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A proprotein convertase subtilisin/kexin type 9 neutralizing antibody reduces serum cholesterol in mice and nonhuman primates
Abstract
Proprotein convertase subtilisin/kexin type 9 (PCSK9) regulates serum LDL cholesterol (LDL-C) by interacting with the LDL receptor (LDLR) and is an attractive therapeutic target for LDL-C lowering. We have generated a neutralizing anti-PCSK9 antibody, mAb1, that binds to an epitope on PCSK9 adjacent to the region required for LDLR interaction. In vitro, mAb1 inhibits PCSK9 binding to the LDLR and attenuates PCSK9-mediated reduction in LDLR protein levels, thereby increasing LDL uptake. A combination of mAb1 with a statin increases LDLR levels in HepG2 cells more than either treatment alone. In wild-type mice, mAb1 increases hepatic LDLR protein levels ≈2-fold and lowers total serum cholesterol by up to 36%: this effect is not observed in LDLR −/− mice. In cynomolgus monkeys, a single injection of mAb1 reduces serum LDL-C by 80%, and a significant decrease is maintained for 10 days. We conclude that anti-PCSK9 antibodies may be effective therapeutics for treating hypercholesterolemia.
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Antibody-induced inhibition of Pcsk9 binding to Ldlr is currently investigated as a promising therapy to reduce plasma LDL-cholesterol and atherosclerosis in patients.
“Antibody-induced inhibition of Pcsk9 binding to Ldlr is currently investigated as a very promising therapy to reduce plasma LDL-cholesterol and atherosclerosis in patients.24,25”
From The Sirt1 activator SRT3025 provides atheroprotection in Apoe−/− mice by reducing hepatic Pcsk9 secretion and enhancing Ldlr expression (2015) · cites this paper as [24]
The Abstract reports that the antibody blocks PCSK9–LDLR binding and lowers LDL cholesterol in monkeys; the Discussion describes its potential as a treatment for patients. The study did not test the antibody in patients or show that it reduces atherosclerosis, so those parts of the claim go beyond this source. (LLM, conf=0.87)
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“All these mAbs bind to PCSK9, and sterically hindering the interaction with the EGF-A domain of LDLR, inhibit its degradation and improve hepatocyte capability to clear blood LDLs [144].”
Metadata
- Authors
- Chan, J. C. Y., Piper, D. E., Cao, Q., Liu, D., King, C., Wang, W., Tang, J., Liu, Q., Higbee, J., Xia, Z., Di, Y., Shetterly, S., Arimura, Z., Salomonis, H., Romanow, W. G., Thibault, S. T., Zhang, R., Cao, P., Yang, X.-P., Yu, T., Lu, M., Retter, M. W., Kwon, G., Henne, K., Pan, O., Tsai, M.-M., Fuchslocher, B., Yang, E., Zhou, L., Lee, K. J., Daris, M., Sheng, J., Wang, Y., Shen, W. D., Yeh, W.-C., Emery, M., Walker, N. P. C., Shan, B., Schwarz, M., & Jackson, S. M.
- Affiliations
- Departments of Metabolic Disorders,
- Molecular Structure,
- Department of Protein Science, Amgen Inc., Burnaby, British Columbia V5A 1V7, Canada;
- Department of Protein Science and
- Protein Science, and
- Departments of Pharmacokinetics and Drug Metabolism, Amgen Inc., Seattle, WA 98119
- Pharmacokinetics and Drug Metabolism, Amgen Inc., South San Francisco, CA 94080;
- Biostatistics and Epidemiology, Amgen Inc., Thousand Oaks, CA 91320; and
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2009-06-16
- Volume
- 106
- Issue
- 24
- Pages
- 9820-9825
- ISSN
- 0027-8424
- 1091-6490
- Cited by
- 371
- References
- 5
- Language
- en
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