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Published on: August 28, 2018
PCSK9 Promotes Cardiovascular Diseases: Recent Evidence about Its Association with Platelet Activation-Induced
Meidi Utami Puteri1, Nuriza Ulul Azmi1,2,3, Mitsuyasu Kato3
1Department of Pharmacology-Toxicology, Faculty of Pharmacy, Universitas Indonesia, Depok 16424, Indonesia.
Insights
Proprotein convertase subtilisin/kexin type 9 (PCSK9) influences lipid metabolism and platelet activation. Understanding PCSK9’s role in atherosclerosis-related myocardial infarction offers new therapeutic targets for cardiovascular disease.
Area of Science:
- Cardiovascular biology
- Molecular medicine
- Thrombosis research
Background:
- Cardiovascular diseases, particularly myocardial infarction (MI), are a leading global cause of mortality.
- Atherosclerosis is a primary driver of MI, necessitating research into preventative strategies.
- Proprotein convertase subtilisin/kexin type 9 (PCSK9) is known to regulate low-density lipoprotein (LDL) receptor degradation and lipid metabolism.
Purpose of the Study:
- To explore the role of PCSK9 in platelet activation within the context of atherosclerosis-induced MI.
- To elucidate the molecular mechanisms by which PCSK9 regulates platelet activation.
- To identify potential new therapeutic strategies for cardiovascular disease progression.
Main Methods:
- Review of current experimental studies and literature on PCSK9, lipid metabolism, and platelet function.
- Analysis of the pathophysiological processes in atherosclerosis-induced MI.
- Highlighting molecular mechanisms of PCSK9 in platelet regulation.
Main Results:
- PCSK9 plays a role in lipid metabolism by promoting LDL receptor degradation.
- Emerging evidence suggests PCSK9 is involved in platelet activation during atherosclerosis.
- Limited studies currently focus on PCSK9's specific role in platelet activation.
Conclusions:
- A deeper understanding of PCSK9's molecular mechanisms in platelet activation is crucial for MI.
- Targeting PCSK9 pathways involved in platelet function may offer novel therapeutic approaches.
- Further research into PCSK9 and platelet interaction could advance cardiovascular disease treatment.
Abstract:
Cardiovascular diseases are the leading cause of death worldwide, with the majority of the cases being heart failure due to myocardial infarction. Research on cardiovascular diseases is currently underway, particularly on atherosclerosis prevention, to reduce the risk of myocardial infarction. Proprotein convertase subtilisin/kexin type 9 (PCSK9) has been reported to play a role in lipid metabolism, by enhancing low-density lipoprotein (LDL) receptor degradation. Therefore, PCSK9 inhibitors have been developed and found to successfully decrease LDL plasma levels. Recent experimental studies have also implicated PCSK9 in platelet activation, having a key role during atherosclerosis progression. Although numerous studies have addressed the role of PCSK9 role in controlling hypercholesterolemia, studies and discussions exploring its involvement in platelet activation are still limited. Hence, here, we address our current understanding of the pathophysiological process involved in atherosclerosis-induced myocardial infarction (MI) through platelet activation and highlight the molecular mechanisms used by PCSK9 in regulating platelet activation. Undoubtedly, a deeper understanding of the relationship between platelet activation and the underlying molecular mechanisms of PCSK9 in the context of MI progression will provide a new strategy for developing drugs that selectively inhibit the most relevant pathways in cardiovascular disease progression.
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