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The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
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PCSK9, A Promising Novel Target for Age-Related Cardiovascular Dysfunction.

Csaba Matyas1,2, Eszter Trojnar1, Suxian Zhao1

  • 1Laboratory of Cardiovascular Physiology and Tissue Injury, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA.

JACC. Basic to Translational Science
|December 14, 2023
PubMed
Summary
This summary is machine-generated.

Proprotein convertase subtilisin/kexin type 9 (PCSK9) links aging to cardiovascular disease (CVD) risk. Inhibiting PCSK9 with alirocumab reduced CVD progression in aging rats, highlighting its role in cardiovascular aging.

Keywords:
NASHPCSK9cardiovascular agingheart failurenonalcoholic steatohepatitistranscriptomics

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Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Metabolic Diseases

Background:

  • Cardiovascular diseases (CVDs) are the primary cause of mortality in the elderly population.
  • Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a key regulator of cholesterol metabolism.
  • The role of PCSK9 in age-related CVD remains to be fully elucidated.

Purpose of the Study:

  • To investigate the association between PCSK9 and age-related cardiovascular dysfunction.
  • To explore the relationship between PCSK9, liver health, and CVD risk in aging.
  • To evaluate the therapeutic potential of PCSK9 inhibition in mitigating age-related CVD.

Main Methods:

  • Correlative analysis of blood PCSK9 levels with age and cardiovascular function in humans and rats.
  • Investigation of liver tissue in a rat model to assess fatty degeneration and its link to PCSK9.
  • Network analysis to identify PCSK9's role in age-associated lipid alterations and intima-media thickness.
  • Assessment of PCSK9 inhibition using alirocumab in aging rats to observe effects on CVD progression.

Main Results:

  • Blood PCSK9 levels positively correlated with increasing age and cardiovascular dysfunction in both humans and rats.
  • Age-related fatty liver degeneration in rats correlated with elevated serum PCSK9 and impaired cardiovascular function.
  • Network analysis revealed PCSK9 as a significant factor in age-associated lipid changes and intima-media thickness.
  • Alirocumab treatment effectively reduced CVD progression in aging rats.

Conclusions:

  • PCSK9 plays a critical role in the development of age-related cardiovascular diseases.
  • PCSK9 levels are a potential biomarker for cardiovascular aging and associated metabolic dysfunction.
  • Targeting PCSK9 with inhibitors like alirocumab shows promise for managing age-related CVD.