Novel therapeutic agents for lowering low density lipoprotein cholesterol

被引:23
作者
Joy, Tisha R. [1 ]
机构
[1] Univ Western Ontario, Schulich Sch Med & Dent, London, ON N6A 5K8, Canada
关键词
Anti-sense oligonucleotides; Apolipoprotein B; PCSK9; inhibitor; Thyromimetics; MTP inhibitor; TRIGLYCERIDE TRANSFER PROTEIN; INTESTINE-SPECIFIC INHIBITOR; HORMONE RECEPTOR-BETA; APOLIPOPROTEIN-B; LDL CHOLESTEROL; ANTISENSE OLIGONUCLEOTIDE; PLASMA-CHOLESTEROL; MTP INHIBITOR; SERUM-CHOLESTEROL; L-THYROXINE;
D O I
10.1016/j.pharmthera.2012.03.005
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Elevated low density lipoprotein cholesterol (LDL-C) levels have been associated with an increased risk for cardiovascular disease (CVD). Despite a 25-30% reduction in CVD risk with LDL-C reducing strategies, there is still a significant residual risk. Moreover, achieving target LDL-C values in individuals at high CVD risk is sometimes limited because of tolerability and/or efficacy. Thus, novel therapeutic agents are currently being developed to lower LDL-C levels further. This review will highlight some of these therapeutic agents including anti-sense oligonucleotides focused on apolipoprotein B, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, microsomal triglyceride transfer protein inhibitors, and thyromimetics. For each therapeutic class, an overview of the mechanism of action, pharmacokinetic data, and efficacy/safety evidence will be provided. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:31 / 43
页数:13
相关论文
共 83 条
[1]   Mutations in PCSK9 cause autosomal dominant hypercholesterolemia [J].
Abifadel, M ;
Varret, M ;
Rabès, JP ;
Allard, D ;
Ouguerram, K ;
Devillers, M ;
Cruaud, C ;
Benjannet, S ;
Wickham, L ;
Erlich, D ;
Derré, A ;
Villéger, L ;
Farnier, M ;
Beucler, I ;
Bruckert, E ;
Chambaz, J ;
Chanu, B ;
Lecerf, JM ;
Luc, G ;
Moulin, P ;
Weissenbach, J ;
Prat, A ;
Krempf, M ;
Junien, C ;
Seidah, NG ;
Boileau, C .
NATURE GENETICS, 2003, 34 (02) :154-156
[2]  
Aegerion Pharmaceuticals Inc, 2011, Q REP
[3]   JTT-130, a microsomal triglyceride transfer protein (MTP) inhibitor lowers plasma triglycerides and LDL cholesterol concentrations without increasing hepatic triglycerides in guinea pigs [J].
Aggarwal D. ;
West K.L. ;
Zern T.L. ;
Shrestha S. ;
Vergara-Jimenez M. ;
Fernandez M.L. .
BMC Cardiovascular Disorders, 5 (1)
[4]   Efficacy of apolipoprotein B synthesis inhibition in subjects with mild-to-moderate hyperlipidaemia [J].
Akdim, Fatima ;
Tribble, Diane L. ;
Flaim, JoAnn D. ;
Yu, Rosie ;
Su, John ;
Geary, Richard S. ;
Baker, Brenda F. ;
Fuhr, Rainard ;
Wedel, Mark K. ;
Kastelein, John J. P. .
EUROPEAN HEART JOURNAL, 2011, 32 (21) :2650-2659
[5]   Effect of Mipomersen, an Apolipoprotein B Synthesis Inhibitor, on Low-Density Lipoprotein Cholesterol in Patients With Familial Hypercholesterolemia [J].
Akdim, Fatima ;
Visser, Maartje E. ;
Tribble, Diane L. ;
Baker, Brenda F. ;
Stroes, Erik S. G. ;
Yu, Rosie ;
Flaim, Joann D. ;
Su, John ;
Stein, Evan A. ;
Kastelein, John J. P. .
AMERICAN JOURNAL OF CARDIOLOGY, 2010, 105 (10) :1413-1419
[6]   Efficacy and Safety of Mipomersen, an Antisense Inhibitor of Apolipoprotein B, in Hypercholesterolemic Subjects Receiving Stable Statin Therapy [J].
Akdim, Fatima ;
Stroes, Erik S. G. ;
Sijbrands, Eric J. G. ;
Tribble, Diane L. ;
Trip, Mieke D. ;
Jukema, J. Wouter ;
Flaim, JoAnn D. ;
Su, John ;
Yu, Rosie ;
Baker, Brenda F. ;
Wedel, Mark K. ;
Kastelein, John J. P. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (15) :1611-1618
[7]  
Alnylam Pharmaceuticals, 2012, ALN REP POS PREL CLI
[8]  
[Anonymous], 1972, Jama-Journal of the American Medical Association, V220, P996, DOI DOI 10.1001/JAMA.1972.03200070084015
[9]  
[Anonymous], 2011, SAFETY STUDY BMS 844
[10]  
[Anonymous], A Multiple Ascending Dose Phase I Study of SB 9200 in Treatment Naive Adults With Chronic Hepatitis C Infection