Inhibition of CETP as a novel therapeutic strategy for reducing the risk of atherosclerotic disease

Eur Heart J. 2007 Jan;28(1):5-12. doi: 10.1093/eurheartj/ehl392. Epub 2006 Nov 22.

Abstract

Lowering low-density lipoprotein cholesterol (LDL-C) levels with statins is a proven strategy for reducing the risk of atherothrombotic cardiovascular disease (CVD). Yet, despite the success of statins in reducing cardiovascular event rates in at-risk patients, many will still experience further events. There is, therefore, a need to develop suitable therapies to reduce this residual risk. Low high-density lipoprotein cholesterol (HDL-C) levels are an important independent risk factor for CVD. Though fibrates, niacin, and statins have been shown to modestly raise HDL-C, there is increasing recognition of the need to develop therapies that can increase HDL-C more robustly. Such therapies may help supplement the LDL-C-lowering benefits of statins. Inhibition of cholesteryl ester transfer protein (CETP) has been identified as a possible strategy for substantially increasing HDL-C levels and CETP inhibitors have demonstrated clinical efficacy, in terms of increasing HDL-C, in preliminary clinical trials, and clinical trials based on outcomes are ongoing. Two CETP inhibitors, JTT-705 and torcetrapib, are now being evaluated more extensively.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amides
  • Cholesterol / metabolism
  • Cholesterol Ester Transfer Proteins / antagonists & inhibitors*
  • Cholesterol Ester Transfer Proteins / genetics
  • Clinical Trials as Topic
  • Coronary Artery Disease / drug therapy*
  • Esters
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Mutation / genetics
  • Risk Factors
  • Sulfhydryl Compounds / therapeutic use

Substances

  • Amides
  • CETP protein, human
  • Cholesterol Ester Transfer Proteins
  • Esters
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Sulfhydryl Compounds
  • dalcetrapib
  • Cholesterol