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Editorial
. 2019 Oct:289:173-175.
doi: 10.1016/j.atherosclerosis.2019.07.021. Epub 2019 Aug 6.

Statins and Lp(a): The plot thickens

Affiliations
Editorial

Statins and Lp(a): The plot thickens

Byambaa Enkhmaa et al. Atherosclerosis. 2019 Oct.
No abstract available

Keywords: Cardiovascular risk; Cholesterol; Drugs; Lipids; Lipoproteins.

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Conflict of interest statement

Disclosure of potential conflict of interest

The authors have nothing to disclose.

Figures

Figure 1.
Figure 1.. Statins versus PCSK9 inhibitors: Effects on LDL-C and Lp(a)
Both statins and PCSK9 inhibitors reduce LDL-C levels through mechanisms involving LDL receptor upregulation. In contrast, while PCSK9 inhibitors reduce Lp(a) levels, statins may increase Lp(a) levels. PCSK9-induced Lp(a) reduction maybe facilitated by markedly reduced competition from LDL-C for binding to LDL receptor and/or reduced production of apo(a) among patients taking PCSK9 inhibitors. On the other hand, increased production of apo(a), primarily of small sizes, may contribute to statin-induced Lp(a) elevation.

Comment on

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