高脂血症药物治疗的进展:近期药物创新和临床结果的全面回顾

Hrithik Dey, Vatsala Agarwal, MD Naushad Ali, Astha Upadhyay, Sufia Shafieq, Bhupender Dixit, Sahil Tomar, Mahewish Tarannum
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摘要

世界卫生组织(WHO)认为,以血脂水平升高为特征的高脂血症是心血管疾病(CVDs)的重要诱因,也是全球死亡的主要原因。研究显示,低密度脂蛋白胆固醇(LDL-C)水平每升高 1 毫摩尔/升,冠心病风险就会增加 20%-30%。虽然他汀类药物被广泛使用,但新型药物治疗方法对于有效控制高脂血症和降低心血管疾病风险十分必要。最近的临床试验证明,9 型丙蛋白转化酶枯草酶/kexin(PCSK9)抑制剂等创新药物在降低低密度脂蛋白胆固醇水平和减少不良心血管事件方面具有疗效。这些研究结果凸显了新疗法加强现有高脂血症治疗方法的潜力。此外,对新兴降脂药物的安全性评估也解决了人们对其不良反应和长期风险的担忧。尽管取得了进展,但在完善治疗策略和确保公平获得先进疗法方面仍存在挑战,尤其是边缘化人群。将创新药物疗法纳入现有方法,可提供个性化和高效的高脂血症管理。持续的研究和跨学科合作对于促进我们对脂质代谢的了解以及将科学发现转化为改善患者预后和心血管健康至关重要。对量身定制的高脂血症疗法进行持续创新和投资,对于改善心血管疾病高危人群的预后至关重要。关键词:高脂血症;PCsk9 抑制剂;贝美多酸;依维那单抗;伊利西兰-米泊美森;沃拉尼索森
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancements In Pharmacotherapy for Hyperlipidemia: A Comprehensive Review of Recent Drug Innovations and Clinical Outcomes
Hyperlipidemia, characterized by elevated blood lipid levels, significantly contributes to cardiovascular diseases (CVDs), the leading cause of global mortality per the World Health Organization (WHO). Studies reveal a 20-30% increase in coronary heart disease risk for every 1 mmol/L rise in LDL-C levels. While statins are widely used, novel pharmacotherapeutic approaches are necessary for effective hyperlipidemia management and CVD risk reduction. Recent clinical trials demonstrate the efficacy of innovative drugs like proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in lowering LDL-C levels and reducing adverse cardiovascular events. These findings highlight the potential of new therapies to enhance existing treatments for hyperlipidemia. Additionally, safety evaluations of emerging lipid-lowering agents address concerns about adverse effects and long-term risks. Despite progress, challenges persist in refining treatment strategies and ensuring equitable access to advanced therapies, especially for marginalized populations. Incorporating innovative pharmacotherapies into current approaches offers personalized and efficient hyperlipidemia management. Continued research and interdisciplinary collaborations are vital for advancing our understanding of lipid metabolism and translating scientific discoveries into improved patient outcomes and cardiovascular health. Ongoing innovation and investment in tailored hyperlipidemia therapies are crucial for better outcomes in individuals at risk of CVDs. Keywords: hyperlipidemia, pcsk9 inhibitors, bempedoic acid, evinacumab, inclisiran mipomersen, volanesorsen
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