Evidence map›Paper›PMID 36901696›Full record

ReviewInternational journal of molecular sciences2023

Cholesterol Remnants, Triglyceride-Rich Lipoproteins and Cardiovascular Risk.

Francesco Baratta, Nicholas Cocomello, Mattia Coronati, Domenico Ferro, Daniele Pastori, Francesco Angelico, Maria Del Ben

Full text readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesco BarattaDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0003-1708-272X
Nicholas CocomelloDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0002-4922-4318
Mattia CoronatiDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0003-0052-1378
Domenico FerroDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0001-5222-4477
Daniele PastoriDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0001-6357-5213
Francesco AngelicoDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0002-9372-3923
Maria Del BenDepartment of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Policlinico Umberto 1, Sapienza University, 00161 Rome, Italy.ORCID 0000-0003-1199-8454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Randomized clinical trials with statins and other lipid-lowering drugs have shown the presence of a "residual cardiovascular risk" in those treated to "target" for LDL-cholesterol. This risk is mainly associated to lipid components other than LDL and in particular to remnant cholesterol (RC) and to lipoproteins rich in triglycerides in fasting and non-fasting conditions. During fasting, RCs correspond to the cholesterol content of the VLDL and their partially depleted triglyceride remnant containing apoB-100. Conversely, in non-fasting conditions, RCs include also cholesterol present in chylomicrons containing apoB-48. Therefore, RCs refer to total plasma cholesterol minus HDL-cholesterol and LDL-cholesterol, that is, all the cholesterol present in the VLDL, chylomicrons and in their remnants. A large body of experimental and clinical data suggests a major role of RCs in the development of atherosclerosis. In fact, RCs easily pass the arterial wall and bind to the connective matrix stimulating the progression of smooth muscle cells and the proliferation of resident macrophages. RCs are a causal risk factor for cardiovascular events. Fasting and non-fasting RCs are equivalent for predicting vascular events. Further studies on drugs effect on RC levels and clinical trials to evaluate the efficacy of RC reduction on cardiovascular events are needed.

Indexed as

Cardiovascular DiseasesCholesterolCholesterol, LDLChylomicronsHeart Disease Risk FactorsHumansLipoproteinsLipoproteins, VLDLRisk FactorsTriglyceridesCholesterolCholesterol, LDLChylomicronsLipoproteinsLipoproteins, VLDLTriglyceridesatherosclerosisremnant cholesterolresidual cardiovascular risktriglyceride-rich lipoprotein

Identifiers

PMID36901696
PMCPMC10002331

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read14
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.