The PCSK9 revolution and the potential of PCSK9-based therapies to reduce LDL-cholesterol.

Glob Cardiol Sci Pract

Laboratory of Biochemical Neuroendocrinology, IRCM; Affiliated to the University of Montreal, 110 Pine Avenue West, Montreal, QC, H2W 1R7Canada.

Published: March 2017

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621713PMC
http://dx.doi.org/10.21542/gcsp.2017.2DOI Listing

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Article Synopsis
  • * They discovered that the protein CSDE1 significantly impacts LDLR regulation and cholesterol management in liver cells, showing effects comparable to statins and PCSK9 inhibitors.
  • * The research suggests that targeting CSDE1 could be a promising therapy for preventing cardiovascular disease, and the study's approach may help identify potential treatments for other health issues as well.
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PCSK9 is a protein secreted by the liver that binds to the low-density lipoprotein receptor (LDLR), causing LDLR internalization, decreasing the clearance of circulating LDL particles. Mutations in PCSK9 that strengthen its interactions with LDLR result in familial hypercholesterolemia (FH) and early onset atherosclerosis, while nonsense mutations of PCSK9 result in cardio-protective hypocholesterolemia. These observations led to PCSK9 inhibition for cholesterol lowering becoming a high-interest therapeutic target, with antibody drugs reaching the market.

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