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Lipoprotein‐associated phospholipase A2: The story continues

Inflammation is thought to play an important role in the pathogenesis of vascular diseases. Lipoprotein‐associated phospholipase A2 (Lp‐PLA2) mediates vascular inflammation through the regulation of lipid metabolism in blood, thus, it has been extensively investigated to identify its role in vascula...

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Detalles Bibliográficos
Autores principales: Huang, Fubao, Wang, Kai, Shen, Jianhua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973114/
https://www.ncbi.nlm.nih.gov/pubmed/31140638
http://dx.doi.org/10.1002/med.21597
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author Huang, Fubao
Wang, Kai
Shen, Jianhua
author_facet Huang, Fubao
Wang, Kai
Shen, Jianhua
author_sort Huang, Fubao
collection PubMed
description Inflammation is thought to play an important role in the pathogenesis of vascular diseases. Lipoprotein‐associated phospholipase A2 (Lp‐PLA2) mediates vascular inflammation through the regulation of lipid metabolism in blood, thus, it has been extensively investigated to identify its role in vascular inflammation‐related diseases, mainly atherosclerosis. Although darapladib, the most advanced Lp‐PLA2 inhibitor, failed to meet the primary endpoints of two large phase III trials in atherosclerosis patients cotreated with standard medical care, the research on Lp‐PLA2 has not been terminated. Novel pathogenic, epidemiologic, genetic, and crystallographic studies regarding Lp‐PLA2 have been reported recently, while novel inhibitors were identified through a fragment‐based lead discovery strategy. More strikingly, recent clinical and preclinical studies revealed that Lp‐PLA2 inhibition showed promising therapeutic effects in diabetic macular edema and Alzheimer's disease. In this review, we not only summarized the knowledge of Lp‐PLA2 established in the past decades but also emphasized new findings in recent years. We hope this review could be valuable for helping researchers acquire a much deeper insight into the nature of Lp‐PLA2, identify more potent and selective Lp‐PLA2 inhibitors, and discover the potential indications of Lp‐PLA2 inhibitors.
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spelling pubmed-69731142020-01-27 Lipoprotein‐associated phospholipase A2: The story continues Huang, Fubao Wang, Kai Shen, Jianhua Med Res Rev Review Articles Inflammation is thought to play an important role in the pathogenesis of vascular diseases. Lipoprotein‐associated phospholipase A2 (Lp‐PLA2) mediates vascular inflammation through the regulation of lipid metabolism in blood, thus, it has been extensively investigated to identify its role in vascular inflammation‐related diseases, mainly atherosclerosis. Although darapladib, the most advanced Lp‐PLA2 inhibitor, failed to meet the primary endpoints of two large phase III trials in atherosclerosis patients cotreated with standard medical care, the research on Lp‐PLA2 has not been terminated. Novel pathogenic, epidemiologic, genetic, and crystallographic studies regarding Lp‐PLA2 have been reported recently, while novel inhibitors were identified through a fragment‐based lead discovery strategy. More strikingly, recent clinical and preclinical studies revealed that Lp‐PLA2 inhibition showed promising therapeutic effects in diabetic macular edema and Alzheimer's disease. In this review, we not only summarized the knowledge of Lp‐PLA2 established in the past decades but also emphasized new findings in recent years. We hope this review could be valuable for helping researchers acquire a much deeper insight into the nature of Lp‐PLA2, identify more potent and selective Lp‐PLA2 inhibitors, and discover the potential indications of Lp‐PLA2 inhibitors. John Wiley and Sons Inc. 2019-05-29 2020-01 /pmc/articles/PMC6973114/ /pubmed/31140638 http://dx.doi.org/10.1002/med.21597 Text en © 2019 The Authors. Medicinal Research Reviews Published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Huang, Fubao
Wang, Kai
Shen, Jianhua
Lipoprotein‐associated phospholipase A2: The story continues
title Lipoprotein‐associated phospholipase A2: The story continues
title_full Lipoprotein‐associated phospholipase A2: The story continues
title_fullStr Lipoprotein‐associated phospholipase A2: The story continues
title_full_unstemmed Lipoprotein‐associated phospholipase A2: The story continues
title_short Lipoprotein‐associated phospholipase A2: The story continues
title_sort lipoprotein‐associated phospholipase a2: the story continues
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973114/
https://www.ncbi.nlm.nih.gov/pubmed/31140638
http://dx.doi.org/10.1002/med.21597
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