Prospects of Using PCSK9 Inhibitors for Acute Coronary Syndrome

Author:

Namitokov A. M.1ORCID,Zafiraki V. K.2ORCID,Karabakhtsieva K. V.2ORCID

Affiliation:

1. Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University

2. Kuban State Medical University

Abstract

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is an enzyme involved in the regulation of blood cholesterol levels by binding to low-density lipoprotein receptors and promoting their degradation. Pivotal studies have shown that PCSK9 inhibition by monoclonal antibodies, alirocumab and evolocumab, and the small interfering RNA (inclisiran) reduces the risk of cardiovascular diseases in individuals with coronary heart disease. However, the place of the PCSK9 inhibitors in treatment of patients with acute coronary syndrome has not been determined yet. The article discusses studies on the addition of PCSK9 inhibitors to therapy during the acute phase of myocardial infarction as well as pathophysiological prerequisites for their use.

Publisher

Scientific Research Institute - Ochapovsky Regional Clinical Hospital No 1

Reference23 articles.

1. Roth GA, Mensah GA, Johnson CO, et al; GBD-NHLBIJACC Global Burden of Cardiovascular Diseases Writing Group. Global burden of cardiovascular diseases and risk factors, 1990- 2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020;76(25):2982–3021. Published correction appears in J Am Coll Cardiol. 2021;77(15):1958–1959. PMID: 33309175. PMCID: PMC7755038. https://doi.org/10.1016/j.jacc.2020.11.010

2. Chow CK, Islam S, Bautista L, et al. Parental history and myocardial infarction risk across the world: the INTERHEART study. J Am Coll Cardiol. 2011;57(5):619–627. PMID: 21272754. https://doi.org/10.1016/j.jacc.2010.07.054

3. Seidah NG, Benjannet S, Wickham L, et al. The secretory proprotein convertase neural apoptosis-regulated convertase 1 (NARC-1): liver regeneration and neuronal differentiation. Proc Natl Acad Sci U S A. 2003;100(3):928–933. PMID: 12552133. PMCID: PMC298703. https://doi.org/10.1073/pnas.0335507100

4. Almontashiri NA, Vilmundarson RO, Ghasemzadeh N, et al. Plasma PCSK9 levels are elevated with acute myocardial infarction in two independent retrospective angiographic studies. PLoS One. 2014;9(9):e106294. PMID: 25180781. PMCID: PMC4152257. https://doi.org/10.1371/journal.pone.0106294

5. Burchardt P, Rzeźniczak J, Dudziak J, et al Evaluation of plasma PCSK9 concentrations, transcript of LDL receptor, as well as the total number of monocyte LDL receptors in acute coronary syndrome patients. Cardiol J. 2016;23(6):604–609. PMID: 27665855. https://doi.org/10.5603/CJ.a2016.0068

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3