/17 09:00 [medline] PHST- 2005/05/14 09:00 [entrez] AID - 00041433-200506000-00013 [pii] AID - 10.1097/01.mol.0000169356.58513.25 [doi] PST - ppublish SO - Curr Opin Lipidol. 2005 Jun;16(3):345-9. doi: 10.1097/01.mol.0000169356.58513.25.