[1]李天瑜 袁晋青.前蛋白转化酶枯草溶菌素9抑制剂与血小板功能[J].心血管病学进展,2021,(1):17-20.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]
 LI Tianyu,YUAN Jinqing.Proprotein Convertase Subtilisin/kexin Type 9 Inhibitors and Platelet Function[J].Advances in Cardiovascular Diseases,2021,(1):17-20.[doi:10.16806/j.cnki.issn.1004-3934.2021.01.000]
点击复制

前蛋白转化酶枯草溶菌素9抑制剂与血小板功能()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年1期
页码:
17-20
栏目:
综述
出版日期:
2021-01-25

文章信息/Info

Title:
Proprotein Convertase Subtilisin/kexin Type 9 Inhibitors and Platelet Function
文章编号:
202006032
作者:
李天瑜 袁晋青
(中国医学科学院北京协和医学院 国家心血管病中心 阜外医院心内科,北京 100037)
Author(s):
LI Tianyu YUAN Jinqing
( Department of Cardiology,Fuwai Hospital,National Center for C ardiovascular Disease,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100037,China)
关键词:
前蛋白转化酶枯草溶菌素9抑制剂血小板功能脂质代谢
Keywords:
PCSK9 inhibitorPlatelet functionLipid metabolism
DOI:
10.16806/j.cnki.issn.1004-3934.2021.01.000
摘要:
前蛋白转化酶枯草溶菌素9(PCSK9)抑制剂能显著降低血浆低密度脂蛋白胆固醇水平,是高脂血症治疗和高危心血管疾病患者二级预防有潜力的手段。越来越多的证据表明,PCSK9抑制剂降低心血管事件的作用可能部分归因于其对血小板功能的影响。PCSK9抑制剂既可通过抑制PCSK9直接降低血小板功能,也可通过调节脂质水平间接降低血小板功能。PCSK9抑制剂对血小板高反应性的改善以及在缺血性心血管疾病急性期的保护作用是值得研究的方向。
Abstract:
Proprotein convertase subtilisin/kexin type 9(PCSK9) inhibitors are novel therapeutic strategies significantly lowering plasma level of low density lipoprotein cholesterol (LDL-C),with great potential for the treatment of hyperlipidaemia and secondary prevention of cardiovascular disease patients at high-risk. Accumulating evidence shows that PCSK9 inhibitors reduce cardiovascular events partially due to their inhibitory effect on platelet function. PCSK9 inhibitors may directly attenuate platelet function through inhibiting PCSK9,or indirectly affect platelet function through influencing lipid levels. The efficacy of PCSK9 inhibitors on improving platelet hyperreactivity and the potential benefit of administering PCSK9 inhibitors at acute phase of ischaemic cardiovascular disease are worthy of further study.

参考文献/References:




[1] Stoekenbroek RM,Lambert G,Cariou B,et al. Inhibiting PCSK9-biology beyond LDL control[J]. Nat Rev Endocrinol,2018,15(1):52-62.

[2] Sabatine MS,Giugliano RP,Keech AC,et al. Evolocumab and clinical outcomes in patients with cardiovascular disease[J]. N Engl J Med,2017,376(18):1713-1722.

[3] Schwartz GG,Steg PG,Szarek M,et al. Alirocumab and cardiovascular outcomes after acute coronary syndrome[J]. N Engl J Med,2018,379(22):2097-2107.

[4] Kastelein JJ,Nissen SE,Rader DJ,et al. Safety and efficacy of LY3015014,a monoclonal antibody to proprotein convertase subtilisin/kexin type 9(PCSK9):a randomized,placebo-controlled Phase 2 study[J]. Eur Heart J,2016,37(17):1360-1369.

[5] Baruch A,Mosesova S,Davis JD,et al. Effects of RG7652,a monoclonal antibody against PCSK9,on LDL-C,LDL-C Subfractions,and Inflammatory biomarkers in patients at high risk of or with established coronary heart disease(from the Phase 2 EQUATOR Study) [J]. Am J Cardiol,2017,119(10):1576-1583.

[6] Crossey E,Amar MJA,Sampson M,et al. A cholesterol-lowering VLP vaccine that targets PCSK9[J]. Vaccine,2015,33(43):5747-5755.

[7] Landlinger C,Pouwer MG,Juno C,et al. The AT04A vaccine against proprotein convertase subtilisin/kexin type 9 reduces total cholesterol,vascular inflammation,and atherosclerosis in APOE*3Leiden.CETP mice[J]. Eur Heart J,2017,38(32):2499-2507.

[8] Mitchell T,Chao G,Sitkoff D,et al. Pharmacologic profile of the Adnectin BMS-962476,a small protein biologic alternative to PCSK9 antibodies for low-density lipoprotein lowering[J]. J Pharmacol Exp Ther,2014,350(2):412-424.

[9] Zhang Y,Eigenbrot C,Zhou L,et al. Identification of a small peptide that inhibits PCSK9 protein binding to the low density lipoprotein receptor[J]. J Biol Chem,2014,289(2):942-955.

[10] Schroeder CI,Swedberg JE,Withka JM,et al. Design and synthesis of truncated EGF-A peptides that restore LDL-R recycling in the presence of PCSK9 in vitro[J]. Chem Biol,2014,21(2):284-294.

[11] Ray KK,Wright RS,Kallend D,et al. Two phase 3 trials of inclisiran in patients with elevated LDL cholesterol[J]. N Engl J Med,2020,382(16):1507-1519.

[12] Miyosawa K,Watanabe Y,Murakami K,et al. New CETP inhibitor K-312 reduces PCSK9 expression:a potential effect on LDL cholesterol metabolism[J]. Am J Physiol Endocrinol Metab,2015,309(2):E177-E190.

[13] El-Seweidy MM,Sarhan Amin R,Husseini Atteia H,et al. Dyslipidemia induced inflammatory status,platelet activation and endothelial dysfunction in rabbits:protective role of 10-Dehydrogingerdione [J]. Biomed Pharmacother,2019,110:456-464.

[14] Li S,Zhu CG,Guo YL,et al. The relationship between the plasma PCSK9 levels and platelet indices in patients with stable coronary artery disease[J]. J Atheroscler Thromb,2015,22(1):76-84.

[15] Pastori D,Nocella C,Farcomeni A,et al. Relationship of PCSK9 and urinary thromboxane excretion to cardiovascular events in patients with atrial fibrillation[J]. J Am Coll Cardiol,2017,70(12):1455-1462.

[16] Navarese EP,Kolodziejczak M,Winter MP,et al. Association of PCSK9 with platelet reactivity in patients with acute coronary syndrome treated with prasugrel or ticagrelor:the PCSK9-REACT study[J]. Int J Cardiol,2017,227:644-649.

[17] Camera M,Rossetti L,Barbieri SS,et al. PCSK9 as a positive modulator of platelet activation[J]. J Am Coll Cardiol,2018,71(8):952-954.

[18] Hu D,Yang Y,Peng DQ. Increased sortilin and its independent effect on circulating proprotein convertase subtilisin/kexin type 9(PCSK9) in statin-naive patients with coronary artery disease[J]. Int J Cardiol,2017,227:61-65.

[19] Almontashiri NA,Vilmundarson RO,Ghasemzadeh N,et al. Plasma PCSK9 levels are elevated with acute myocardial infarction in two independent retrospective angiographic studies[J]. PLoS One,2014,9(9):e106294.

[20] Zhang Y,Liu J,Li S,et al. Proprotein convertase subtilisin/kexin type 9 expression is transiently up-regulated in the acute period of myocardial infarction in rat[J]. BMC Cardiovasc Disord,2014,14:192.

[21] Barale C,Bonomo K,Frascaroli C,et al. Platelet function and activation markers in primary hypercholesterolemia treated with anti-PCSK9 monoclonal antibody:a 12-month follow-up[J]. Nutr Metab Cardiovasc Dis,2020,30(2):282-291.

[22] Liu Z,Xiang Q,Zhao X,et al. Candidate gene and pathway analyses identifying genetic variations associated with prasugrel pharmacokinetics and pharmacodynamics[J]. Thromb Res,2019,173:27-34.

[23] Rossetti L,Ferri N,Marchiano S,et al. PCSK9 beyond its role in cholesterol homeostasis:co?activator of platelet function[J]. Eur Heart J,2017,38(suppl):446-447.

[24] Momtazi-Borojeni AA,Sabouri-Rad S,Gotto A M,et al. PCSK9 and inflammation:a review of experimental and clinical evidence[J]. Eur Heart J Cardiovasc Pharmacother,2019,5(4):237-245.

[25] Cammisotto V,Pastori D,Nocella C,et al. PCSK9 regulates Nox2-mediated platelet activation via CD36 receptor in patients with atrial fibrillation[J]. Antioxidants(Basel),2020,9(4):296.

[26] Paciullo F,Momi S,Gresele P. PCSK9 in haemostasis and thrombosis:possible pleiotropic effects of PCSK9 inhibitors in cardiovascular prevention[J]. Thromb Haemost,2019,119(3):359-367.

[27] Wang N,Tall AR. Cholesterol in platelet biogenesis and activation[J]. Blood,2016,127(16):1949-1953.

[28] Panes O,Gonzalez C,Hidalgo P,et al. Platelet tissue factor activity and membrane cholesterol are increased in hypercholesterolemia and normalized by rosuvastatin,but not by atorvastatin [J].Atherosclerosis,2017,257:164-171.

[29] Akkerman JW. From low-density lipoprotein to platelet activation[J]. Int J Biochem Cell Biol,2008,40(11):2374-2378.

[30] Magwenzi S,Woodward C,Wraith K S,et al. Oxidized LDL activates blood platelets through CD36/NOX2-mediated inhibition of the cGMP/protein kinase G signaling cascade[J]. Blood,2015,125(17):2693-2703.

[31] Biswas S,Zimman A,Gao D,et al. TLR2 plays a key role in platelet hyperreactivity and accelerated thrombosis associated with hyperlipidemia[J]. Circ Res,2017,121(8):951-962.

[32] Xu S,Ogura S,Chen J,et al. LOX-1 in atherosclerosis:biological functions and pharmacological modifiers[J]. Cell Mol Life Sci,2013,70(16):2859-2872.

[33] Carnevale R,Bartimoccia S,Nocella C,et al. LDL oxidation by platelets propagates platelet activation via an oxidative stress-mediated mechanism[J]. Atherosclerosis,2014,237(1):108-116.

[34] Stellos K,Sauter R,Fahrleitner M,et al. Binding of oxidized low-density lipoprotein on circulating platelets is increased in patients with acute coronary syndromes and induces platelet adhesion to vascular wall in vivo—brief report[J]. Arterioscler Thromb Vasc Biol,2012,32(8):2017-2020.

[35] Ding Z,Liu S,Wang X,et al. Cross-talk between LOX-1 and PCSK9 in vascular tissues[J]. Cardiovasc Res,2015,107(4):556-567.

[36] Biswas S,Xin L,Panigrahi S,et al. Novel phosphatidylethanolamine derivatives accumulate in circulation in hyperlipidemic ApoE-/- mice and activate platelets via TLR2[J]. Blood,2016,127(21):2618-2629.

[37] Calkin AC,Drew BG,Ono A,et al. Reconstituted high-density lipoprotein attenuates platelet function in individuals with type 2 diabetes mellitus by promoting cholesterol efflux[J]. Circulation,2009,120(21):2095-2104.

[38] Riddell DR,Graham A,Owen JS. Apolipoprotein E inhibits platelet aggregation through the L-arginine:nitric oxide pathway. Implications for vascular disease[J]. J Biol Chem,1997,272(1):89-95.

[39] Valiyaveettil M,Kar N,Ashraf MZ, et al. Oxidized high-density lipoprotein inhibits platelet activation and aggregation via scavenger receptor BI[J]. Blood,2008,111(4):1962-1971.

相似文献/References:

[1]李艳茹,白世茹,李如意,等.PCSK9抑制剂在血脂代谢中的研究进展[J].心血管病学进展,2020,(7):729.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.014]
 LI Yanru,BAI Shiru,LI Ruyi,et al.PCSK9 Inhibitors in Lipid Metabolism[J].Advances in Cardiovascular Diseases,2020,(1):729.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.014]
[2]姚雅洁 蔡恒.PCSK9抑制剂Evolocumab动脉粥样硬化性心血管疾病的研究进展[J].心血管病学进展,2020,(12):1285.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.015]
 YAO Yajie,CAI Heng.PCSK9 Inhibitor Evolocumab and ASCVD[J].Advances in Cardiovascular Diseases,2020,(1):1285.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.015]
[3]石惠薇 热娜提·肉孜 刘硕霖 吴娜琼.高脂蛋白a血症的相关治疗进展[J].心血管病学进展,2021,(4):297.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.003]
 SHI Huiwei,Rinat·Rozi,LIU Shuolin,et al.Lipoprotein(a)-lowering Therapy[J].Advances in Cardiovascular Diseases,2021,(1):297.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.003]
[4]林琳 李京秀 闫娜 刘丹阳 查理 金恩泽.脂蛋白a的治疗现状及研究新方向[J].心血管病学进展,2021,(6):543.[doi:10.16806/j.cnki.issn.1004-3934.2021.06.016]
 LIN Lin,LI Jingxiu,YAN Na,et al.The Therapeutic Status and Research Prospects of the Treatment of Lipoprotein a[J].Advances in Cardiovascular Diseases,2021,(1):543.[doi:10.16806/j.cnki.issn.1004-3934.2021.06.016]
[5]殷人麟 尤华 郑林.前蛋白转化酶枯草溶菌素9抑制剂与冠状动脉粥样硬化斑块逆转的研究进展[J].心血管病学进展,2022,(8):710.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.011]
 YIN Renlin,YOU hua,Zheng Lin?/html>.PCSK9 Inhibitors in?nhibiting Coronary Atherosclerotic Plaque[J].Advances in Cardiovascular Diseases,2022,(1):710.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.011]
[6]许晓宇 唐炯 郑甲林.PCSK9对血管内皮功能影响的研究进展[J].心血管病学进展,2023,(6):551.[doi:10.16806/j.cnki.issn.1004-3934.2023.06.016]
 XU Xiaoyu,TANG Jiong,ZHENG Jialin.Research Progress on the Effects of PCSK9 on Vascular Endothelial Function[J].Advances in Cardiovascular Diseases,2023,(1):551.[doi:10.16806/j.cnki.issn.1004-3934.2023.06.016]

更新日期/Last Update: 2021-03-18