PCSK9 Targeted Autophagosome-Tethering Compounds: Design, Synthesis, and Antiatherosclerosis Evaluation

Hongyu Wu1, Ziwen Zhang1, Yongxing Xue1

  • 1Department of Medicinal Chemistry, School of Pharmacy, Fudan University, Shanghai 201301, China.

PubMed

Insights

A novel compound, W6, effectively degrades PCSK9, showing promise for treating atherosclerosis. This autophagosome-tethering compound (ATTEC) offers a new therapeutic avenue for cardiovascular disease.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Cardiovascular Research

Background:

  • Atherosclerosis is a complex cardiovascular disease driven by multiple cell types and mechanisms.
  • Proprotein convertase subtilisin/kexin type-9 (PCSK9) is a key therapeutic target for atherosclerosis.
  • Current treatments primarily utilize biological drugs, necessitating exploration of novel therapeutic strategies.

Purpose of the Study:

  • To optimize an autophagosome-tethering compound (ATTEC) for enhanced PCSK9 degradation.
  • To evaluate the efficacy of the optimized compound (W6) in treating atherosclerosis.
  • To assess the potential of W6 as an anti-atherosclerosis drug.

Main Methods:

  • Optimization of a previously reported ATTEC (OY3) to develop compound W6.
  • In vitro and in vivo assessment of W6's anti-atherosclerosis effects.
  • Evaluation of W6's impact on hepatocytes, endothelial cells, macrophages, and vascular smooth muscle cells.

Main Results:

  • Compound W6 demonstrated a 5-fold increase in PCSK9 degradation activity and a 6-fold increase in bioavailability compared to OY3.
  • W6 exhibited comparable anti-atherosclerosis effects to siRNA, a marketed PCSK9 inhibitor.
  • W6 showed beneficial effects across various cell types crucial to atherosclerosis pathology.

Conclusions:

  • The novel PCSK9-targeting ATTEC, W6, is a potent inducer of PCSK9 degradation.
  • W6 presents a promising therapeutic candidate for atherosclerosis treatment.
  • This study validates the potential of ATTECs for degrading intracellular and extracellular proteins in disease treatment.

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