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Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases

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Resumo:Dyslipidaemia is among the major causes of severe diseases and, despite being wellestablished, the hypocholesterolaemic therapies still face significant concerns about potential side effects (such as myopathy, myalgia, liver injury digestive problems, or mental fuzziness in some people taking statins), interaction with other drugs or specific foods. Accordingly, this review describes the latest developments in the most effective therapies to control and regulate dyslipidaemia. Scope and approach: Herein, the metabolic dynamics of cholesterol and their integration with the current therapies: statins, bile acid sequestrants, fibrates, niacin, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, reconstituted high-density lipoprotein (rHDL), or anti-inflammatory and immunemodulating therapies), were compared focusing their effectiveness, patients’ adhesion and typical side-effects. Likewise, the interaction of these therapies with recommended dietary habits, focusing functional foods and nutraceuticals uptake were also considered. Key findings and conclusions: Since none of the current therapeutic alternatives represent an ideal solution (mainly due to side-effects or patients’ tolerance), the potential adjuvant action of selected diets (and other healthy habits) was proposed as a way to improve the cholesterol-lowering effectiveness, while reducing the adverse effects caused by dose-increase or continuous uptake of alternating therapeutic agents. In general, the relevance of well-adapted diets must be acknowledged and their potential effects must be exhorted among patients, who need to be aware of the associated multifactorial advantages.
Autores principais:Baptista, Eugénia
Outros Autores:Pereira, Cláudia S.G.P.; García, Pablo A.; Ferreira, Isabel C.F.R.; Barreira, João C.M.
Assunto:Cholesterol biosynthesis and homeostasis Metabolic disorders Dyslipidaemia Atherosclerosis Healthy lifestyles Functional foods and nutraceuticals
Ano:2025
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Baptista, Eugénia
author2 Pereira, Cláudia S.G.P.
García, Pablo A.
Ferreira, Isabel C.F.R.
Barreira, João C.M.
author2_role author
author
author
author
author_facet Baptista, Eugénia
Pereira, Cláudia S.G.P.
García, Pablo A.
Ferreira, Isabel C.F.R.
Barreira, João C.M.
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Baptista, Eugénia\"},{\"Person.name\":\"Pereira, Cláudia S.G.P.\"},{\"Person.name\":\"García, Pablo A.\"},{\"Person.name\":\"Ferreira, Isabel C.F.R.\",\"Person.identifier.orcid\":\"0000-0003-4910-4882\"},{\"Person.name\":\"Barreira, João C.M.\",\"Person.identifier.orcid\":\"0000-0003-1233-0990\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Baptista, Eugénia
Pereira, Cláudia S.G.P.
García, Pablo A.
Ferreira, Isabel C.F.R.
Barreira, João C.M.
datacite.date.Accepted.fl_str_mv 2025-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2025-01-30T11:43:20Z
datacite.date.embargoed.fl_str_mv 2025-01-30T11:43:20Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
datacite.titles.title.fl_str_mv Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Baptista, Eugénia
Pereira, Cláudia S.G.P.
García, Pablo A.
Ferreira, Isabel C.F.R.
Barreira, João C.M.
dc.date.Accepted.fl_str_mv 2025-01-01T00:00:00Z
dc.date.available.fl_str_mv 2025-01-30T11:43:20Z
dc.date.embargoed.fl_str_mv 2025-01-30T11:43:20Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/31100
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
dc.title.fl_str_mv Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Dyslipidaemia is among the major causes of severe diseases and, despite being wellestablished, the hypocholesterolaemic therapies still face significant concerns about potential side effects (such as myopathy, myalgia, liver injury digestive problems, or mental fuzziness in some people taking statins), interaction with other drugs or specific foods. Accordingly, this review describes the latest developments in the most effective therapies to control and regulate dyslipidaemia. Scope and approach: Herein, the metabolic dynamics of cholesterol and their integration with the current therapies: statins, bile acid sequestrants, fibrates, niacin, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, reconstituted high-density lipoprotein (rHDL), or anti-inflammatory and immunemodulating therapies), were compared focusing their effectiveness, patients’ adhesion and typical side-effects. Likewise, the interaction of these therapies with recommended dietary habits, focusing functional foods and nutraceuticals uptake were also considered. Key findings and conclusions: Since none of the current therapeutic alternatives represent an ideal solution (mainly due to side-effects or patients’ tolerance), the potential adjuvant action of selected diets (and other healthy habits) was proposed as a way to improve the cholesterol-lowering effectiveness, while reducing the adverse effects caused by dose-increase or continuous uptake of alternating therapeutic agents. In general, the relevance of well-adapted diets must be acknowledged and their potential effects must be exhorted among patients, who need to be aware of the associated multifactorial advantages.
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funding.funder.alternateName_str_mv FCT
FCT
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funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
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funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
Fundação para a Ciência e a Tecnologia
Fundação para a Ciência e a Tecnologia
funding.name_str_mv 6817 - DCRRNI ID
CEEC IND 2017
POR_NORTE
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identifier.url.fl_str_mv http://hdl.handle.net/10198/31100
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instname_str Instituto Politécnico de Bragança
language eng
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network_name_str Biblioteca Digital do IPB
oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/31100
organization_str_mv urn:organizationAcronym:ipb
person_str_mv Baptista, Eugénia
Pereira, Cláudia S.G.P.
García, Pablo A.
Ferreira, Isabel C.F.R.
Ferreira, Isabel C.F.R.
https://www.ciencia-id.pt/9418-CF95-9919
9418-CF95-9919
http://orcid.org/0000-0003-4910-4882
0000-0003-4910-4882
Barreira, João C.M.
Barreira, João C.M.
http://orcid.org/0000-0003-1233-0990
0000-0003-1233-0990
publishDate 2025
publisher.none.fl_str_mv Elsevier
reponame_str Biblioteca Digital do IPB
repository_id_str urn:repositoryAcronym:ipb
service_str_mv urn:repositoryAcronym:ipb
spelling engElsevierpt_PTDyslipidaemia is among the major causes of severe diseases and, despite being wellestablished, the hypocholesterolaemic therapies still face significant concerns about potential side effects (such as myopathy, myalgia, liver injury digestive problems, or mental fuzziness in some people taking statins), interaction with other drugs or specific foods. Accordingly, this review describes the latest developments in the most effective therapies to control and regulate dyslipidaemia. Scope and approach: Herein, the metabolic dynamics of cholesterol and their integration with the current therapies: statins, bile acid sequestrants, fibrates, niacin, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, reconstituted high-density lipoprotein (rHDL), or anti-inflammatory and immunemodulating therapies), were compared focusing their effectiveness, patients’ adhesion and typical side-effects. Likewise, the interaction of these therapies with recommended dietary habits, focusing functional foods and nutraceuticals uptake were also considered. Key findings and conclusions: Since none of the current therapeutic alternatives represent an ideal solution (mainly due to side-effects or patients’ tolerance), the potential adjuvant action of selected diets (and other healthy habits) was proposed as a way to improve the cholesterol-lowering effectiveness, while reducing the adverse effects caused by dose-increase or continuous uptake of alternating therapeutic agents. In general, the relevance of well-adapted diets must be acknowledged and their potential effects must be exhorted among patients, who need to be aware of the associated multifactorial advantages.application/pdfpt_PTCombined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseasesBaptista, EugéniaPereira, Cláudia S.G.P.García, Pablo A.PersonalFerreira, Isabel C.F.R.DSpacehttp://dspace.org/items/bd0d1537-2e03-41fb-b27a-140af9c35db8DSpacehttp://dspace.org/items/bd0d1537-2e03-41fb-b27a-140af9c35db8FerreiraIsabel C.F.R.Ciência IDhttps://www.ciencia-id.pt9418-CF95-9919ORCIDhttp://orcid.org0000-0003-4910-4882Researcher IDhttps://www.researcherid.comE-8500-2013Scopus Author IDhttps://www.scopus.com36868826600PersonalBarreira, João C.M.DSpacehttp://dspace.org/items/4629b12c-39b0-4da8-8b8d-6efba5cf2d81DSpacehttp://dspace.org/items/4629b12c-39b0-4da8-8b8d-6efba5cf2d81BarreiraJoão C.M.ORCIDhttp://orcid.org0000-0003-1233-0990Researcher IDhttps://www.researcherid.comD-8269-2013Scopus Author IDhttps://www.scopus.com54895546900HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf2405-4577DOIIsPartOf10.1016/j.clnesp.2025.01.0262025-01-30T11:43:20Z20252025-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/31100http://purl.org/coar/access_right/c_16ecrestricted accessCholesterol biosynthesis and homeostasisMetabolic disordersDyslipidaemiaAtherosclerosisHealthy lifestylesFunctional foods and nutraceuticals779580 bytesFundação para a Ciência e a TecnologiaAssociated Laboratory for Green Chemistry - Clean Technologies and Processes6817 - DCRRNI IDCrossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaNot AvailableCEEC IND 2017Crossref Funder IDhttp://doi.org/10.13039/501100001871Fundação para a Ciência e a TecnologiaBoosting immunity against viral infections with bioactive food constituents: validating differentiated leading trends through scholarly publications clustering mapsPOR_NORTECrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2025http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/f5ed6868-d07e-455f-a076-542f8f6825a5/downloadClinical Nutrition ESPEN665168
spellingShingle Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
Baptista, Eugénia
Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
status SINGLETON
subject.fl_str_mv Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
title Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
title_full Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
title_fullStr Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
title_full_unstemmed Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
title_short Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
title_sort Combined action of dietary-based approaches and therapeutic agents on cholesterol metabolism and main related diseases
topic Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
topic_facet Cholesterol biosynthesis and homeostasis
Metabolic disorders
Dyslipidaemia
Atherosclerosis
Healthy lifestyles
Functional foods and nutraceuticals
url http://hdl.handle.net/10198/31100
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