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Updated: May 11, 2025

A High-Throughput Luciferase Assay to Evaluate Proteolysis of the Single-Turnover Protease PCSK9
Published on: August 28, 2018
Inadequate Response to PCSK9 Inhibitors
Tia Bimal1, Tanesh Ayyalu1, Maya S Safarova2
1Northwell, Cardiovascular Institute, Lenox Hill Hospital, New York, New York, USA.
Suboptimal response to proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i) is rare but occurred in a patient with hypercholesterolemia. Real-world data suggests higher rates of inadequate PCSK9i response than clinical trials.
Area of Science:
- Cardiology
- Pharmacology
- Genetics
Background:
- Suboptimal response to proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i) is uncommon, particularly with monoclonal antibodies and small interfering RNA therapies.
- A patient with hypercholesterolemia, subclinical atherosclerosis, and elevated lipoprotein(a) experienced limiting side effects from oral lipid-lowering agents.
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