No effects of PCSK9-inhibitor treatment on spatial learning, locomotor activity, and novel object recognition in mice

Frieder Schlunk1, Paul Fischer2, Hans M G Princen3

  • 1Klinik und Hochschulambulanz für Neurologie mit Abteilung für Experimentelle Neurologie, Center for Stroke Research Berlin (CSB), and NeuroCure, Charité University Medicine Berlin, Germany; Department of Neuroradiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Insights

Monoclonal anti-proprotein convertase subtilisin/kexin type 9 (PCSK9) antibodies effectively lower cholesterol but may impact cognition. This study found no evidence of behavioral or cognitive changes in mice treated with anti-PCSK9 antibodies.

Area of Science:

  • Neuroscience
  • Cardiovascular Pharmacology
  • Immunology

Background:

  • Monoclonal anti-proprotein convertase subtilisin/kexin type 9 (PCSK9) neutralizing antibodies are effective in reducing plasma cholesterol and cardiovascular events.
  • Concerns have been raised regarding potential adverse effects of these antibodies on cognitive function.

Purpose of the Study:

  • To investigate the effects of anti-PCSK9 antibodies on behavior and cognitive function in mice.
  • To determine if anti-PCSK9 antibody treatment influences locomotor activity, anxiety, recognition memory, or spatial learning.

Main Methods:

  • APOE*3Leiden.CETP and B6129SF1/J wildtype mice were fed a Western diet and treated with an anti-PCSK9 antibody (CmAb1) or vehicle for 6 weeks.
  • Behavioral and cognitive functions were assessed using the open field test, novel object recognition test, and Morris water maze.
  • Serum cholesterol levels were measured to confirm antibody efficacy.

Main Results:

  • Anti-PCSK9 antibody treatment significantly lowered serum cholesterol in APOE*3Leiden.CETP mice but not in B6129SF1/J wildtype mice.
  • No significant differences in locomotor activity, anxiety levels, recognition memory, or spatial learning were observed between anti-PCSK9 antibody-treated and vehicle-treated groups in either mouse model.
  • These findings indicate no adverse effects on behavior or cognition.

Conclusions:

  • Treatment with anti-PCSK9 antibodies did not lead to observable differences in behavior or cognitive function in the studied mouse models.
  • This study provides evidence that anti-PCSK9 antibodies do not negatively impact cognitive processes in mice.
  • Further research may be warranted to fully elucidate the long-term neurological effects of PCSK9 inhibition.

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