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A Familial Hypercholesterolemia Human Liver Chimeric Mouse Model Using Induced Pluripotent Stem Cell-derived Hepatocytes
Published on: September 15, 2018
Focus on alirocumab: A PCSK9 antibody to treat hypercholesterolemia
Fiorella Devito1, Annapaola Zito1, Gabriella Ricci1
1Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, School of Medicine, Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy.
Insights
New lipid-lowering therapies like alirocumab offer alternatives for patients unable to reach cholesterol goals with statins. This antibody targets PCSK9, reducing low-density lipoprotein cholesterol and cardiovascular risk.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Statin therapy is the primary treatment for lowering low-density lipoprotein cholesterol (LDL-C) and reducing cardiovascular risk.
- Some patients do not achieve target LDL-C levels or experience adverse events with statins, necessitating alternative treatments.
Purpose of the Study:
- To evaluate the efficacy and safety of alirocumab, a novel lipid-modifying agent, in managing cholesterol levels.
- To assess the long-term impact of alirocumab on cardiovascular risk in diverse patient populations.
Main Methods:
- Clinical trials investigating alirocumab's effects on plasma lipid levels.
- Studies assessing cardiovascular outcomes in patients treated with alirocumab.
- Evaluation of alirocumab's mechanism of action involving PCSK9 inhibition.
Main Results:
- Alirocumab significantly reduces low-density lipoprotein cholesterol levels.
- Long-term studies demonstrate sustained LDL-C reduction and potential cardiovascular benefits.
- Alirocumab is generally well-tolerated, offering an alternative for statin-intolerant or non-responsive patients.
Conclusions:
- Alirocumab represents a significant advancement in lipid-lowering therapy.
- It provides an effective option for patients requiring additional LDL-C reduction beyond statins.
- Further research continues to define its role in comprehensive cardiovascular risk management.
Abstract:
Statin treatment represents the gold standard in the reduction of low-density lipoprotein cholesterol and cardiovascular risk. Although statin therapy is generally well tolerated, some patients fail to achieve the target level of low-density lipoprotein cholesterol or discontinue the treatment for the occurrence of adverse events. In recent years new lipid-modifying agents have been studied to overcome these limitations and to reduce low-density lipoprotein cholesterol plasma levels. Alirocumab is a fully human monoclonal antibody that inhibits proprotein convertase subtilisin/kexin type 9, thereby preventing its interaction with low density lipoprotein receptors. Several trials have been conducted in the last few years to evaluate long-term effects of this new molecule on low-density lipoprotein cholesterol levels and cardiovascular risk.
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