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前蛋白转化酶枯草溶菌素9(PCSK9)抑制剂在真实世界临床实践中的疗效和耐受性

Efficacy and tolerability of PCSK9 inhibitors in real-world clinical practice.

作者信息

Devaiah Prashasthi, Handjiev Sava, George Jacob

机构信息

Year 3 Medical Student School of Medicine, University of Dundee, Ninewells Hospital & Medical School, Dundee, DD1 9SY.

Clinical Biochemistry Registrar Department of Clinical Biochemistry, Ninewells Hospital & Medical School, Dundee, DD1 9SY.

出版信息

Br J Cardiol. 2023 Nov 29;30(4):44. doi: 10.5837/bjc.2023.044. eCollection 2023.

DOI:10.5837/bjc.2023.044
PMID:39247417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376256/
Abstract

Despite widespread use of statins and other lipid-lowering therapies for hypercholesterolaemia, cardiovascular (CV) mortality and morbidity remains high. The proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, alirocumab and evolocumab, have been approved for use in patients with familial hypercholesterolaemia and high CV risk in the UK. We reviewed the records of patients at a large health board in Scotland, who were prescribed these agents, to determine their real- world efficacy and tolerability in routine clinical care.

摘要

尽管他汀类药物和其他降血脂疗法被广泛用于治疗高胆固醇血症,但心血管(CV)死亡率和发病率仍然很高。前蛋白转化酶枯草溶菌素/kexin 9型(PCSK9)抑制剂阿利西尤单抗和依洛尤单抗已在英国被批准用于治疗家族性高胆固醇血症和高心血管风险的患者。我们回顾了苏格兰一个大型健康委员会中被处方使用这些药物的患者记录,以确定它们在常规临床护理中的实际疗效和耐受性。

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Efficacy and tolerability of PCSK9 inhibitors in real-world clinical practice.前蛋白转化酶枯草溶菌素9(PCSK9)抑制剂在真实世界临床实践中的疗效和耐受性
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本文引用的文献

1
Statin treatment and LDL-cholesterol treatment goal attainment among individuals with familial hypercholesterolaemia in primary care.他汀类药物治疗及家族性高胆固醇血症患者在初级保健中的 LDL-胆固醇治疗目标达标情况。
Open Heart. 2021 Oct;8(2). doi: 10.1136/openhrt-2021-001817.
2
Antibody-Based Therapeutics for Atherosclerosis and Cardiovascular Diseases.基于抗体的动脉粥样硬化和心血管疾病治疗方法。
Int J Mol Sci. 2021 May 28;22(11):5770. doi: 10.3390/ijms22115770.
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Alirocumab and Cardiovascular Outcomes after Acute Coronary Syndrome.依洛尤单抗与急性冠脉综合征后的心血管结局。
N Engl J Med. 2018 Nov 29;379(22):2097-2107. doi: 10.1056/NEJMoa1801174. Epub 2018 Nov 7.
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Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease.依洛尤单抗与心血管疾病患者的临床结局。
N Engl J Med. 2017 May 4;376(18):1713-1722. doi: 10.1056/NEJMoa1615664. Epub 2017 Mar 17.
5
PCSK9 inhibitors: A new era of lipid lowering therapy.前蛋白转化酶枯草溶菌素9抑制剂:降脂治疗的新时代。
World J Cardiol. 2017 Feb 26;9(2):76-91. doi: 10.4330/wjc.v9.i2.76.
6
Effect of alirocumab dose increase on LDL lowering and lipid goal attainment in patients with dyslipidemia.阿利西尤单抗剂量增加对血脂异常患者降低低密度脂蛋白及实现血脂目标的影响。
Coron Artery Dis. 2017 May;28(3):190-197. doi: 10.1097/MCA.0000000000000438.
7
The benefits of statins in people without established cardiovascular disease but with cardiovascular risk factors: meta-analysis of randomised controlled trials.他汀类药物对无心血管疾病但有心血管危险因素人群的益处:随机对照试验的荟萃分析。
BMJ. 2009 Jun 30;338:b2376. doi: 10.1136/bmj.b2376.
8
The LDL receptor.低密度脂蛋白受体
Arterioscler Thromb Vasc Biol. 2009 Apr;29(4):431-8. doi: 10.1161/ATVBAHA.108.179564.
9
Sequence variations in PCSK9, low LDL, and protection against coronary heart disease.前蛋白转化酶枯草溶菌素9(PCSK9)的序列变异、低密度脂蛋白水平降低与冠心病预防
N Engl J Med. 2006 Mar 23;354(12):1264-72. doi: 10.1056/NEJMoa054013.
10
Mutations in PCSK9 cause autosomal dominant hypercholesterolemia.前蛋白转化酶枯草溶菌素9(PCSK9)基因的突变会导致常染色体显性遗传高胆固醇血症。
Nat Genet. 2003 Jun;34(2):154-6. doi: 10.1038/ng1161.