高强度他汀类药物和CETP抑制剂联合治疗的降脂效果：系统评价和荟萃分析。

IF 3.9 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Frontiers in Endocrinology Pub Date : 2025-05-01 eCollection Date: 2025-01-01 DOI:10.3389/fendo.2025.1512670

Liubo Xiang, Huan Wu, Zhihao Zhao, Tingchun Wu, Dawei Lv, Ping Wu, Yuhua Zheng, Qianqian Huang, Tao Xu

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引用次数: 0

摘要

背景：本研究旨在评估高强度他汀类药物联合CETP抑制剂对血脂水平的影响，并探讨其潜在的临床意义。方法：我们在PubMed、Embase、Cochrane Library和Web of Science数据库中进行了全面的相关研究检索。采用Cochrane风险偏倚工具RoB 2.0评价纳入研究的质量。采用STATA 15软件进行统计分析，主要结局为高密度脂蛋白胆固醇（HDL-C）和低密度脂蛋白胆固醇（LDL-C）。结果：在2552份记录中，有7项研究被纳入最终分析。结果显示，高强度他汀类药物联合CETP抑制剂可显著提高HDL-C水平（SMD值为2.47 [1.77,3.18],p < 0.001），降低LDL-C水平（SMD值为-1.75 [-2.19,-1.31],p < 0.001）。结论：与他汀类药物单药治疗相比，高强度他汀类药物与CETP抑制剂联合治疗可显著提高HDL-C和ApoAI水平，同时降低LDL-C、甘油三酯（TG）和ApoB水平，但未增加不良事件的发生率。

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Lipid-lowering effect of combined therapy with high-intensity statins and CETP inhibitors: a Systematic Review and meta-analysis.

Background: This study aimed to evaluate the impact of combining high-intensity statins with CETP inhibitors on lipid levels, as well as to explore their potential clinical significance.

Methods: We conducted a comprehensive search of relevant studies in the PubMed, Embase, Cochrane Library, and Web of Science databases. The Cochrane Risk of Bias Tool RoB 2.0 was employed to evaluate the quality of the included studies. Statistical analyses were carried out using STATA 15 software, with primary outcomes being high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C).

Results: Out of 2,552 records, 7 studies were included in the final analysis. The findings revealed that the combination of high-intensity statins with CETP inhibitors significantly raised HDL-C levels (SMD 2.47 [1.77, 3.18], p < 0.001) and lowered LDL-C levels (SMD -1.75 [-2.19, -1.31], p < 0.001).

Conclusion: Compared to statin monotherapy, the combination of high-intensity statins and CETP inhibitors resulted in a more pronounced increase in HDL-C and ApoAI, while reducing LDL-C, triglycerides (TG), and ApoB levels, without increasing the incidence of adverse events.

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来源期刊

Frontiers in Endocrinology Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

5.70

自引率

9.60%

发文量

3023

审稿时长

14 weeks

期刊介绍： Frontiers in Endocrinology is a field journal of the "Frontiers in" journal series. In today’s world, endocrinology is becoming increasingly important as it underlies many of the challenges societies face - from obesity and diabetes to reproduction, population control and aging. Endocrinology covers a broad field from basic molecular and cellular communication through to clinical care and some of the most crucial public health issues. The journal, thus, welcomes outstanding contributions in any domain of endocrinology. Frontiers in Endocrinology publishes articles on the most outstanding discoveries across a wide research spectrum of Endocrinology. The mission of Frontiers in Endocrinology is to bring all relevant Endocrinology areas together on a single platform.