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Updated: Dec 22, 2025

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Published on: October 17, 2015
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Potential Link Between Proprotein Convertase Subtilisin/Kexin Type 9 and Alzheimer's Disease
Oldham Ce1, Powell Rs1, Williams Ab1
1Department of Pharmaceutical Sciences, Biomanufacturing Research Institute and Technology Enterprise [BRITE], College of Arts and Sciences, North Carolina Central University, Durham, USA.
Summary
Proprotein convertase subtilisin/kexin-9 (PCSK9) may influence Alzheimer's disease (AD) risk. This review explores indirect evidence linking PCSK9 levels to AD development and risk factors.
Area of Science:
- Neurodegenerative diseases
- Cardiovascular risk factors
- Molecular biology
Background:
- Alzheimer's disease (AD) is a prevalent, incurable neurodegenerative disorder.
- Proprotein convertase subtilisin/kexin-9 (PCSK9) regulates low-density lipoprotein (LDL) receptor expression.
- PCSK9 is implicated in metabolic and cardiovascular risk factors associated with AD.
Purpose of the Study:
- To review indirect evidence suggesting a link between PCSK9 levels and Alzheimer's disease.
- To explore how PCSK9 influences AD risk factors such as metabolic dysfunction and hypertension.
Main Methods:
- Literature review of existing studies on PCSK9, AD, and related risk factors.
- Analysis of indirect associations between PCSK9 and AD pathogenesis.
- Examination of demographic factors influencing PCSK9 and AD prevalence.
Main Results:
- PCSK9 influences metabolic conditions (glucose intolerance, insulin resistance, obesity) and hypertension, known AD risk factors.
- PCSK9 levels are affected by age, sex, and ethnicity, which are also associated with AD.
- Indirect evidence suggests a potential role for PCSK9 in AD development.
Conclusions:
- PCSK9 represents a potential, yet unproven, link to Alzheimer's disease.
- Further research is warranted to elucidate the direct role of PCSK9 in AD pathogenesis.
- Targeting PCSK9 pathways could offer novel therapeutic or preventative strategies for AD.
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