[Monoclonal antibodies in cardiovascular diseases and metabolic disorders today].

Place des anticorps thérapeutiques dans les maladies cardiovasculaires et métaboliques aujourd’hui.

Journal

Medecine sciences : M/S
ISSN: 1958-5381
Titre abrégé: Med Sci (Paris)
Pays: France
ID NLM: 8710980

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 7 1 2020
pubmed: 7 1 2020
medline: 23 6 2020
Statut: ppublish

Résumé

The use of monoclonal antibodies in cardiovascular diseases and metabolic disorders is still in its infancy. Recent development of anti-PCSK9 monoclonal antibodies for the treatment of dyslipidemia and of patients in secondary prevention is a breakthrough in the field. Anti- PCSK9 antibodies significantly improved LDL cholesterol reduction in patients with familial hypercholesterolemia. These antibodies have also demonstrated a significant reduction of clinical events in patients with previously established atherosclerotic disease such as myocardial infarction, ischemia stroke or peripheral artery disease. Other targets are under investigation such as inflammatory cells and cytokines to reduce atherosclerosis or myocardial lesions following myocardial infarction. Place des anticorps thérapeutiques dans les maladies cardiovasculaires et métaboliques aujourd’hui. La place des anticorps thérapeutiques dans les maladies cardiovasculaires et métaboliques est encore modeste en 2019 en comparaison à leur incroyable développement dans d’autres champs pathologiques. Cependant, l’arrivée récente des anticorps anti-PCSK9 (proprotein convertase subtilisin/kexin de type 9) dans l’arsenal thérapeutique va probablement changer la donne. Ces anticorps permettent non seulement d’améliorer la prise en charge des patients porteurs d’hypercholestérolémie familiale mais également de réduire le risque de complications cliniques de l’athérosclérose en prévention secondaire après un infarctus du myocarde, une artériopathie périphérique ou un accident vasculaire cérébral ischémique. D’autres stratégies thérapeutiques sont en cours d’investigation, ciblant notamment des cellules et cytokines impliquées dans les réponses immuno-inflammatoires avec pour objectif de prévenir les complications de l’athérosclérose ou les lésions du myocarde au décours d’un infarctus.

Autres résumés

Type: Publisher (fre)
Place des anticorps thérapeutiques dans les maladies cardiovasculaires et métaboliques aujourd’hui.

Identifiants

pubmed: 31903910
doi: 10.1051/medsci/2019224
pii: msc190034
doi:

Substances chimiques

Antibodies, Monoclonal 0
PCSK9 protein, human EC 3.4.21.-
Proprotein Convertase 9 EC 3.4.21.-

Types de publication

Journal Article Review

Langues

fre

Sous-ensembles de citation

IM

Pagination

1014-1016

Informations de copyright

© 2019 médecine/sciences – Inserm.

Références

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Auteurs

Denis Angoulvant (D)

Service de cardiologie CHRU de Tours et EA4245, Loire Valley Cardiovascular collaboration et Labex MabImprove, Université de Tours, Tours, France.

Atul Pathak (A)

Unité d'hypertension artérielle, facteurs de risque et insuffisance cardiaque, Inserm U. 1048, Clinique Pasteur, Toulouse, France.

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Classifications MeSH