首页出版说明中文期刊中文图书环宇英文官网付款页面

PCSK9抑制剂的研究进展

李 璐, 阳 军
湖南省长沙市中医医院(长沙市第八人民医院) 湖南省长沙市 410000

摘要


摘要:高低密度脂蛋白胆固醇(LDL-C)是动脉粥样硬化性心血管疾病(ASCVD)的最重要的危险因素之一。证据表明(LDL-C)水平高低与ASCVD风险呈正相关,降低(LDL-C)是ASCVD一级和二级预防的关键策略之一。目前,他汀类药物通过降低(LDL-C)水平能够显著降低心血管风险,然而临床上仍有心血管剩余风险、以及他汀不耐受以及(LDL-C)水平不达标等问题。前蛋白转化酶枯草杆菌蛋白酶kexin9型(proproteinconvertasesubtilisin/keintype9,PCSK9)抑制剂能够大幅度降低(LDL-C)水平,是目前降脂及ASCVD防治的新药。本文就PCSK9基因与家族性高胆固醇血症(FH)及动脉粥样硬化,感染的关系,PCSK9抑制剂的研究现状及最新临床进展等方面进行综述。

关键词


关键词:动脉粥样硬化;心血管风险;低密度脂蛋白胆固醇;PCSK9抑制剂;家族性高胆固醇血症

全文:

PDF


参考


[1] Seidah NG, Benjannet S, Wickham L,et al. The secretory proprotein convertaseneural apoptosis-regulated convertase 1 (NARC-1): liver regeneration and neuro-nal differentiation.[J].Proc Natl Acad Sci U S A.2003,2,100(3):928-933.[2] Weir HK, Anderson RN, Coleman King SM,et al. Heart Disease and Cancer41Deaths-Trends and Projections in the United States, 1969-2020.[J].Prev ChronicDis.2016,11,13:E157[3] Budha NR, Leabman M,et al. Modeling and Simulation to Support Phase 2 DoseSelection for RG7652, a Fully Human Monoclonal Antibody Against ProproteinConvertase Subtilisin/Kexin Type 9.[J].AAPS.2015,6,17(4):881-890[4] Bonaca MP, Nault P,et al. Low-Density Lipoprotein Cholesterol Lowering WithEvolocumab and Outcomes in Patients With Peripheral Artery Disease: InsightsFrom the FOURIER Trial(Further Cardiovascular Outcomes Research WithPCSK9 Inhibition in Subjects With Elevated Risk). [J]. Circulation. 2018,01,137(4):338-350.[5] Gaudet D,Watts GF,et al. Effect of Alirocumab on Lipoprotein(a) Over≥1.5 Years (from the Phase 3 ODYSSEY Program).[J]. J Am Cardiol. 2017,01, 119(1):40-46.[6] Khan AR, Bavishi C,et al. Increased Risk of Adverse Neurocognitive OutcomesWith Proprotein Convertase Subtilisin-Kexin Type 9 Inhibitors.[J]. Circ Cardiova-sc Qual Outcomes.2017,01,10(1).




DOI: http://dx.doi.org/10.12361/2661-3603-05-20-147866

Refbacks

  • 当前没有refback。