Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia

Dyslipidemia makes a substantial contribution to the mortality as one of the leading pathogenetic factors for cardiovascular diseases. The nature and degree of the effect on the blood lipid spectrum may vary in the lipid-lowering drugs from different groups. Recently, a new class of PCSK9 inhibitors...

Full description

Bibliographic Details
Main Authors: A. A. Shikaleva, M. L. Maximov, N. M. Kiseleva
Format: Article
Language:Russian
Published: Remedium Group LLC 2021-01-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/5961
_version_ 1797841470541004800
author A. A. Shikaleva
M. L. Maximov
N. M. Kiseleva
author_facet A. A. Shikaleva
M. L. Maximov
N. M. Kiseleva
author_sort A. A. Shikaleva
collection DOAJ
description Dyslipidemia makes a substantial contribution to the mortality as one of the leading pathogenetic factors for cardiovascular diseases. The nature and degree of the effect on the blood lipid spectrum may vary in the lipid-lowering drugs from different groups. Recently, a new class of PCSK9 inhibitors has been developed, which activity is associated with a protein involved in the low-density lipoprotein receptor control. In clinical practice, this group is represented by monoclonal antibody drugs evolocumab and alirocumab. The proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors are promising drugs to be used in the combination lipid-lowering therapy, which, given the results of clinical trials, can be recommended at this point on a third-priority basis after statins and ezetimibe. However, it is vital to indicate that these drugs have a sufficient safety profile, which makes it possible to prescribe these drugs in a triple combination adding it to the two first-line drugs regimen which patients had been given before. It is obvious that further study of PCSK9 will expand the range of their use for the treatment of familial hypercholesterolemia up to indications in cases where statins are limited and a more pronounced lipid-lowering effect is required to achieve target cholesterol levels.
first_indexed 2024-04-09T16:32:37Z
format Article
id doaj.art-01d4776d56bb49a481baa5d853a4b438
institution Directory Open Access Journal
issn 2079-701X
2658-5790
language Russian
last_indexed 2024-04-09T16:32:37Z
publishDate 2021-01-01
publisher Remedium Group LLC
record_format Article
series Медицинский совет
spelling doaj.art-01d4776d56bb49a481baa5d853a4b4382023-04-23T06:57:02ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902021-01-01021121810.21518/2079-701X-2020-21-12-185425Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemiaA. A. Shikaleva0M. L. Maximov1N. M. Kiseleva2Kazan State Medical UniversityKazan State Medical Academy; Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityDyslipidemia makes a substantial contribution to the mortality as one of the leading pathogenetic factors for cardiovascular diseases. The nature and degree of the effect on the blood lipid spectrum may vary in the lipid-lowering drugs from different groups. Recently, a new class of PCSK9 inhibitors has been developed, which activity is associated with a protein involved in the low-density lipoprotein receptor control. In clinical practice, this group is represented by monoclonal antibody drugs evolocumab and alirocumab. The proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors are promising drugs to be used in the combination lipid-lowering therapy, which, given the results of clinical trials, can be recommended at this point on a third-priority basis after statins and ezetimibe. However, it is vital to indicate that these drugs have a sufficient safety profile, which makes it possible to prescribe these drugs in a triple combination adding it to the two first-line drugs regimen which patients had been given before. It is obvious that further study of PCSK9 will expand the range of their use for the treatment of familial hypercholesterolemia up to indications in cases where statins are limited and a more pronounced lipid-lowering effect is required to achieve target cholesterol levels.https://www.med-sovet.pro/jour/article/view/5961proprotein convertase subtilisin/kexin type 9pcsk9ldl receptordyslipidemiastatinscholesterolhyperlipidemia
spellingShingle A. A. Shikaleva
M. L. Maximov
N. M. Kiseleva
Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
Медицинский совет
proprotein convertase subtilisin/kexin type 9
pcsk9
ldl receptor
dyslipidemia
statins
cholesterol
hyperlipidemia
title Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
title_full Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
title_fullStr Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
title_full_unstemmed Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
title_short Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in the treatment of dyslipidemia
title_sort proprotein convertase subtilisin kexin type 9 pcsk9 inhibitors in the treatment of dyslipidemia
topic proprotein convertase subtilisin/kexin type 9
pcsk9
ldl receptor
dyslipidemia
statins
cholesterol
hyperlipidemia
url https://www.med-sovet.pro/jour/article/view/5961
work_keys_str_mv AT aashikaleva proproteinconvertasesubtilisinkexintype9pcsk9inhibitorsinthetreatmentofdyslipidemia
AT mlmaximov proproteinconvertasesubtilisinkexintype9pcsk9inhibitorsinthetreatmentofdyslipidemia
AT nmkiseleva proproteinconvertasesubtilisinkexintype9pcsk9inhibitorsinthetreatmentofdyslipidemia