Hyperlipidemia: Methods of Induction and Possible Treatments

Sameh El Nabetiti, Naglaa Z. H. Eleiwa, M. Kamel, Aya Fahmy
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Abstract

Cardiovascular diseases (CVD) are very serious and can lead to death. The main cause of these diseases is atherosclerosis, which results from the deposition of lipids in the walls of blood vessels. Hyperlipidemia (HL) means an elevation of lipid levels (triglycerides (TG), low density lipoprotein (LDL), and very low-density lipoprotein (VLDL)) with a reduction in high density lipoprotein (HDL) in the blood. Prevention and treatment of HL reflect directly on atherosclerosis and CVD. Many studies have been done to prevent and treat HL, whether by regulating the diet or by using therapies, statins, fibrates, niacin derivatives, bile acid sequestrants, and cholesterol absorption inhibitors are considered the most important treatments used to control HL, and many studies are still being done to discover and evaluate more therapies with fewer side effects for treatment of such a case. For that purpose, induction of HL in lab animals is a must to simulate the naturally ocuuring CVD. Most of these studies depend on a high-fat diet for induction. The objective of the current review is to provide updated and characterized facts on the methods of HL induction and possible treatments. At the end of this review, we conclude that induction of an experimental hyperlipidemic model for the management of HL is still a goal for evaluating hyperlipidemic drugs. Due to the many problems that result from diet-induced HL, either through its harmful effect on the heart or time consumption, we had to find a new method for induction of HL by using drugs to induce HL within a few days with less harmful effects on the vessels and heart
高脂血症:诱导方法和可能的治疗
心血管疾病(CVD)非常严重,可导致死亡。这些疾病的主要原因是动脉粥样硬化,这是由于脂质沉积在血管壁上造成的。高脂血症(HL)是指血脂水平(甘油三酯(TG)、低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL))升高,同时血液中高密度脂蛋白(HDL)降低。HL的防治直接反映动脉粥样硬化和心血管疾病。许多研究已经完成了预防和治疗HL,无论是通过调节饮食还是使用治疗方法,他汀类药物、贝特类药物、烟酸衍生物、胆汁酸螯合剂和胆固醇吸收抑制剂被认为是用于控制HL的最重要的治疗方法,许多研究仍在进行中,以发现和评估更多副作用更小的治疗方法。为此,必须在实验动物中诱导HL来模拟自然发生的CVD。这些研究大多依赖于高脂肪饮食来诱导。本综述的目的是提供有关HL诱导方法和可能治疗方法的最新和特征事实。在这篇综述的最后,我们得出结论,诱导实验性高脂血症模型来管理HL仍然是评估高脂血症药物的一个目标。由于饮食诱导HL存在许多问题,无论是对心脏的有害影响还是耗时,我们必须寻找一种新的诱导HL的方法,即使用药物在几天内诱导HL,对血管和心脏的有害影响较小
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