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Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.

前蛋白转化酶枯草杆菌蛋白酶/kexin 9型抑制剂:过去、现在和未来。

期刊: Eur Heart J 日期: 2026-03-17 PMID: 41841775 DOI: 10.1093/eurheartj/ehag148 浏览: 50
作者: Marc S Sabatine, Ulrich Laufs
Sabatine, M.S. & Laufs, U. (2026). Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.. Eur Heart J. https://doi.org/10.1093/eurheartj/ehag148
Sabatine MS, Laufs U. Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.. Eur Heart J. 2026; doi: 10.1093/eurheartj/ehag148
Sabatine MS, Laufs U. Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.[J]. Eur Heart J. 2026. DOI: 10.1093/eurheartj/ehag148.
@article{sabatine2026,
  author = {Marc S Sabatine and Ulrich Laufs},
  title = {Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.},
  journal = {Eur Heart J},
  year = {2026},
  doi = {10.1093/eurheartj/ehag148},
  note = {PMID: 41841775},
}
TY  - JOUR
AU  - Marc S Sabatine
AU  - Ulrich Laufs
TI  - Proprotein convertase subtilisin/kexin Type 9 inhibitors: past, present, and future.
T2  - Eur Heart J
PY  - 2026
DO  - 10.1093/eurheartj/ehag148
AN  - PMID:41841775
ER  - 

摘要

On the basis of seminal genetic discoveries, proprotein convertase subtilisin/kexin Type 9 (PCSK9) inhibitors were developed as a new class of LDL cholesterol-lowering drug, with a potency on par with and on top of high-intensity statins and an excellent safety profile. A series of large cardiovascular outcomes trials have now established the ability of monoclonal antibody PCSK9 inhibitors to reduce the risk of major adverse cardiovascular outcomes across a broad range of patients, including those with a prior major atherosclerotic cardiovascular disease (ASCVD) event, those with atherosclerosis but without a prior major ASCVD event, and those with diabetes. Moreover, these trials have shown the clinical benefit of lowering LDL cholesterol to ∼1 mmol/L (∼40 mg/dL) in such patients. New members of this class are being studied including oral inhibitors, RNA interference, and gene therapy.

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