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High-density Lipoprotein Cholesterol: Function, Dysfunction, and Clinical Implications
DOI:10.1016/j.ajpc.2026.101672.png)
摘要
En 中文
大型观察性研究显示高密度脂蛋白胆固醇(HDL-C)与心血管疾病(CVD)风险之间存在U型关联,挑战了HDL-C作为均一心脏保护因子的传统观点。在临床实践中,HDL-C升高常引发不确定性,难以判断患者是受到保护还是CVD风险增加。心肌梗死相关的孟德尔随机化研究不支持HDL-C升高具有基因组因果保护作用。相反,候选基因分析已识别出与HDL-C升高和CVD风险增加均相关的常见及稀有变异,进一步证实HDL-C作为异质性生物标志物而非治疗靶点的概念。
Keyword:
cholesterol
inflammation
atherosclerosis
coronary artery disease
immune checkpoint
genomics
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