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  • Review
  • Open Access
39 Citations
8,119 Views
25 Pages

Insight into the Evolving Role of PCSK9

  • Mateusz Maligłówka,
  • Michał Kosowski,
  • Marcin Hachuła,
  • Marcin Cyrnek and ,
  • Łukasz Bułdak,
  • Marcin Basiak,
  • Aleksandra Bołdys,
  • Grzegorz Machnik,
  • Rafał Jakub Bułdak and
  • Bogusław Okopień
  • + 5 authors+ 0 author

17 March 2022

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is the last discovered member of the family of proprotein convertases (PCs), mainly synthetized in hepatic cells. This serine protease plays a pivotal role in the reduction of the number of low-de...

(This article belongs to the Special Issue The PCSK9 Story: Advances in Cholesterol Metabolism, Cardiovascular Complications and Beyond)
  • Article
  • Open Access
25 Citations
4,619 Views
17 Pages

Despite reports on the efficacy of proprotein convertase subtilisin-Kexin type 9 (PCSK9) inhibitors as a potent lipid-lowering agent in various large-scale clinical trials, the anti-atherogenic properties of PCSK9 inhibitors in reducing PCSK9 and ath...

(This article belongs to the Collection Feature Papers in “Molecular Biology”)
  • Review
  • Open Access
29 Citations
8,519 Views
17 Pages

PCSK9 Antibodies for the Treatment of Hypercholesterolemia

  • Ioanna Gouni-Berthold and
  • Heiner K. Berthold

1 December 2014

The serine protease proprotein convertase subtilisin/kexin type 9 (PCSK9) binds to the low-density lipoprotein (LDL) receptor (LDLR) and directs it to lysosomes for intracellular degradation. This results in decreased numbers of LDLR available on the...

(This article belongs to the Special Issue Lipoprotein Metabolism and Atherosclerosis)
  • Review
  • Open Access
2 Citations
4,027 Views
25 Pages

The Impact of PCSK9 on Diabetic Cardiomyopathy: Mechanisms and Implications

  • Haixia Wang,
  • Pei Wang,
  • Yubo Wang,
  • Shuzhen Du and ,
  • Jing Zhao and
  • Zheng Zhang
  • + 1 author+ 0 author

27 August 2025

Diabetic cardiomyopathy (DCM) is a common and clinically relevant complication of diabetes mellitus, defined by myocardial dysfunction in the absence of overt coronary artery disease or systemic hypertension. Recent studies have identified proprotein...

(This article belongs to the Special Issue Cardiometabolic Disease: Molecular Basis and Therapeutic Approaches)
  • Review
  • Open Access
28 Citations
5,899 Views
16 Pages

PCSK9 as an Atherothrombotic Risk Factor

  • Tadeja Sotler and
  • Miran Šebeštjen

19 January 2023

Disturbances in lipid metabolism are among the most important risk factors for atherosclerotic cardiovascular disease. Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a key protein in lipid metabolism that is also involved in the production...

(This article belongs to the Special Issue Atherosclerosis: From Molecular Biology to Therapeutic Perspective 4.0)
  • Review
  • Open Access
85 Citations
19,666 Views
30 Pages

Naturally Occurring PCSK9 Inhibitors

  • Maria Pia Adorni,
  • Francesca Zimetti,
  • Maria Giovanna Lupo,
  • Massimiliano Ruscica and
  • Nicola Ferri

16 May 2020

Genetic, epidemiological and pharmacological data have led to the conclusion that antagonizing or inhibiting Proprotein convertase subtilisin/kexin type 9 (PCSK9) reduces cardiovascular events. This clinical outcome is mainly related to the pivotal r...

(This article belongs to the Special Issue Diets, Foods and Food Components Effect on Dyslipidemia)
  • Article
  • Open Access
1 Citations
1,645 Views
14 Pages

19 September 2025

Background: Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a key regulator of lipid metabolism. The rare PCSK9 C378W (rs776752113) mutation influences the level of low-density lipoprotein cholesterol (LDL-C); however, its association with P...

(This article belongs to the Section Human Genomics and Genetic Diseases)
  • Article
  • Open Access
13 Citations
3,374 Views
13 Pages

3 March 2023

Proprotein convertase subtilisin/kexin type 9 (PCSK9) has an important function in the regulation of lipid metabolism. PCSK9 reduces hepatic low-density lipoprotein receptors, thereby increasing low-density lipoprotein cholesterol levels. However, it...

(This article belongs to the Section RNA)
  • Article
  • Open Access
2 Citations
2,706 Views
13 Pages

Circulating PCSK9 Linked to Dyslipidemia in Lebanese Schoolchildren

  • Yara Azar,
  • Marie-Hélène Gannagé-Yared,
  • Elie Naous,
  • Carine Ayoub and ,
  • Yara Abou Khalil,
  • Elise Chahine,
  • Sandy Elbitar,
  • Youmna Ghaleb,
  • Catherine Boileau and
  • Marianne Abifadel
  • + 7 authors+ 2 authors

In adults, elevated levels of circulating Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9) have been associated with increased Low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and worse cardiovascular outcomes. However, few studi...

(This article belongs to the Special Issue The PCSK9 Story: Advances in Cholesterol Metabolism, Cardiovascular Complications and Beyond)
  • Review
  • Open Access
30 Citations
9,277 Views
15 Pages

PCSK9 as a Target for Development of a New Generation of Hypolipidemic Drugs

  • Nikolay Kuzmich,
  • Elena Andresyuk,
  • Yuri Porozov,
  • Vadim Tarasov and ,
  • Mikhail Samsonov,
  • Nina Preferanskaya,
  • Valery Veselov and
  • Renad Alyautdin
  • + 3 authors+ 0 author

10 January 2022

PCSK9 has now become an important target to create new classes of lipid-lowering drugs. The prevention of its interaction with LDL receptors allows an increase in the number of these receptors on the surface of the cell membrane of hepatocytes, which...

(This article belongs to the Collection Molecular Medicine)
  • Review
  • Open Access
36 Citations
7,514 Views
13 Pages

Gene Therapy Targeting PCSK9

  • Julius L. Katzmann,
  • Arjen J. Cupido and
  • Ulrich Laufs

12 January 2022

The last decades of research in cardiovascular prevention have been characterized by successful bench-to-bedside developments for the treatment of low-density lipoprotein (LDL) hypercholesterolemia. Recent examples include the inhibition of proprotei...

(This article belongs to the Special Issue The PCSK9 Story: Advances in Cholesterol Metabolism, Cardiovascular Complications and Beyond)
  • Article
  • Open Access
17 Citations
4,104 Views
16 Pages

A cVLP-Based Vaccine Displaying Full-Length PCSK9 Elicits a Higher Reduction in Plasma PCSK9 Than Similar Peptide-Based cVLP Vaccines

  • Louise Goksøyr,
  • Magdalena Skrzypczak,
  • Maureen Sampson,
  • Morten A. Nielsen and ,
  • Ali Salanti,
  • Thor G. Theander,
  • Alan T. Remaley,
  • Willem A. De Jongh and
  • Adam F. Sander
  • + 4 authors+ 0 author

20 December 2022

Administration of PCSK9-specific monoclonal antibodies, as well as peptide-based PCSK9 vaccines, can lower plasma LDL cholesterol by blocking PCSK9. However, these treatments also cause an increase in plasma PCSK9 levels, presumably due to the format...

(This article belongs to the Special Issue Development of Vaccines Based on Virus-Like Particles-2nd Edition)
  • Review
  • Open Access
21 Citations
5,077 Views
12 Pages

Pleiotropic Effects of PCSK9: Focus on Thrombosis and Haemostasis

  • Marianna Puccini,
  • Ulf Landmesser and
  • Ursula Rauch

The proprotein convertase subtilisin/keying 9 (PCSK9) is a serine protease that has gained importance in recent years as a drug target, mainly due to its effect on cholesterol metabolism in promoting the degradation of the low-density lipoprotein rec...

(This article belongs to the Special Issue The PCSK9 Story: Advances in Cholesterol Metabolism, Cardiovascular Complications and Beyond)
  • Article
  • Open Access
25 Citations
13,577 Views
16 Pages

15 October 2012

Recent genetic studies have shown that PCSK9, one of the key genes in cholesterol metabolism, plays a critical role by controlling the level of low-density lipoprotein receptor. However, how PCSK9 mediates LDLR degradation is still unknown. By combin...

(This article belongs to the Section Molecular Diversity)
  • Review
  • Open Access
101 Citations
18,189 Views
37 Pages

PCSK9 Inhibition: From Current Advances to Evolving Future

  • Chunping Liu,
  • Jing Chen,
  • Huiqi Chen,
  • Tong Zhang and ,
  • Dongyue He,
  • Qiyuan Luo,
  • Jiaxin Chi,
  • Zebin Hong,
  • Yizhong Liao and
  • Lei Wang
  • + 10 authors+ 5 authors

23 September 2022

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a secretory serine protease synthesized primarily by the liver. It mainly promotes the degradation of low-density lipoprotein receptor (LDL-R) by binding LDL-R, reducing low-density lipoprotein...

  • Review
  • Open Access
64 Citations
10,079 Views
22 Pages

PCSK9: A Multi-Faceted Protein That Is Involved in Cardiovascular Biology

  • Sai Sahana Sundararaman,
  • Yvonne Döring and
  • Emiel P. C. van der Vorst

Pro-protein convertase subtilisin/kexin type 9 (PCSK9) is secreted mostly by hepatocytes and to a lesser extent by the intestine, pancreas, kidney, adipose tissue, and vascular cells. PCSK9 has been known to interact with the low-density lipoprotein...

(This article belongs to the Special Issue Vascular Inflammation: From Target Molecules to Therapeutic Approaches)
  • Review
  • Open Access
4 Views
27 Pages

PCSK9 in the Immunometabolism of Type 2 Diabetes

  • Provvidenza Villari and
  • Antonio Maria Labate

29 October 2026

Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibition reduces cardiovascular events in type 2 diabetes, while experimental studies implicate PCSK9 in immune activation, platelet function and organ-specific metabolism. Whether these mechani...

(This article belongs to the Special Issue Hormonal and Metabolic Markers in Health and Disease)
  • Article
  • Open Access
13 Citations
5,124 Views
15 Pages

A Systematic Approach to Assess the Activity and Classification of PCSK9 Variants

  • Kepa B. Uribe,
  • Kevin Chemello,
  • Asier Larrea-Sebal,
  • Asier Benito-Vicente and ,
  • Unai Galicia-Garcia,
  • Steeve Bourane,
  • Ali K. Jaafar,
  • Gilles Lambert and
  • César Martín
  • + 4 authors+ 0 author

18 December 2021

Background: Gain of function (GOF) mutations of PCSK9 cause autosomal dominant familial hypercholesterolemia as they reduce the abundance of LDL receptor (LDLR) more efficiently than wild-type PCSK9. In contrast, PCSK9 loss of function (LOF) variants...

(This article belongs to the Special Issue Cardiovascular Diseases–a Focus on Atherosclerosis, Its Prophylaxis, Complications and Recent Advancements in Therapies)
  • Article
  • Open Access
163 Views
20 Pages

A Nutrient-Dependent ANGPTL3–PCSK9-Containing Complex in HepG2 Cells and Human Plasma

  • Simone Bini,
  • Valeria Pecce,
  • Alessandra Pinzon Grimaldos,
  • Alessia Di Costanzo and ,
  • Ilenia Minicocci,
  • Stella Covino,
  • Daniele Tramontano,
  • Silvia Piconese,
  • Laura D’Erasmo and
  • Marcello Arca
  • + 5 authors+ 0 author

20 October 2026

ANGPTL3 and PCSK9 are key regulators of lipoprotein metabolism, with emerging evidence suggestive of a functional regulatory interrelationship. Indeed, patients lacking ANGPTL3 due to loss-of-function variants exhibit reduced circulating PCSK9 levels...

(This article belongs to the Special Issue Molecular Mechanisms and Novel Treatments of Atherosclerosis)
  • Review
  • Open Access
21 Citations
14,165 Views
17 Pages

25 November 2024

This paper investigates the therapeutic use of PCSK9 inhibitors, particularly Evolocumab, as monoclonal antibodies for the treatment of atherosclerosis based on recent literature reviews. PCSK9 is an outstanding example of a breakthrough in medical s...

(This article belongs to the Section Biopharmaceuticals)
  • Review
  • Open Access
22 Citations
6,198 Views
15 Pages

Antiplatelet Effects of PCSK9 Inhibitors in Primary Hypercholesterolemia

  • Piotr Pęczek,
  • Mateusz Leśniewski,
  • Tomasz Mazurek,
  • Lukasz Szarpak and ,
  • Krzysztof J. Filipiak and
  • Aleksandra Gąsecka
  • + 1 author+ 0 author

23 May 2021

Proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors are a novel group of hypolipidemic drugs that are recommended particularly for high-risk hypercholesterolemia patients, including those with primary hypercholesterolemia (PH), where lif...

(This article belongs to the Special Issue Coronary Syndromes, Hypercholesterolemia and Heart Failure—Frontier Research and a Glimpse into the Future)
  • Article
  • Open Access
3 Citations
1,942 Views
12 Pages

The Concentration of PCSK9-Lp(a) Complexes and the Level of Blood Monocytes in Males with Coronary Atherosclerosis

  • Anastasiia Yu. Filatova,
  • Olga I. Afanasieva,
  • Tatiana I. Arefieva,
  • Alexandra V. Potekhina and ,
  • Alexandra V. Tyurina,
  • Elena A. Klesareva,
  • Oksana A. Razova,
  • Marat V. Ezhov and
  • Sergey N. Pokrovsky
  • + 4 authors+ 0 author

29 June 2023

In this study we analyzed the concentration of lipoprotein(a) (Lp(a)), PCSK9-Lp(a) complexes and the circulating monocyte subsets in coronary atherosclerosis. For this study, 257 patients with coronary atherosclerosis and 68 patients without stenotic...

(This article belongs to the Special Issue Fundamental Aspects of Atherosclerosis: Scientific Research for Improving the Technologies of Personalized Medicine)
  • Article
  • Open Access
5 Citations
3,439 Views
14 Pages

PCSK9 Imperceptibly Affects Chemokine Receptor Expression In Vitro and In Vivo

  • Sai Sahana Sundararaman,
  • Linsey J. F. Peters,
  • Sumra Nazir,
  • Andrea Bonnin Marquez and ,
  • Janneke E. Bouma,
  • Soyolmaa Bayasgalan,
  • Yvonne Döring and
  • Emiel P. C. van der Vorst
  • + 3 authors+ 0 author

1 December 2021

Proprotein convertase subtilin/kexin type 9 (PCSK9) is a protease secreted mainly by hepatocytes and in lesser quantities by intestines, pancreas, and vascular cells. Over the years, this protease has gained importance in the field of cardiovascular...

(This article belongs to the Collection Feature Papers in Molecular Pathology, Diagnostics, and Therapeutics)
  • Review
  • Open Access
17 Citations
8,345 Views
28 Pages

19 December 2022

Metabolic rewiring and defective immune responses are considered to be the main driving forces sustaining cell growth and oncogenesis in many cancers. The atypical enzyme, proprotein convertase subtilisin/kexin type 9 (PCSK9), is produced by the live...

(This article belongs to the Collection Immuno-Metabolic Crosstalk in Oncogenesis)
  • Review
  • Open Access
2 Citations
7,728 Views
18 Pages

2 September 2025

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a key modulator of low-density lipoprotein cholesterol (LDL-C) levels and emerged as an attractive therapeutic target for the treatment of hypercholesterolemia and cardiovascular diseases. Alth...

(This article belongs to the Special Issue Small-Molecule Modulators Targeting Emerging Therapeutic Pathways: Design, Synthesis and Biological Evaluation)
  • Review
  • Open Access
14 Citations
4,405 Views
16 Pages

23 June 2022

Elevated low density lipoprotein (LDL) cholesterol and lipoprotein(a) (Lp(a)) levels have an important role in the development and progression of atherosclerosis, followed by cardiovascular events. Besides statins and other lipid-modifying drugs, PCS...

(This article belongs to the Special Issue Management of Venous and Arterial Thrombosis)
  • Review
  • Open Access
14 Citations
16,093 Views
27 Pages

The Emerging Role of PCSK9 in the Pathogenesis of Alzheimer’s Disease: A Possible Target for the Disease Treatment

  • Gabriella Testa,
  • Serena Giannelli,
  • Erica Staurenghi,
  • Rebecca Cecci and ,
  • Lucrezia Floro,
  • Paola Gamba,
  • Barbara Sottero and
  • Gabriella Leonarduzzi
  • + 3 authors+ 0 author

20 December 2024

Alzheimer’s disease (AD) is a multifactorial neurodegenerative disease mainly caused by β-amyloid (Aβ) accumulation in the brain. Among the several factors that may concur to AD development, elevated cholesterol levels and brain chole...

(This article belongs to the Special Issue New Trends in Alzheimer’s Disease Research: From Molecular Mechanisms to Therapeutics: 2nd Edition)
  • Review
  • Open Access
2 Citations
2,438 Views
20 Pages

PCSK9 in Cancer: Biological Mechanisms and Implications for Therapeutic Resistance

  • Nuriza Ulul Azmi,
  • Rezi Riadhi Syahdi,
  • Meidi Utami Puteri,
  • Arry Yanuar and ,
  • Mitsuyasu Kato and
  • Fadlina Chany Saputri
  • + 1 author+ 0 author

31 December 2025

Cancer remains a major global health challenge, largely due to its biological heterogeneity and the capacity of tumor cells to adapt under metabolic and environmental stress. Lipid metabolism has increasingly been recognized as a contributor to tumor...

(This article belongs to the Section Molecular Medicine)
  • Article
  • Open Access
21 Citations
3,786 Views
13 Pages

PCSK9 Plasma Levels Are Associated with Mechanical Vascular Impairment in Familial Hypercholesterolemia Subjects without a History of Atherosclerotic Cardiovascular Disease: Results of Six-Month Add-On PCSK9 Inhibitor Therapy

  • Arianna Toscano,
  • Maria Cinquegrani,
  • Michele Scuruchi,
  • Antonino Di Pino and ,
  • Salvatore Piro,
  • Viviana Ferrara,
  • Carmela Morace,
  • Alberto Lo Gullo,
  • Egidio Imbalzano and
  • Giuseppe Mandraffino
  • + 8 authors+ 3 authors

9 April 2022

Proprotein convertase subtilisin/kexin type-9 (PCSK9) is a key regulator of low-density lipoprotein (LDL) metabolism involved in the degradation of the low-density lipoprotein receptor (LDLR) through complex mechanisms. The PCSK9 plasma levels change...

(This article belongs to the Special Issue Emerging Circulating Biomarkers in Atherosclerosis: From Molecular Mechanisms to Therapeutic Strategies)
  • Article
  • Open Access
28 Citations
3,361 Views
10 Pages

PCSK9 Levels Are Raised in Chronic HCV Patients with Hepatocellular Carcinoma

  • Silvano Fasolato,
  • Sabrina Pigozzo,
  • Patrizia Pontisso,
  • Paolo Angeli and ,
  • Massimiliano Ruscica,
  • Edoardo Savarino,
  • Sara De Martin,
  • Maria Giovanna Lupo and
  • Nicola Ferri
  • + 4 authors+ 0 author

28 September 2020

Background: Since emerging evidence suggests a protective role of proprotein convertase subtilisin/kexin type 9 (PCSK9) on hepatitis C virus (HCV) infection, the aim of the present study was to evaluate the correlation between PCSK9 and HCV infection...

(This article belongs to the Special Issue Viral Hepatitis and Risk of Hepatocellular Carcinoma)
  • Article
  • Open Access
14 Citations
5,217 Views
11 Pages

Effect of Evolocumab on Lipoprotein(a) and PCSK9 in Healthy Individuals with Elevated Lipoprotein(a) Level

  • Olga Afanasieva,
  • Marat V. Ezhov,
  • Elena Klesareva,
  • Oksana Razova and ,
  • Uliana Chubykina,
  • Mane Egiazaryan,
  • Ekaterina Sherstyuk,
  • Marina Afanasieva,
  • Elena Utkina and
  • Sergei Pokrovsky
  • + 5 authors+ 0 author

Background and aims: The aim of this study was to investigate the influence of a single injection of Evolocumab on the dynamics of Lp(a), fractions of apoB100-containing lipoproteins, PCSK9, and their complexes in healthy individuals with elevated Lp...

  • Article
  • Open Access
737 Views
10 Pages

The Effect of Lipoproteins on Platelet-Associated PCSK9 of Healthy Normolipidemic Volunteers: An In Vitro Study

  • Aikaterini N. Tsouka,
  • Ioannis K. Koutsaliaris,
  • Constantinos Tellis and
  • Alexandros D. Tselepis

Background: Proprotein convertase subtilisin/kexin type 9 (PCSK9) promotes low-density lipoprotein receptor degradation and thereby regulates plasma LDL cholesterol levels. Although PCSK9 is primarily produced by the liver, it has been detected in pl...

  • Article
  • Open Access
15 Citations
3,306 Views
8 Pages

Effect of PCSK9 Inhibitors on Hemostasis in Patients with Isolated Hypercholesterolemia

  • Marcin Basiak,
  • Marcin Hachula,
  • Michal Kosowski and
  • Boguslaw Okopien

Background: In addition to reducing plasma lipids, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors may produce numerous nonlipid-related pleiotropic effects. The purpose of this trial was to determine the efficacy of PCSK9 inhibitors...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
28 Citations
3,820 Views
11 Pages

Circulating PCSK9 Level and Risk of Cardiovascular Events and Death in Hemodialysis Patients

  • Hyeon Seok Hwang,
  • Jin Sug Kim,
  • Yang Gyun Kim,
  • So-Young Lee and ,
  • Shin Young Ahn,
  • Hong Joo Lee,
  • Dong-Young Lee,
  • Sang Ho Lee,
  • Ju Young Moon and
  • Kyung Hwan Jeong
  • + 5 authors+ 0 author

17 January 2020

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a promising new target for the prevention of cardiovascular (CV) events. However, the clinical significance of circulating PCSK9 is unclear in hemodialysis (HD) patients. A total of 353 HD pati...

(This article belongs to the Special Issue Cardiovascular Disease: New Generation of Biomarkers and Future Therapeutic Concepts)
  • Review
  • Open Access
1 Citations
763 Views
19 Pages

PCSK9 as a Potential Regulator of Endothelial Dysfunction: Mechanistic Insights and Future Directions

  • Anisa Qisti Mathriul,
  • Maharani Hestu Mukti Wisesa,
  • Vicko Suswidiantoro,
  • Meidi Utami Puteri and ,
  • Mitsuyasu Kato and
  • Fadlina Chany Saputri
  • + 1 author+ 0 author

The discovery of proprotein convertase subtilisin/kexin type 9 (PCSK9) and its role in promoting the degradation of the low-density lipoprotein receptor (LDLR) has revolutionized lipid-lowering therapy, offering new therapy for patients with hypercho...

(This article belongs to the Section Molecular Biology)
  • Article
  • Open Access
11 Citations
2,696 Views
15 Pages

Carotenoid Interactions with PCSK9: Exploring Novel Cholesterol-Lowering Strategies

  • Alessandro Medoro,
  • Giovanni Scapagnini,
  • Simone Brogi,
  • Tassadaq Hussain Jafar and ,
  • Truong Tan Trung,
  • Luciano Saso and
  • Sergio Davinelli
  • + 2 authors+ 0 author

27 November 2024

Background/Objectives: This study investigated the potential of green algae-derived carotenoids as natural inhibitors of the proprotein convertase subtilisin/kexin type 9 (PCSK9), a key regulator of cholesterol metabolism. PCSK9 promotes the degradat...

(This article belongs to the Special Issue The Role of Phytochemicals in Aging and Aging-Related Diseases)
  • Article
  • Open Access
3 Citations
3,583 Views
15 Pages

Effect of PCSK9 Inhibitors on Regulators of Lipoprotein Homeostasis, Inflammation and Coagulation

  • Patricija Lunar,
  • Hana Meglič,
  • Mateja Vehar,
  • Sabina Ugovšek and ,
  • Andreja Rehberger Likozar,
  • Miran Šebeštjen and
  • Janja Zupan
  • + 2 authors+ 0 author

Background: PCSK9 inhibitors (PCSK9i) represent a newer form of atherosclerosis treatment. Inflammation and haemostasis are key processes in the development of atherosclerosis. In this study, we investigated the influence of therapy with PCSK9i in pa...

(This article belongs to the Section Cell Biology and Pathology)
  • Review
  • Open Access
39 Citations
6,069 Views
13 Pages

Proprotein Convertase Subtilisin Kexin Type 9 (PCSK9) Beyond Lipids: The Role in Oxidative Stress and Thrombosis

  • Vittoria Cammisotto,
  • Francesco Baratta,
  • Paola G. Simeone,
  • Cristina Barale and ,
  • Enrico Lupia,
  • Gioacchino Galardo,
  • Francesca Santilli,
  • Isabella Russo and
  • Pasquale Pignatelli
  • + 4 authors+ 0 author

Proprotein convertase subtilisin/kexin type 9 (PCSK9), mainly secreted in the liver, is a key regulator of cholesterol homeostasis inducing LDL receptors’ degradation. Beyond lipid metabolism, PCSK9 is involved in the development of atheroscler...

  • Article
  • Open Access
11 Citations
2,699 Views
10 Pages

The Impact of the COVID-19 Outbreak on Patients’ Adherence to PCSK9 Inhibitors Therapy

  • Valentina Maria Caso,
  • Simona Sperlongano,
  • Biagio Liccardo,
  • Emanuele Romeo and ,
  • Sergio Padula,
  • Fortunato Arenga,
  • Antonello D’Andrea,
  • Pio Caso,
  • Paolo Golino and
  • Vincenzo Russo
  • + 6 authors+ 1 author

18 January 2022

PCSK9 inhibitors (PCSK9i) are monoclonal antibodies that have been shown to be effective in reducing both LDL cholesterol (LDL-C) values and major cardiovascular events in patients at high cardiovascular risk. Adherence to PCSK9i is critical for the...

(This article belongs to the Special Issue Unusual Clinical Presentation of COVID-19)
  • Article
  • Open Access
2 Citations
3,922 Views
16 Pages

Peptide-Based Anti-PCSK9 Product for Long-Lasting Management of Hypercholesterolemia

  • Suresh R. Giri,
  • Akshyaya Chandan Rath,
  • Chitrang J. Trivedi,
  • Bibhuti Bhusan Bhoi and ,
  • Sandip R. Palode,
  • Vighnesh N. Jadhav,
  • Hitesh Bhayani,
  • Avanishkumar Singh,
  • Chintan Patel and
  • Mukul R. Jain
  • + 14 authors+ 9 authors

22 August 2025

Background/Objectives: Hypercholesterolemia remains a major risk factor for cardiovascular disease and a leading cause of global mortality. Proprotein convertase subtilisin/kexin type 9 (PCSK9) promotes degradation of low-density lipoprotein receptor...

(This article belongs to the Section Vaccine Advancement, Efficacy and Safety)
  • Article
  • Open Access
6 Citations
3,748 Views
12 Pages

Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject

  • Asier Larrea-Sebal,
  • Chiara Trenti,
  • Shifa Jebari-Benslaiman,
  • Stefano Bertolini and ,
  • Sebastiano Calandra,
  • Emanuele A. Negri,
  • Efrem Bonelli,
  • Asier Benito-Vicente,
  • Leire Uraga-Gracianteparaluceta and
  • Tommaso Fasano
  • + 6 authors+ 1 author

7 February 2023

Familial hypercholesterolaemia (FH) is an autosomal dominant dyslipidaemia, characterised by elevated LDL cholesterol (LDL-C) levels in the blood. Three main genes are involved in FH diagnosis: LDL receptor (LDLr), Apolipoprotein B (APOB) and Protein...

(This article belongs to the Special Issue Cardiovascular Disease, Atherosclerosis and Familial Hypercholesterolemia: From Molecular Mechanisms Causing Pathogenicity till New Therapeutic Approaches 2.0)
  • Article
  • Open Access
7 Citations
2,540 Views
14 Pages

Monoclonal Anti-PCSK9 Antibodies: Real-World Data

  • Giulia Guidotti,
  • Viola Liberati,
  • Andrea Sorrentino,
  • Elena Lotti and ,
  • Felice Crudele,
  • Angela Rogolino,
  • Aniello Sammartino,
  • Margherita Slanzi,
  • Anna Maria Gori and
  • Martina Berteotti
  • + 6 authors+ 1 author

3 August 2024

Background: Real-world data on the use of lipid-lowering therapy (LLT) in clinical practice show that about 80% of (very) high-cardiovascular (CV)-risk patients disregard the 2019 European Society of Cardiology (ESC) Guidelines’ recommendations...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
40 Citations
6,942 Views
15 Pages

PCSK9 is Expressed in Human Visceral Adipose Tissue and Regulated by Insulin and Cardiac Natriuretic Peptides

  • Marica Bordicchia,
  • Francesco Spannella,
  • Gianna Ferretti,
  • Tiziana Bacchetti and ,
  • Arianna Vignini,
  • Chiara Di Pentima,
  • Laura Mazzanti and
  • Riccardo Sarzani
  • + 3 authors+ 0 author

Proprotein convertase subtilisin/kexin type 9 (PCSK9) binds to and degrades the low-density lipoprotein receptor (LDLR), contributing to hypercholesterolemia. Adipose tissue plays a role in lipoprotein metabolism, but there are almost no data about P...

(This article belongs to the Special Issue Molecular Basis of Cardiovascular Diseases: Implications of Natriuretic Peptides)
  • Article
  • Open Access
13 Citations
3,599 Views
12 Pages

PCSK9 Induces Rat Smooth Muscle Cell Proliferation and Counteracts the Pleiotropic Effects of Simvastatin

  • Maria Giovanna Lupo,
  • Silvia Marchianò,
  • Maria Pia Adorni,
  • Francesca Zimetti and ,
  • Massimiliano Ruscica,
  • Maria Francesca Greco,
  • Alberto Corsini and
  • Nicola Ferri
  • + 3 authors+ 0 author

Human atherosclerotic plaque contains smooth muscle cells (SMCs) negative for the contractile phenotype (α-smooth muscle actin) but positive for proprotein convertase subtilisin/kexin type 9 (PCSK9). Thus, we generated rat SMCs which overexpressed hu...

(This article belongs to the Section Molecular Pharmacology)
  • Article
  • Open Access
55 Citations
5,975 Views
15 Pages

PCSK9 Induces Tissue Factor Expression by Activation of TLR4/NFkB Signaling

  • Valentina Scalise,
  • Chiara Sanguinetti,
  • Tommaso Neri,
  • Silvana Cianchetti and ,
  • Michele Lai,
  • Vittoria Carnicelli,
  • Alessandro Celi and
  • Roberto Pedrinelli
  • + 3 authors+ 0 author

23 November 2021

Proprotein convertase subtilisin kexin 9 (PCSK9) increases LDL cholesterol (C) concentration by accelerating the hepatic degradation of the LDL receptor (R) thus promoting atherogenesis. The molecule, however, also exerts proinflammatory effects inde...

(This article belongs to the Special Issue Molecular Mechanisms of Hemostasis, Thrombosis and Thrombo-Inflammation)
  • Article
  • Open Access
7 Citations
5,110 Views
23 Pages

Acanthaster planci Inhibits PCSK9 and Lowers Cholesterol Levels in Rats

  • Nurjannatul Naim Kamaruddin,
  • Nor Azwin Hajri,
  • Yosie Andriani,
  • Aina Farahiyah Abdul Manan and ,
  • Tengku Sifzizul Tengku Muhammad and
  • Habsah Mohamad
  • + 1 author+ 0 author

23 August 2021

Atherosclerosis is the main cause of cardiovascular diseases which in turn, lead to the highest number of mortalities globally. This pathophysiological condition is developed due to a constant elevated level of plasma cholesterols. Statin is currentl...

(This article belongs to the Special Issue Bioactive Compounds on Health and Disease)
  • Article
  • Open Access
4 Citations
3,319 Views
10 Pages

28 September 2023

Previous investigations have suggested an association between the PCSK9 common polymorphism E670G and Lipoprotein(a) (Lp(a)) levels, as well as a link between plasma PCSK9 levels and Lp(a) concentrations. However, the causal relationship between plas...

(This article belongs to the Section Molecular Genetics and Genomics)
  • Article
  • Open Access
36 Citations
5,675 Views
8 Pages

26 August 2021

Background: Proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitors reduce low-density lipoprotein (LDL) cholesterol and cardiovascular event rates, yet due to their high price remain underutilized and difficult to prescribe in clinical prac...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
10 Citations
3,479 Views
10 Pages

Statin-Induced Geranylgeranyl Pyrophosphate Depletion Promotes PCSK9–Dependent Adipose Insulin Resistance

  • Xin Shu,
  • Jiaqi Wu,
  • Tao Zhang,
  • Xiaoyu Ma and ,
  • Zuoqin Du,
  • Jin Xu,
  • Jingcan You,
  • Liqun Wang,
  • Ni Chen and
  • Jianbo Wu
  • + 6 authors+ 1 author

14 December 2022

Statin treatment is accepted to prevent adverse cardiovascular events. However, statin therapy has been reported to be dose-dependently associated with increased risk for new-onset type 2 diabetes mellitus (T2DM). Proprotein convertase subtilisin/kex...

(This article belongs to the Section Micronutrients and Human Health)
  • Article
  • Open Access
14 Citations
4,008 Views
11 Pages

Relationship between Circulating PCSK9 and Markers of Subclinical Atherosclerosis—The IMPROVE Study

  • Daniela Coggi,
  • Beatrice Frigerio,
  • Alice Bonomi,
  • Massimiliano Ruscica and ,
  • Nicola Ferri,
  • Daniela Sansaro,
  • Alessio Ravani,
  • Palma Ferrante,
  • Manuela Damigella and
  • on behalf of the IMPROVE Study Group
  • + 20 authors+ 15 authors

(1) Background and purpose: circulating proprotein convertase subtilisin/kexin type 9 (PCSK9) is one of the key regulators of cholesterol metabolism. Despite this, its role as a player in atherosclerosis development is still matter of debate. Here, w...

(This article belongs to the Special Issue Lipids and Lipoproteins in Health and Disease: Focus on Targeting Atherosclerosis)

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