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Phospholipid transfer protein (PLTP) (PLTP)

Target
PLTP
Molecular classification
Lipid transfer protein, BPI/LBP/PLTP family
01

Overview

Phospholipid transfer protein (PLTP) is a secreted glycoprotein belonging to the BPI/LBP/PLTP family, primarily responsible for the transfer of phospholipids between lipoprotein particles [1]. It plays a crucial role in the remodeling of high-density lipoproteins (HDL), facilitating the transfer of phospholipids from triglyceride-rich lipoproteins like VLDL to HDL, and mediating the conversion of HDL into larger and smaller (pre-beta) particles [2]. PLTP is considered a significant therapeutic target because its activity is positively correlated with the development of atherosclerosis and cardiovascular disease in humans [3]. Elevated PLTP levels are also observed in metabolic conditions such as obesity and type 2 diabetes, where it contributes to dyslipidemia [4]. While no PLTP-targeted drugs are currently FDA-approved, experimental small-molecule inhibitors have been developed and tested in animal models, showing promise in reducing atherosclerotic plaque progression [5]. However, therapeutic development is challenged by PLTP's dual role, as it also participates in the innate immune response by binding and neutralizing bacterial lipopolysaccharides [6].

Other names
Lipid transfer protein IIPhospholipid transfer proteinPhospholipid carrier protein
02

Mechanism of action

Inhibition of phospholipid transfer activity to modulate HDL remodeling and reduce pro-atherogenic lipoprotein levels.

03

Biological functions

Lipid transportLipoprotein remodelingInnate immune responseReverse cholesterol transport
04

Disease associations

AtherosclerosisCardiovascular diseaseType 2 diabetesMetabolic syndromeAlzheimer's disease
05

Safety considerations

Potential impairment of lipopolysaccharide (LPS) neutralization and innate immunityPossible adverse effects on reverse cholesterol transport (RCT) efficiency
06

Interacting drugs

Experimental PLTP inhibitors (e.g., Compound 1, D7)
07

Biomarkers

Plasma PLTP activityHDL-cholesterol levelsPre-beta-HDL levelsApolipoprotein A-I (ApoA-I)

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