The measured concentration of High-Density Lipoprotein cholesterol circulating in the plasma, often referred to as “good cholesterol” due to its critical role in reverse cholesterol transport. These levels are a key component of the standard lipid panel, serving as a significant biomarker for cardiovascular risk assessment and overall metabolic health. Higher concentrations are generally associated with a reduced risk of atherosclerotic disease and improved systemic lipid homeostasis.
Origin
The classification of lipoproteins and the understanding of their respective roles in lipid metabolism developed in the mid-20th century, with epidemiological studies establishing the inverse correlation between HDL levels and cardiovascular mortality. The term “HDL” is derived from its high density relative to other lipoproteins, reflecting its high protein-to-lipid ratio.
Mechanism
HDL functions by actively scavenging excess cholesterol from peripheral cells and arterial walls, a process known as reverse cholesterol transport, and delivering it back to the liver for excretion or reprocessing. This efflux capacity is crucial for preventing the accumulation of cholesterol-laden foam cells and the formation of atherosclerotic plaque. Optimal HDL levels are often supported by healthy hormonal profiles, particularly adequate estrogen and testosterone, which can modulate the hepatic synthesis of apolipoproteins critical for HDL structure and function.
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