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臨床検査59巻2号

2015年02月発行

文献概要

今月の特集1 動脈硬化症の最先端

動脈硬化症の治療標的─脂質代謝を中心に

著者: 小倉正恒1 斯波真理子1

所属機関: 1国立循環器病研究センター研究所 病態代謝部

ページ範囲:P.133 - P.141

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●創薬ターゲットとなる分子の発見は,単一遺伝子疾患患者の病態がヒントとなることが多い.

●ミクロソーム中性脂肪転送蛋白質(MTP),アポリポ蛋白B,PCSK9,コレステロールエステル転送蛋白質(CETP)に対する新しい阻害薬が第3相試験レベルまで開発が進んでいる.

●動脈硬化症の治療や予防の予測に役立つと期待される新しい検査法として患者高比重リポ蛋白質(HDL)のコレステロール引き抜き能の測定が挙げられる.

参考文献

1)Brown MS, Goldstein JL:Expression of the familial hypercholesterolemia gene in heterozygotes:mechanism for a dominant disorder in man. Science 185:61-63,1974
2)Samaha FF, McKenney J, Bloedon LT, et al:Inhibition of microsomal triglyceride transfer protein alone or with ezetimibe in patients with moderate hypercholesterolemia. Nat Clin Pract Cardiovasc Med 5:497-505,2008
3)Cuchel M, Bloedon LT, Szapary PO, et al:Inhibition of microsomal triglyceride transfer protein in familial hypercholesterolemia. N Engl J Med 356:148-156,2007
4)Cuchel M, Meagher EA, du Toit Theron H, et al:Efficacy and safety of a microsomal triglyceride transfer protein inhibitor in patients with homozygous familial hypercholesterolaemia: a single-arm, open-label, phase 3 study. Lancet 381:40-46,2013
5)Raal FJ, Santos RD, Blom DJ, et al:Mipomersen, an apolipoprotein B synthesis inhibitor, for lowering of LDL cholesterol concentrations in patients with homozygous familial hypercholesterolaemia: a randomised, double-blind, placebo-controlled trial. Lancet 375:998-1006,2010
6)Akdim F, Visser ME, Tribble DL, et al:Effect of mipomersen, an apolipoprotein B synthesis inhibitor, on low-density lipoprotein cholesterol in patients with familial hypercholesterolemia. Am J Cardiol 105:1413-1419,2010
7)Stein EA, Dufour R, Gagne C, et al:Apolipoprotein B synthesis inhibition with mipomersen in heterozygous familial hypercholesterolemia: results of a randomized, double-blind, placebo-controlled trial to assess efficacy and safety as add-on therapy in patients with coronary artery disease. Circulation 126:2283-2292,2012
8)Akdim F, Stroes ES, Sijbrands EJ, et al:Efficacy and safety of mipomersen, an antisense inhibitor of apolipoprotein B, in hypercholesterolemic subjects receiving stable statin therapy. J Am Coll Cardiol 55:1611-1618,2010
9)Thomas GS, Cromwell WC, Ali S, et al:Mipomersen, an apolipoprotein B synthesis inhibitor, reduces atherogenic lipoproteins in patients with severe hypercholesterolemia at high cardiovascular risk: a randomized, double-blind, placebo-controlled trial. J Am Coll Cardiol 62:2178-2184,2013
10)Visser ME, Wagener G, Baker BF, et al:Mipomersen, an apolipoprotein B synthesis inhibitor, lowers low-density lipoprotein cholesterol in high-risk statin-intolerant patients: a randomized, double-blind, placebo-controlled trial. Eur Heart J 33:1142-1149,2012
11)Abifadel M, Varret M, Rabès JP, et al:Mutations in PCSK9 cause autosomal dominant hypercholesterolemia. Nat Genet 34:154-156,2003
12)Cohen J, Pertsemlidis A, Kotowski IK, et al:Low LDL cholesterol in individuals of African descent resulting from frequent nonsense mutations in PCSK9. Nat Genet 37:161-165,2005
13)Cohen JC, Boerwinkle E, Mosley TH Jr, et al:Sequence variations in PCSK9, low LDL, and protection against coronary heart disease. N Engl J Med 354:1264-1272,2006
14)Koren MJ, Scott R, Kim JB, et al:Efficacy, safety, and tolerability of a monoclonal antibody to proprotein convertase subtilisin/kexin type 9 as monotherapy in patients with hypercholesterolaemia (MENDEL):a randomised, double-blind, placebo-controlled, phase 2 study. Lancet 380:1995-2006,2012
15)Giugliano RP, Desai NR, Kohli P, et al:Efficacy, safety, and tolerability of a monoclonal antibody to proprotein convertase subtilisin/kexin type 9 in combination with a statin in patients with hypercholesterolaemia (LAPLACE-TIMI 57): a randomised, placebo-controlled, dose-ranging, phase 2 study. Lancet 380:2007-2017,2012
16)Sullivan D, Olsson AG, Scott R, et al:Effect of a monoclonal antibody to PCSK9 on low-density lipoprotein cholesterol levels in statin-intolerant patients:the GAUSS randomized trial. JAMA 308:2497-2506,2012
17)Raal F, Scott R, Somaratne R, et al:Low-density lipoprotein cholesterol-lowering effects of AMG 145, a monoclonal antibody to proprotein convertase subtilisin/kexin type 9 serine protease in patients with heterozygous familial hypercholesterolemia:the Reduction of LDL-C with PCSK9 Inhibition in Heterozygous Familial Hypercholesterolemia Disorder (RUTHERFORD) randomized trial. Circulation 126:2408-2417,2012
18)Colhoun HM, Robinson JG, Farnier M, et al:Efficacy and safety of alirocumab, a fully human PCSK9 monoclonal antibody, in high cardiovascular risk patients with poorly controlled hypercholesterolemia on maximally tolerated doses of statins: rationale and design of the ODYSSEY COMBO I and II trials. BMC Cardiovasc Disord 14:121,2014
19)Yamamoto T, Harada-Shiba M, Nakatani M, et al:Cholesterol-lowering Action of BNA-based Antisense Oligonucleotides Targeting PCSK9 in Atherogenic Diet-induced Hypercholesterolemic Mice. Mol Ther Nucleic Acids 1:e22,2012
20)Barter PJ, Caulfield M, Eriksson M, et al:Effects of torcetrapib in patients at high risk for coronary events. N Engl J Med 357:2109-2122,2007
21)Schwartz GG, Olsson AG, Abt M, et al:Effects of dalcetrapib in patients with a recent acute coronary syndrome. N Engl J Med 367:2089-2099,2012
22)Gotto AM Jr, Cannon CP, Li XS, et al:Evaluation of lipids, drug concentration, and safety parameters following cessation of treatment with the cholesteryl ester transfer protein inhibitor anacetrapib in patients with or at high risk for coronary heart disease. Am J Cardiol 113:76-83,2014
23)Bell TA 3rd, Graham MJ, Lee RG, et al:Antisense oligonucleotide inhibition of cholesteryl ester transfer protein enhances RCT in hyperlipidemic, CETP transgenic, LDLr-/- mice. J Lipid Res 54:2647-2657,2013
24)Keene D, Price C, Shun-Shin MJ, et al:Effect on cardiovascular risk of high density lipoprotein targeted drug treatments niacin, fibrates, and CETP inhibitors: meta-analysis of randomised controlled trials including 117,411 patients. BMJ 349:g4379,2014
25)Khera AV, Cuchel M, de la Llera-Moya M, et al:Cholesterol efflux capacity, high-density lipoprotein function, and atherosclerosis. N Engl J Med 364:127-135,2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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