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Recent failures in antiatherosclerotic drug development: Examples from the thyroxin receptor agonist, the secretory phospholipase A2 antagonist, and the acyl coenzyme A: Cholesterol acyltransferase inhibitor programs

机译:抗动脉粥样硬化药物开发的最新失败:甲状腺素受体激动剂,分泌型磷脂酶A2拮抗剂和酰基辅酶A的实例:胆固醇酰基转移酶抑制剂计划

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摘要

PURPOSE OF REVIEW: To review the published data related to the rise and fall of three different therapeutic approaches, which were investigated to lower cardiovascular disease (CVD) risk. RECENT FINDINGS: CVD remains a major burden of morbidity and mortality, despite therapeutic interventions. Novel strategies to address this residual risk are eagerly awaited, and a number of novel targets for therapy have been identified. Lipids and lipoproteins have been shown to play an eminent role in atherosclerosis progression, and as such, interventions that influence these biomarkers are crucial in CVD risk prevention. In recent years, however, clinical studies investigating the effect of novel lipid-modifying drugs on cardiovascular risk prevention have not always resulted in the anticipated beneficial outcome. Moreover, the development of therapies directed toward bioactive proteins acting at the crossroads of lipids and inflammation has also been disappointing. SUMMARY: In this review, we will specifically address the rationale, design, and results of the clinical trials investigating the effects of three of the failing therapies: the thyroxin receptor agonist, the secretory phospholipase A2 antagonist, and the acyl coenzyme A:cholesterol acyltransferase inhibitor.
机译:审查的目的:审查与三种不同治疗方法的兴衰有关的已公开数据,对这三种方法进行了研究以降低心血管疾病(CVD)的风险。最新发现:尽管进行了治疗性干预,CVD仍然是发病率和死亡率的主要负担。迫切需要解决这种残留风险的新策略,并且已经确定了许多新的治疗靶标。脂质和脂蛋白已显示在动脉粥样硬化进展中起着重要作用,因此,影响这些生物标记物的干预措施在CVD风险预防中至关重要。然而,近年来,研究新型脂质修饰药物对预防心血管疾病风险的临床研究并非总能带来预期的有益结果。而且,针对作用于脂类和炎症的十字路口的生物活性蛋白的疗法的开发也令人失望。摘要:在这篇综述中,我们将具体探讨研究三种失败疗法的效果的临床试验的原理,设计和结果:甲状腺素受体激动剂,分泌性磷脂酶A2拮抗剂和酰基辅酶A:胆固醇酰基转移酶抑制剂。

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