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Endothelial function improvement in patients with familial hypercholesterolemia receiving PCSK-9 inhibitors on top of maximally tolerated lipid lowering therapy
Abstract
Background Treatment with protein convertase subtilisin kexin type 9 inhibitors (PCSK-9i) reduced cholesterol levels and cardiovascular events in patients with hypercholesterolemia. We assessed changes in lipid profile, oxidation markers and endothelial function in patients with familial hypercholesterolemia (FH) after a 12-week treatment with a PCSK-9i. Methods Patients with FH starting a treatment with PCSK-9i were included. Total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), lipoprotein(a) (Lp(a)), small dense LDL (assessed by LDL score), 11-dehydro-thromboxane (11-TXB2), 8-isoprostaglandin-2alpha (8-iso-PGF2α), flow-mediated dilation (FMD) and reactive hyperaemia index (RHI) were evaluated before starting PCSK-9i treatment and after a 12-week treatment. Results Twenty-five subjects were enrolled (52% males, mean age 51.5 years). At the 12-week assessment, we observed a 38% median reduction in TC, 52% in LDL-C, 7% in Lp(a) and 46% in LDL score. In parallel, 11-TXB2 and 8-iso-PGF2α showed a reduction of 18% and 17%, respectively. FMD changed from 4.78% ± 2.27 at baseline to 10.6% ± 5.89 at 12 weeks (p Conclusions Small dense LDL reduction (assessed by LDL score) is related to changes in oxidation markers and endothelial function in patients with FH treated with PCSK-9i.
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“A major product of lipid peroxidation, 8-iso-prostaglandin F2α (8-iso-PGF2α), serves as a stable biomarker of lipid peroxidation.It is formed through ROS-induced peroxidation of arachidonic acid, a key polyunsaturated fatty acid in cell membranes.Elevated levels of 8-iso-PGF2α in plasma or urine indicate significant oxidative damage to lipids and elevated systemic oxidative stress (Di Minno et al”
From Airborne microplastic exposure and urinary oxidative damage biomarkers in populations living in traffic-congested areas (2026) · cites this paper as Di Minno et al., 2020
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Zulkapli, R., Muid, S. A., Wang, S. M., & Nawawi, H. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24065098 · Cited by 27
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Metadata
- Authors
- Di Minno, A., Gentile, M., Iannuzzo, G., Calcaterra, I., Tripaldella, M., Porro, B., Cavalca, V., Di Taranto, M. D., Tremoli, E., Fortunato, G., Rubba, P. O. F., & Di Minno, M. N. D.
- Venue
- Thrombosis Research
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 194
- Pages
- 229-236
- ISSN
- 0049-3848
- Cited by
- 45
- References
- 4
- Language
- en
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