PMID- 26582989 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151120 LR - 20200930 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 6 DP - 2015 TI - HDL and glucose metabolism: current evidence and therapeutic potential. PG - 258 LID - 10.3389/fphar.2015.00258 [doi] LID - 258 AB - High-density lipoprotein (HDL) and its principal apolipoprotein A-I (ApoA-I) have now been convincingly shown to influence glucose metabolism through multiple mechanisms. The key clinically relevant observations are that both acute HDL elevation via short-term reconstituted HDL (rHDL) infusion and chronically raising HDL via a cholesteryl ester transfer protein (CETP) inhibitor reduce blood glucose in individuals with type 2 diabetes mellitus (T2DM). HDL may mediate effects on glucose metabolism through actions in multiple organs (e.g., pancreas, skeletal muscle, heart, adipose, liver, brain) by three distinct mechanisms: (i) Insulin secretion from pancreatic beta cells, (ii) Insulin-independent glucose uptake, (iii) Insulin sensitivity. The molecular mechanisms appear to involve both direct HDL signaling actions as well as effects secondary to lipid removal from cells. The implications of glucoregulatory mechanisms linked to HDL extend from glycemic control to potential anti-ischemic actions via increased tissue glucose uptake and utilization. Such effects not only have implications for the prevention and management of diabetes, but also for ischemic vascular diseases including angina pectoris, intermittent claudication, cerebral ischemia and even some forms of dementia. This review will discuss the growing evidence for a role of HDL in glucose metabolism and outline related potential for HDL therapies. FAU - Siebel, Andrew L AU - Siebel AL AD - Metabolic and Vascular Physiology Laboratory, Baker IDI Heart and Diabetes Institute , Melbourne, VIC, Australia. FAU - Heywood, Sarah Elizabeth AU - Heywood SE AD - Metabolic and Vascular Physiology Laboratory, Baker IDI Heart and Diabetes Institute , Melbourne, VIC, Australia. FAU - Kingwell, Bronwyn A AU - Kingwell BA AD - Metabolic and Vascular Physiology Laboratory, Baker IDI Heart and Diabetes Institute , Melbourne, VIC, Australia. LA - eng PT - Journal Article PT - Review DEP - 20151031 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC4628107 OTO - NOTNLM OT - HDL OT - apolipoprotein A-I OT - cholesterol efflux OT - glucose metabolism OT - glucose uptake OT - insulin secretion OT - insulin sensitivity EDAT- 2015/11/20 06:00 MHDA- 2015/11/20 06:01 PMCR- 2015/10/31 CRDT- 2015/11/20 06:00 PHST- 2015/08/10 00:00 [received] PHST- 2015/10/19 00:00 [accepted] PHST- 2015/11/20 06:00 [entrez] PHST- 2015/11/20 06:00 [pubmed] PHST- 2015/11/20 06:01 [medline] PHST- 2015/10/31 00:00 [pmc-release] AID - 10.3389/fphar.2015.00258 [doi] PST - epublish SO - Front Pharmacol. 2015 Oct 31;6:258. doi: 10.3389/fphar.2015.00258. eCollection 2015.