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Updated: Aug 22, 2025

A High-Throughput Luciferase Assay to Evaluate Proteolysis of the Single-Turnover Protease PCSK9
Published on: August 28, 2018
PCSK9 Base Editing Therapeutics and Ischemic Stroke
Josephin Wagner1, Andrew S Bell1, Falk W Lohoff1
1Section on Clinical Genomics and Experimental Therapeutics, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland 20892-1540, United States.
Insights
Genetic gain-of-function variations in the PCSK9 gene increase cardiovascular disease risk. Novel genomic technologies like CRISPR and adenine base editing offer promising new therapeutic approaches for PCSK9-related conditions.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Molecular Biology
Background:
- Gain-of-function variations in the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene are linked to elevated cardiovascular disease (CVD) risk, including ischemic stroke.
- Current PCSK9 inhibitors (PCSK9i) effectively reduce CVD and ischemic stroke risk, but novel therapeutic strategies are needed.
Purpose of the Study:
- To discuss ongoing research in PCSK9 base editing.
- To highlight future directions for PCSK9 base editing in cardiovascular disease and ischemic stroke prevention and treatment.
Main Methods:
- Review of current research on PCSK9 base editing technologies.
- Discussion of clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9 complex-mediated delivery and adenine base editing (ABE) for PCSK9 gene modification.
Main Results:
- Ongoing work demonstrates the potential of base editing for PCSK9 modulation.
- CRISPR-Cas9 and ABE present promising avenues for therapeutic intervention.
Conclusions:
- PCSK9 base editing represents a novel and promising frontier in managing cardiovascular disease and ischemic stroke.
- Further research into PCSK9 base editing is crucial for developing advanced preventative and therapeutic strategies.
Abstract:
Individuals with genetic gain-of-function variation in the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene are at an increased risk of cardiovascular disease, including ischemic stroke. While PCSK9 inhibitors (PCSK9i) are effective in reducing cardiovascular disease risk and ischemic stroke risk, novel genomic technologies including the use of clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9 complex-mediated delivery and adenine base editing (ABE) enable promising new therapeutic and preventative approaches. In this paper we discuss ongoing work into PCSK9 base editing and highlight future directions relevant to cardiovascular disease and ischemic stroke.
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