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Journal Articles Current Diabetes Reports Year : 2008

Why is HDL functionally deficient in type 2 diabetes?


High-density lipoprotein (HDL) particles exert a spectrum of atheroprotective activities that can be deficient in type 2 diabetes. Key mechanisms leading to the formation of functionally deficient HDL involve 1) HDL enrichment in triglycerides and depletion in cholesteryl esters with conformational alterations of apolipoprotein A-I; 2) glycation of apolipoproteins and/or HDL-associated enzymes; and 3) oxidative modification of HDL lipids, apolipoproteins, and/or enzymes. Available data identify hypertriglyceridemia, with concomitant compositional modification of the HDL lipid core and conformational change of apolipoprotein A-I, as a driving force in functional alteration of HDL particles in type 2 diabetes. Therapeutic options for correcting HDL functional deficiency should target hypertriglyceridemia by normalizing circulating levels of triglyceride-rich lipoproteins.
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inserm-00270419 , version 1 (04-04-2008)


  • HAL Id : inserm-00270419 , version 1
  • PUBMED : 18366999


Kontush Anatol, John Chapman. Why is HDL functionally deficient in type 2 diabetes?. Current Diabetes Reports, 2008, 8 (1), pp.51-9. ⟨inserm-00270419⟩
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