Specific, desirable concentration levels or functional characteristics defined for High-Density Lipoprotein (HDL) particles, which are integral to reverse cholesterol transport and cardiovascular health. While total HDL levels are important, modern targets increasingly focus on particle size, subclass distribution, and functional efflux capacity. Achieving optimal targets supports systemic lipid homeostasis, which impacts metabolic signaling. These targets guide therapeutic adjustments in nutritional and endocrine strategies.
Origin
This terminology originates in clinical biochemistry and cardiology, stemming from the understanding of lipoprotein metabolism and atherosclerosis pathophysiology. ‘Targets’ denote the optimal reference ranges established through epidemiological and interventional studies. The shift from mass concentration to functional quality reflects evolving lipidology science.
Mechanism
HDL particles function by accepting excess cellular cholesterol via transporters like ABCA1 and delivering it back to the liver for excretion or reprocessing. Optimization involves interventions that enhance the synthesis of key apolipoproteins, such as ApoA-I, and support the enzymatic pathways that mature these particles. Proper targeting ensures effective removal of peripheral cholesterol, reducing arterial plaque formation and supporting vascular endothelial function.
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