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2017 ; 13
(ä): 343-351
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Anti-PCSK9 antibodies for the treatment of heterozygous familial
hypercholesterolemia: patient selection and perspectives
#MMPMID28919772
Catapano AL
; Pirillo A
; Norata GD
Vasc Health Risk Manag
2017[]; 13
(ä): 343-351
PMID28919772
show ga
Heterozygous familial hypercholesterolemia (FH) is a genetic disorder
characterized by high low-density lipoprotein cholesterol levels from birth,
which exposes the arteries to high levels of atherogenic lipoproteins lifelong
and results in a significantly increased risk of premature cardiovascular events.
The diagnosis of FH, followed by an appropriate and early treatment is critical
to reduce the cardiovascular burden in this population. Phase I-III clinical
trials showed the benefit of proprotein convertase subtilisin kexin 9 inhibitors,
both alirocumab and evolocumab, in these patients with an average low-density
lipoprotein cholesterol reduction ranging from -40% to -60%. The aim of this
review is to address the unmet needs in cholesterol management, elucidate the
biology and the clinical benefit of proprotein convertase subtilisin kexin 9
inhibition and finally discuss the open gaps and future directions in the
treatment of patients with heterozygous FH.
|*Heterozygote
[MESH]
|*PCSK9 Inhibitors
[MESH]
|Adult
[MESH]
|Animals
[MESH]
|Antibodies, Monoclonal, Humanized
[MESH]
|Antibodies, Monoclonal/adverse effects/*therapeutic use
[MESH]
|Anticholesteremic Agents/adverse effects/*therapeutic use
[MESH]
|Biomarkers/blood
[MESH]
|Cholesterol, LDL/*blood
[MESH]
|Clinical Trials as Topic
[MESH]
|Evidence-Based Medicine
[MESH]
|Female
[MESH]
|Genetic Predisposition to Disease
[MESH]
|Humans
[MESH]
|Hyperlipoproteinemia Type II/blood/*drug therapy/enzymology/genetics
[MESH]