摘要
尽管现代药物疗法的研究和进展很多,但高胆固醇血症和相关的心血管并发症仍然是现代世界死亡和残疾的主要原因之一。通过发现前蛋白转化酶枯草杆菌蛋白酶/ kexin 9型(PCSK9),对高胆固醇血症的治疗作出了重大贡献。该酶负责降解肝脏质膜表面发现的低密度脂蛋白(LDL)受体(LDLR),并与血清LDL水平直接相关。用于治疗脂质紊乱的标准疗法的局限性导致了新药物的开发,例如PCSK9的抑制剂。在过去几年中,发现PCSK9抑制剂的最大成就是通过设计单克隆抗体来阻止PCSK9结合LDLR和RNA干扰以减少PCSK9的产生,但其中一个主要缺点是成本效益。在这篇综述中,我们将总结基础和临床研究的最新发现,这些研究关注PCSK9功能,调节和治疗高胆固醇血症和相关心血管疾病的治疗靶点。
关键词: 关键词 PCSK9,PCSK9和高胆固醇血症,PCSK9和CVD,PCSK9疗法,evolocumab,alirocumab。
图形摘要
Current Drug Targets
Title:PCSK9 and Hypercholesterolemia: Therapeutic Approach
Volume: 19 Issue: 9
关键词: 关键词 PCSK9,PCSK9和高胆固醇血症,PCSK9和CVD,PCSK9疗法,evolocumab,alirocumab。
摘要: Despite the intensive research and progress in modern pharmacotherapy, hypercholesterolemia and related cardiovascular complications remain one of the leading causes of mortality and disability in the modern world. A significant contribution to the treatment of hypercholesterolemia was made by the discovery of proprotein convertase subtilisin/kexin type 9 (PCSK9). This enzyme is responsible for the degradation of the low-density lipoprotein (LDL) receptor (LDLR) found at the surface of the plasma membrane in the liver and directly associated with serum LDL level. Limitations in standard therapy used in the treatment of lipid disorders have led to the development of new drugs, such as an inhibitor of PCSK9. Over the past years, the greatest achievement in discovering the PCSK9 inhibitor was made by designing monoclonal antibodies that disable PCSK9 to bind LDLR and RNA interference to reduce PCSK9 production, but one of the main disadvantages is costeffectiveness. In this review, we will summarize the most recent findings of basic and clinical studies which focus on PCSK9 function, regulation and therapeutic target for the treatment of hypercholesterolemia and associated cardiovascular diseases.
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Cite this article as:
PCSK9 and Hypercholesterolemia: Therapeutic Approach, Current Drug Targets 2018; 19 (9) . https://dx.doi.org/10.2174/1389450119666171205101401
DOI https://dx.doi.org/10.2174/1389450119666171205101401 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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