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High-dose atorvastatin causes a rapid sustained increase in human serum PCSK9 and disrupts its correlation with LDL cholesterol
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Statin therapy increases hepatic Ldlr and plasma Pcsk9 activity, limiting its effect on LDL-cholesterol.
“Of note, statin therapy not only increases hepatic Ldlr, but also plasma Pcsk9 activity, thus limiting its effect on LDL-cholesterol.23”
From The Sirt1 activator SRT3025 provides atheroprotection in Apoe−/− mice by reducing hepatic Pcsk9 secretion and enhancing Ldlr expression (2015) · cites this paper as [23]
The Discussion says statins increase LDLR and PCSK9 gene expression, and reports increased circulating PCSK9 protein after atorvastatin treatment. It proposes that increased PCSK9 may explain the limited additional LDL-C lowering from higher statin doses, but explicitly calls that explanation unproven. The study measures PCSK9 protein levels, not plasma PCSK9 activity. (LLM, conf=0.88)
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Cites
Sequence Variations in PCSK9, Low LDL, and Protection against Coronary Heart Disease
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Schwartz, G. G., Bessac, L., Berdan, L. G., Bhatt, D. L., Bittner, V., Diaz, R., Goodman, S. G., Hanotin, C., Harrington, R. A., Jukema, J. W., et al. (2014) · American Heart Journal · doi:10.1016/j.ahj.2014.07.028 · Cited by 408
Effects of PCSK9 inhibition with alirocumab on lipoprotein metabolism in healthy humans
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Lipid lowering therapy and circulating PCSK9 concentration
Nozue, T. (2017) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.rv17012 · Cited by 127
Targeting PCSK9 for hypercholesterolemia
Norata, G. D., Tibolla, G., & Catapano, A. L. (2014) · Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev-pharmtox-011613-140025 · Cited by 127
Lammi, C., Bellumori, M., Cecchi, L., Bartolomei, M., Bollati, C., Clodoveo, M. L., Corbo, F., Arnoldi, A., & Mulinacci, N. (2020) · Nutrients · doi:10.3390/nu12061723 · Cited by 53
PCSK9 inhibition to reduce cardiovascular disease risk: recent findings from the biology of PCSK9
Tavori, H., Giunzioni, I., & Fazio, S. (2015) · Current Opinion in Endocrinology, Diabetes & Obesity · doi:10.1097/med.0000000000000137 · Cited by 30
Brouwers, M. C. G. J., Konrad, R. J., van Himbergen, T. M., Isaacs, A., Otokozawa, S., Troutt, J. S., Schaefer, E. J., van Greevenbroek, M. M. J., Stalenhoef, A. F. H., & de Graaf, J. (2013) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2012.11.008 · Cited by 24
Self-citationAlirocumab: PCSK9 inhibitor for LDL cholesterol reduction
Tavori, H., Melone, M., & Rashid, S. (2014) · Expert Review of Cardiovascular Therapy · doi:10.1586/14779072.2014.954551 · Cited by 21
Metadata
- Authors
- Welder, G., Zineh, I., Pacanowski, M. A., Troutt, J. S., Cao, G., & Konrad, R. J.
- Venue
- Journal of Lipid Research
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 51
- Issue
- 9
- Pages
- 2714-2721
- ISSN
- 0022-2275
- Cited by
- 227
- References
- 3
- Language
- en
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