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Eighth Closed Scientific Expert Meeting of the Editorial Board
Candidate genes that reduce VLDL secretion without inducing fatty liver
Professor Antoine Rimbert, University of Nantes, France, discusses the challenges of reducing secretion of very low density lipoprotein to further reduce the risk of atherosclerotic cardiovascular disease without inducing liver steatosis, and considers some of the common gene variants associated with decreases in both apoB and plasma liver enzymes, such as GPR146, and their potential as targets for future therapies.
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Coronary inflammation: Insights from the fat attenuation index
Dr Kenneth Chan, University of Oxford, UK, describes recent research showing that measuring coronary inflammation from coronary CT angiography using the perivascular fat attenuation index (FAI) predicts fatal and non-fatal cardiac events, and he suggests that integrating coronary inflammation, clinical risk factors and plaque burden into an AI-risk model can help to personalise risk prediction to guide preventive treatments.
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Inhibition of apoC3 or ANGPTL3 for reduction of ASCVD?
Professor Erik Stroes, Amsterdam University Medical Center, The Netherlands, considers the way forward for reducing ASCVD, using novel agents in development that target apoC3 or ANGPTL3. He summarises the evidence from major clinical trials, and looks at whether there are opportunities for combination treatment with apoC3, ANGPTL3 and/or PCSK9 targeting agents to optimise LDL-C, TG, apoB and non-HDL-C levels.
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Expert commentaries
Triglyceride metabolism and mortality: What is the link?
Higher rates of triglyceride metabolism have recently been linked to increased all-cause, cardiovascular, cancer, and other mortality, but what does it mean for practising clinicians? Professor Børge G. Nordestgaard (University of Copenhagen, Denmark) discusses the new findings and their potential implications.
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Are remnants more atherogenic than LDL? Novel genetic insights
Elias Björnson, University of Gothenburg, Sweden, discusses data from a UK Biobank Study which investigated the association between triglyceride-rich lipoproteins/remnant cholesterol and risk of coronary heart disease, and the atherogenicity of those particles compared to low-density lipoprotein particles.
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Akira Endo, discoverer of statins, remembered
Akira Endo, the Japanese scientist universally recognised as the discoverer of statins, died on June 5 at the age of 90. The medical importance of his discovery is arguably comparable with Fleming’s discovery of penicillin.
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Third Closed Scientific Expert Meeting of the Editorial Board
Keynote: What have we learned from triglyceride lowering trials using fibrates over the past 40 years?
Professor Marja-Riitta Taskinen reviews the evidence from the FIELD and ACCORD clinical trials in type 2 diabetes and considers how treatment might be tailored to patients most likely to benefit.
Expert Commentaries
Triglyceride-rich lipoproteins and their remnants: Commentary on the 2021 EAS Consensus Statement
Professor Gary Lewis (University of Toronto, Canada) discusses the evidence presented in the 2021 EAS Consensus Statement and its implications for clinicians and patients.
ASCVD risk with persistent hypertriglyceridaemia: What is the latest guidance from ACC?
Dr Michael Miller (University of Maryland, Baltimore, USA) discusses the background to the latest ACC guidance and the recommendation to stratify patients for treatment according to their residual LDL-cholesterol level.
Clinical trials of innovative therapeutics
New insights into the biology of triglyceride metabolism underpin the development of novel therapies for managing hypertriglyceridaemia to reduce the risk of atherosclerotic cardiovascular disease (ASCVD) and, for severely elevated levels, pancreatitis.
In the last decade epidemiology and genetic studies – in particular, Mendelian randomisation studies – have moved the field forward and we are on the cusp of a new era in managing elevated triglycerides.
Major outcomes studies with these new therapies are fundamental to answering the much-debated question: Does lowering elevated triglycerides reduce residual cardiovascular risk?
About Triglyceride Forum
The Triglyceride Forum is a unique, independent, expert-led global initiative to address the rapidly evolving field of triglycerides and triglyceride-rich lipoproteins in cardiovascular disease and pancreatitis. This Forum will provide clinicians and researchers with international, open access, peer-reviewed resources at an important time when new and innovative molecules are at advanced stages of development… Read more >>
Why join?
Professors Ginsberg and Chapman explain the fundamental scientific and clinical research that has turned the spotlight on triglyceride-rich lipoproteins and their remnants as important players in the development of atherosclerotic CVD and pancreatitis and as targets for novel therapies for both these serious diseases.
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Join the Triglyceride Forum for open access to independent, evidence based knowledge and high quality educational programmes
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Join the Triglyceride Forum to share new data and exchange opinions with clinicians and researchers around the world
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MAKING THE CONNECTION: TRIGLYCERIDES, RESIDUAL CV RISK AND PANCREATITIS
This unique, downloadable slide deck developed specially for Triglyceride Forum is a state-of-the-art guide to triglycerides and their association with residual cardiovascular risk and pancreatitis.