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Volume 350:1491-1494 April 8, 2004 Number 15
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Increasing HDL Cholesterol Levels
H. Bryan Brewer, Jr., M.D.

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 by Brousseau, M. E.
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In the past decade, high-density lipoproteins (HDL) have emerged as a new potential therapeutic target for the treatment of cardiovascular disease. The key role of HDL as a carrier of excess cellular cholesterol in the reverse cholesterol transport pathway is believed to provide protection against atherosclerosis. In reverse cholesterol transport, peripheral tissues (e.g., vessel-wall macrophages) remove their excess cholesterol through the ATP-binding cassette transporter 1 (ABCA1) to poorly lipidated apolipoprotein A-I, forming pre-{beta}-HDL. Lecithin–cholesterol acyltransferase then esterifies free cholesterol to cholesteryl esters, converting pre-{beta}-HDL to mature spherical {alpha}-HDL (see Figure).

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Figure. Schematic Model of Reverse Cholesterol Transport . . . [Full Text of this Article]

 

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From the National Heart, Lung, and Blood Institute, Bethesda, Md.


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