2019
DOI: 10.1002/jcp.28134
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Dietary natural products as emerging lipoprotein(a)‐lowering agents

Abstract: Elevated plasma lipoprotein(a) (Lp(a)) levels are associated with an increased risk of cardiovascular disease (CVD). Hitherto, niacin has been the drug of choice to reduce elevated Lp(a) levels in hyperlipidemic patients but its efficacy in reducing CVD outcomes has been seriously questioned by recent clinical trials. Additional drugs may reduce to some extent plasma Lp(a) levels but the lack of a specific therapeutic indication for Lp(a)‐lowering limits profoundly reduce their use. An attractive therapeutic o… Show more

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Cited by 31 publications
(16 citation statements)
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“…The deficiency of these nutrients in the body may increase the risk of developing a variety of conditions, including cardiovascular diseases [52,66]. Antioxidant supplementation has been extensively researched, but the findings remain inconclusive, especially in the case of vitamin E [13,67,68].…”
Section: Antioxidantsmentioning
confidence: 99%
“…The deficiency of these nutrients in the body may increase the risk of developing a variety of conditions, including cardiovascular diseases [52,66]. Antioxidant supplementation has been extensively researched, but the findings remain inconclusive, especially in the case of vitamin E [13,67,68].…”
Section: Antioxidantsmentioning
confidence: 99%
“…On the other hand, fibrates 95 , and most hormones (except growth hormone) 32,96 may reduce Lp(a) levels. Niacin 97 , mipomersen 98 , lomitapide 99 , proprotein convertase subtilisin kexin 9 (PCSK9) [100][101][102] and (cholesteryl transfer protein) CETP inhibitors 103 , aspirin 32 , antibodies to interleukin-6 32 , nutraceuticals [104][105][106][107] , tibolone 108 and ezetimibe 109 , also, decrease Lp(a) levels. Vitamin C 110 and bile acid sequestrants 111 have a neutral effect on plasma Lp(a) levels.…”
Section: Effect Of Hypolipidemic Treatment On Lp(a)mentioning
confidence: 99%
“…(24.9-160) mg/dL after 2 months since statin treatment initiation in patients with FH and high Lp(a) levels who had a small molecular mass apo(a) (≤22 KIV 2 repeats), while no such effect was observed in patients with a large molecular mass apo(a) [73]. Based on this, the experts supported by the International Lipid Expert Panel (ILEP) suggested that in those with the baseline Lp(a) levels over 30 mg/dL and especially over 50 mg/dL the combination therapy of statins and ezetimibe and/or nutraceuticals with confirmed Lp(a)-reducation properties should be considered [72,74]. Statins are recommended in patients with elevated Lp(a) level not to reduce it but to decrease CVD risk [5].…”
Section: Managementmentioning
confidence: 99%