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Updated: Feb 26, 2026

A High-Throughput Luciferase Assay to Evaluate Proteolysis of the Single-Turnover Protease PCSK9
Published on: August 28, 2018
[Inhibitors of PCSK9]
Iveta Petrova-Slater1, Andrea Denegri2, Elena Pasotti2
1Cardiocentro Ticino, Servizio ricerca cardiovascolare, Via Tesserete 48, 6900 Lugano.
Insights
New PCSK9 inhibitor drugs offer a promising approach to further reduce cardiovascular disease (CVD) risk in patients with high low-density lipoprotein cholesterol (LDL-C) who do not benefit enough from statins.
Area of Science:
- Cardiovascular medicine
- Lipidology
- Pharmacology
Background:
- Elevated low-density lipoprotein cholesterol (LDL-C) is strongly associated with cardiovascular disease (CVD).
- Statins effectively lower LDL-C but may cause side effects and leave residual CVD risk.
- Significant residual risk persists in patients undergoing statin therapy for CVD prevention.
Purpose of the Study:
- To review the mechanism of action of proprotein convertase subtilisin kexin 9 (PCSK9) antibodies.
- To discuss the safety and efficacy of PCSK9 antibodies in phase III clinical trials.
- To highlight PCSK9 inhibitors as a novel hypolipidemic treatment option.
Main Methods:
- Review of existing observational data and clinical trial results.
- Analysis of the pharmacological action of PCSK9 inhibition.
- Synthesis of safety and efficacy data from phase III studies of PCSK9 antibodies.
Main Results:
- PCSK9 antibodies demonstrate a potent LDL-C lowering effect.
- Phase III studies indicate favorable safety and efficacy profiles for PCSK9 inhibitors.
- These agents represent a significant advancement in managing hyperlipidemia and reducing CVD risk.
Conclusions:
- PCSK9 antibodies provide a novel therapeutic strategy for managing hyperlipidemia.
- They offer an effective option for patients with statin-intolerant or statin-resistant hypercholesterolemia.
- This class of drugs holds significant promise for further reducing residual CVD risk.
Abstract:
Observational data show a consistent association between elevated low density lipoproteins (LDL-C) and cardiovascular disease (CVD). Reduction of LDL-C reduces the risk of CVD as has been shown by many trials. Statins are currently the most effective drugs for lowering LDL-C, but can present side effects which might limit the prescribed dosage and prevent patients from reaching the recommended LDL levels. Although treated with statins important residual cardiovascular event risk remains in patients in primary and secondary prevention for CVD. The discovery of protein convertase subtilisin kexin 9 antibodies is a very promising new hypolipidemic treatment and the aim of this review is to explain their mechanism of action and to discuss safety and efficacy results of some phase III studies.
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