» Articles » PMID: 37767252

Remnant Cholesterol, a Valuable Biomarker for Assessing Arteriosclerosis and Cardiovascular Risk: A Systematic Review

Overview
Journal Cureus
Date 2023 Sep 28
PMID 37767252
Authors
Affiliations
Soon will be listed here.
Abstract

Arteriosclerosis, as the foundation for the development of cardiovascular diseases, is influenced by disturbances in lipid metabolism. Extensive research has consistently shown a correlation between conventional lipid parameters, arteriosclerosis, and cardiovascular diseases. Guidelines highlight the importance of targeting low-density lipoprotein cholesterol (LDL-C) for primary and secondary prevention of cardiovascular diseases, with reducing LDL-C remaining the primary lipid-lowering strategy. However, even when LDL-C is lowered to optimal levels, there is a residual risk of cardiovascular disease. Recent findings have brought attention to remnant cholesterol (RC) as a significant factor contributing to this residual risk. The close association between RC, arteriosclerosis, and cardiovascular diseases presents exciting opportunities for lifestyle interventions and medical treatments to control and lower RC levels, offering new targets for preventing and managing related cardiovascular conditions. Our systematic review sheds light on the importance of considering RC as a valuable biomarker in assessing arteriosclerosis and its potential impact on cardiovascular health. By understanding the link between remnant cholesterol and arteriosclerosis, researchers and healthcare professionals can develop targeted interventions to mitigate cardiovascular risks, thus improving public health outcomes and reducing the economic burden associated with cardiovascular diseases.

Citing Articles

Reduction in Remnant Cholesterol in Obese Individuals After Bariatric Surgery with Gastric Bypass or Sleeve Gastrectomy.

Aaseth J, Retterstol K, Rootwelt H, Farup P Nutrients. 2025; 17(1.

PMID: 39796622 PMC: 11723409. DOI: 10.3390/nu17010189.


Causal association between remnant cholesterol level and risk of cardiovascular diseases: a bidirectional two sample mendelian randomization study.

Zhong L, Xie B, Wang H, Ji X Sci Rep. 2024; 14(1):27038.

PMID: 39511362 PMC: 11544147. DOI: 10.1038/s41598-024-78610-0.


Gender-specific correlations between remnant cholesterol and severe abdominal aortic calcification in American adults.

Yan L, Hu X, Wu S, Zhao S Front Endocrinol (Lausanne). 2024; 15:1415424.

PMID: 39351538 PMC: 11439657. DOI: 10.3389/fendo.2024.1415424.


Remnant cholesterol and the risk of carotid plaque in hypertension: results from a community-based screening among old adults in Hangzhou, China.

Yu Z, Yang H, Shou B, Cheng Z, Jiang C, Ye Y Sci Rep. 2024; 14(1):8407.

PMID: 38600230 PMC: 11006856. DOI: 10.1038/s41598-024-58484-y.


Cumulative residual cholesterol predicts the risk of cardiovascular disease in the general population aged 45 years and older.

Zhao M, Xiao M, Tan Q, Ji J, Lu F Lipids Health Dis. 2024; 23(1):19.

PMID: 38243226 PMC: 10797780. DOI: 10.1186/s12944-023-02000-0.

References
1.
Wang L, Zhi F, Gao B, Ni J, Liu Y, Mo X . Association between lipid profiles and arterial stiffness: A secondary analysis based on a cross-sectional study. J Int Med Res. 2020; 48(7):300060520938188. PMC: 7383716. DOI: 10.1177/0300060520938188. View

2.
Zhan B, Huang X, Wang J, Qin X, Zhang J, Cao J . Association Between Lipid Profiles and Arterial Stiffness in Chinese Patients With Hypertension: Insights From the CSPPT. Angiology. 2019; 70(6):515-522. DOI: 10.1177/0003319718823341. View

3.
Laurent S, Katsahian S, Fassot C, Tropeano A, Gautier I, Laloux B . Aortic stiffness is an independent predictor of fatal stroke in essential hypertension. Stroke. 2003; 34(5):1203-6. DOI: 10.1161/01.STR.0000065428.03209.64. View

4.
Gkaliagkousi E, Lazaridis A, Dogan S, Fraenkel E, Guvenc Tuna B, Mozos I . Theories and Molecular Basis of Vascular Aging: A Review of the Literature from VascAgeNet Group on Pathophysiological Mechanisms of Vascular Aging. Int J Mol Sci. 2022; 23(15). PMC: 9368987. DOI: 10.3390/ijms23158672. View

5.
Musunuru K, Kathiresan S . Surprises From Genetic Analyses of Lipid Risk Factors for Atherosclerosis. Circ Res. 2016; 118(4):579-85. PMC: 4762058. DOI: 10.1161/CIRCRESAHA.115.306398. View