Background:
The Low-Density Lipoprotein (LDL) Receptor (LDL-R) is a transmembrane
protein playing a crucial role in effective lipid homeostasis. Various therapeutic
agents have been used in the management of dyslipidemias, however, the outcome of
therapeutic target is debated.
Objective:
The aim of this review is to summarize and fully understand the current concept
regarding LDL-R and its molecular properties, metabolic pathway, factors affecting LDL-R
activity and all available pharmacological interventions. Additionally, non-lipid related properties
of LDL-R are also referred.
Methods:
Literature from the PubMed database was extracted to identify papers between
1984 to 2017 regarding LDL-R and therapeutic agents on dyslipidemia management.
Results:
We analyzed basic data regarding agents associated with LDL-R (Sterol Regulating
Element-Binding Proteins - SREBPs, Protein ARH, IDOL, Thyroid Hormones, Haematologic
Disorders, Protein convertase subtilisin kexintype 9 - PCSK-9, ApoC-III) as well as non-lipid
related properties of LDL-R, while all relevant (common and novel) pharmacological interventions
(statins, fibrates, cholesterol absorption inhibitors, bile acid sequestrants and PCSK-
9) are also referred.
Conclusion:
LDL-R and its molecular properties are involved in lipid homeostasis, so potentially
sets the therapeutic goals in cardiovascular patients, which is usually debated. Further
research is needed in order to fully understand its properties, as well as to find the potential
pharmacological interventions that could be beneficial in cholesterol homeostasis and various
morbidities in order to reach the most appropriate therapeutic goal.