Petrova-Slater Iveta, Denegri Andrea, Pasotti Elena, Rossi Maria Grazia, Spirk David, Riesen Walter F, Moccetti Tiziano, Moccetti Marco
Cardiocentro Ticino, Servizio ricerca cardiovascolare, Via Tesserete 48, 6900 Lugano.
Cardiocentro Ticino, Via Tesserete 48, 6900 Lugano.
Rev Med Suisse. 2017 Apr 12;13(558):821-825.
Observational data show a consistent association between elevated low density lipoproteins (LDL-C) and cardiovascular disease (CVD). Reduction of LDL-C reduces the risk of CVD as has been shown by many trials. Statins are currently the most effective drugs for lowering LDL-C, but can present side effects which might limit the prescribed dosage and prevent patients from reaching the recommended LDL levels. Although treated with statins important residual cardiovascular event risk remains in patients in primary and secondary prevention for CVD. The discovery of protein convertase subtilisin kexin 9 antibodies is a very promising new hypolipidemic treatment and the aim of this review is to explain their mechanism of action and to discuss safety and efficacy results of some phase III studies.
观察性数据表明,低密度脂蛋白(LDL-C)升高与心血管疾病(CVD)之间存在持续关联。许多试验已表明,降低LDL-C可降低CVD风险。他汀类药物是目前降低LDL-C最有效的药物,但可能会出现副作用,这可能会限制规定剂量并使患者无法达到推荐的LDL水平。尽管接受了他汀类药物治疗,但在CVD的一级和二级预防患者中,仍存在重要的残余心血管事件风险。蛋白转化酶枯草杆菌蛋白酶kexin 9抗体的发现是一种非常有前景的新型降血脂治疗方法,本综述的目的是解释其作用机制,并讨论一些III期研究的安全性和有效性结果。