Lp A-I and niacin: new views of an antiatherogenic duo.

Increasing evidence from epidemiological, clinical, and basic mechanistic studies supports the importance of HDL in preventing or even reversing atherosclerosis. The well-known structural and compositional diversity of HDL subfractions seems to be an important, if still somewhat unclear, factor in the atheroprotective potential of a given HDL particle. Perhaps as important as the parameter of particle size is that of apolipoprotein content of HDL. HDL particles which lack apo A-II (Lp A-I) appear to associate with reduced atherosclerosis risk1 and are reported to be better cholesterol acceptors in some2,3 although not all studies4 as compared with HDL with apo A-II (Lp A-I/A-II).