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Role of Glitazars in atherogenic dyslipidemia and diabetes: Two birds with one stone?

ABSTRACT: A triad of high triglycerides, low high-density lipoprotein (HDL) cholesterol, and elevated small dense low-density lipoprotein particles occurring in a patient with type 2 diabetes is referred to atherogenic diabetic dyslipidemia (ADD). Despite statin therapy, a significant residual risk remains potentially attributable to increased triglyceride concentration and low HDL cholesterol, a characteristic hallmark of ADD. Current therapeutic options in reducing this residual risk include nicotinic acid, omega 3 fatty acids, and selective peroxisome proliferator-activated receptor-alpha (PPAR) agonists (fibrates). These drugs are limited in their potential either by lack of evidence to support their role in reducing cardiovascular events or due to their side effects. This review details their current status and also the role of new glitazar, saroglitazar adual PPAR?/? agonist with predominant PPAR? activity in the management of ADD.

SUBMITTER: Munigoti SP

PROVIDER: S-EPMC4056123 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Role of Glitazars in atherogenic dyslipidemia and diabetes: Two birds with one stone?

Munigoti Srinivasa P SP Harinarayan C V CV

Indian journal of endocrinology and metabolism 20140501 3

A triad of high triglycerides, low high-density lipoprotein (HDL) cholesterol, and elevated small dense low-density lipoprotein particles occurring in a patient with type 2 diabetes is referred to atherogenic diabetic dyslipidemia (ADD). Despite statin therapy, a significant residual risk remains potentially attributable to increased triglyceride concentration and low HDL cholesterol, a characteristic hallmark of ADD. Current therapeutic options in reducing this residual risk include nicotinic a ...[more]

PMID: 24944919

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