A new model of reverse cholesterol transport: EnTICEing strategies to stimulate intestinal cholesterol excretion

Ryan E. Temel, J. Mark Brown

Research output: Contribution to journalReview articlepeer-review

66 Scopus citations

Abstract

Cardiovascular disease (CVD) remains the largest cause of mortality in most developed countries. Although recent failed clinical trials and Mendelian randomization studies have called into question the high-density lipoprotein (HDL) hypothesis, it remains well accepted that stimulating the process of reverse cholesterol transport (RCT) can prevent or even regress atherosclerosis. The prevailing model for RCT is that cholesterol from the artery wall must be delivered to the liver where it is secreted into bile before leaving the body through fecal excretion. However, many studies have demonstrated that RCT can proceed through a non-biliary pathway known as transintestinal cholesterol excretion (TICE). The goal of this review is to discuss the current state of knowledge of the TICE pathway, with emphasis on points of therapeutic intervention.

Original languageEnglish
Pages (from-to)440-451
Number of pages12
JournalTrends in Pharmacological Sciences
Volume36
Issue number7
DOIs
StatePublished - Jun 26 2015

Bibliographical note

Publisher Copyright:
© 2015 Elsevier Ltd. All rights reserved.

Funding

This work was supported by grants provided by the National Institutes of Health: R00 HL096166 (J.M.B.), R01 HL122283 (J.M.B.), and R01 HL111932 (R.E.T). Illustrations were created by David Schumick and reprints are available with the permission of the Cleveland Clinic Center for Medical Art and Photography © 2015.

FundersFunder number
National Institutes of Health (NIH)R01 HL122283, R00 HL096166
National Heart, Lung, and Blood Institute (NHLBI)R01HL111932

    Keywords

    • bile
    • cholesterol
    • lipoprotein
    • reverse cholesterol transport
    • transintestinal cholesterol excretion

    ASJC Scopus subject areas

    • Toxicology
    • Pharmacology

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