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Lipoprotein(a) [Lp(a)] consists of a low-density lipoprotein-like molecule and an apolipoprotein(a) [apo(a)] particle. Lp(a) has been suggested to be an independent risk factor of atherosclerotic cardiovascular disease (ASCVD). Lp(a) plasma levels are considered to be 70–90% genetically determined through the codominant expression of the LPA gene. Therefore, Lp(a) levels are almost stable during an individual’s lifetime. This lifelong stability, together with the difficulties in measuring Lp(a) levels in a standardized manner, may account for the scarcity of available drugs targeting Lp(a). In this review, we synopsize the latest data regarding the structure, metabolism, and factors affecting circulating levels of Lp(a), as well as the laboratory determination measurement of Lp(a), its role in the pathogenesis of ASCVD and thrombosis, and the potential use of various therapeutic agents targeting Lp(a). In particular, we discuss novel agents, such as antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs) that are currently being developed and target Lp(a). The promising role of muvalaplin, an oral inhibitor of Lp(a) formation, is then further analyzed.

The nucleotide-binding domain-like receptor protein 3 (NLRP3) inflammasome in the kidney and the heart is increasingly being suggested to play a key role in mediating inflammation. In the kidney, NLRP3 activation was associated with the progression of diabetic kidney disease. In the heart, activation of the NLRP3 inflammasome was related to the enhanced release of interleukin-1β (IL-1β) and the subsequent induction of atherosclerosis and heart failure. Apart from their glucose-lowering effects, SGLT-2 inhibitors were documented to attenuate activation of the NLRP3, thus resulting in the constellation of an anti-inflammatory milieu. In this review, we focus on the interplay between SGLT-2 inhibitors and the inflammasome in the kidney, the heart and the neurons in the context of diabetes mellitus and its complications.

Coastal areas constitute a very dynamic environment, balancing between numerous natural and anthropogenic processes liable to sometimes hazardous geomorphic phenomena. Especially in tectonically active coastal regions and areas of high economic value, slope failures can have significant impacts and therefore need careful and detailed examination. This work uses Unmanned Aerial System (UAS)-aided photogrammetry and Terrestrial Laser Scanning (TLS) in tectonically active segments of the coastal zone of the Ionian Islands in Greece, to explore how their capabilities can help to improve our understanding of the structural integrity of the slopes. Results show that the two approaches are able to extract large numbers of discontinuity facets, in a more practical, rapid and safe way than conventional methods of rock slope stability analysis extending to unreachable yet important parts of the slope. Through this holistic record of the structural condition of the slope the two applications allow the identification of segments that are more prone to instability and failure. In this way, they improve our understanding of the prioritization of interventions aiming to enhance the prevention of slope failures, mitigating the associated risk and improving local development in these high-value locations.