Effects of PCSK9 inhibitors on HDL cholesterol efflux and serum cholesterol loading capacity in familial hypercholesterolemia subjects: a multi-lipid-center real-world evaluation.

PCSK9 inhibitors cardiovascular risk cholesterol efflux capacity cholesterol loading capacity familial hypercholesterolemia

Journal

Frontiers in molecular biosciences
ISSN: 2296-889X
Titre abrégé: Front Mol Biosci
Pays: Switzerland
ID NLM: 101653173

Informations de publication

Date de publication:
2022
Historique:
received: 21 04 2022
accepted: 27 06 2022
entrez: 5 8 2022
pubmed: 6 8 2022
medline: 6 8 2022
Statut: epublish

Résumé

Proprotein convertase subtilisin/kexin type 9 (PCSK9), beyond regulating LDL cholesterol (LDL-c) plasma levels, exerts several pleiotropic effects by modulating lipid metabolism in extrahepatic cells such as macrophages. Macrophage cholesterol homeostasis depends on serum lipoprotein functions, including the HDL capacity to promote cell cholesterol efflux (CEC) and the serum capacity to promote cell cholesterol loading (CLC). The aim of this observational study was to investigate the effect of PCSK9 inhibitors (PCSK9-i) treatment on HDL-CEC and serum CLC in patients with familial hypercholesterolemia (FH). 31 genetically confirmed FH patients were recruited. Blood was collected and serum isolated at baseline and after 6 months of PCSK9-i treatment. HDL-CEC was evaluated through the main pathways with a radioisotopic cell-based assay. Serum CLC was assessed fluorimetrically in human THP-1 monocyte-derived macrophages. After treatment with PCSK9-i, total cholesterol and LDL-c significantly decreased (-41.6%,

Identifiants

pubmed: 35928226
doi: 10.3389/fmolb.2022.925587
pii: 925587
pmc: PMC9343790
doi:

Types de publication

Journal Article

Langues

eng

Pagination

925587

Informations de copyright

Copyright © 2022 Palumbo, Giammanco, Purrello, Pavanello, Mombelli, Di Pino, Piro, Cefalù, Calabresi, Averna, Bernini, Zimetti, Adorni and Scicali.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Marcella Palumbo (M)

Department of Food and Drug, University of Parma, Parma, Italy.

Antonina Giammanco (A)

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE)-University of Palermo, Palermo, Italy.

Francesco Purrello (F)

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Chiara Pavanello (C)

Centro E. Grossi Paoletti, Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milano, Italy.
Centro Dislipidemie, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Giuliana Mombelli (G)

Centro Dislipidemie, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Antonino Di Pino (A)

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Salvatore Piro (S)

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Angelo Baldassare Cefalù (AB)

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE)-University of Palermo, Palermo, Italy.

Laura Calabresi (L)

Centro E. Grossi Paoletti, Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milano, Italy.

Maurizio Averna (M)

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE)-University of Palermo, Palermo, Italy.

Franco Bernini (F)

Department of Food and Drug, University of Parma, Parma, Italy.

Francesca Zimetti (F)

Department of Food and Drug, University of Parma, Parma, Italy.

Maria Pia Adorni (MP)

Department of Medicine and Surgery, Unit of Neuroscience, University of Parma, Parma, Italy.

Roberto Scicali (R)

Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Classifications MeSH