摘要
前蛋白转化酶枯草溶菌素9(PCSK9)基因编码神经凋亡调节转化酶即NARC1,通过影响肝LDLR水平,在胆固醇代谢中发挥了重要的作用.其功能获得型突变使血浆胆固醇水平增高,而功能缺失型突变降低胆固醇水平.流行病学调查显示,高胆固醇血症是动脉粥样硬化和心脏病的主要危险因素.一些患者运用当前的降胆固醇药物治疗仍不能达到推荐的目标LDL水平,PCSK9作为新的降脂靶点引起了广泛的关注.本文将对PCSK9的结构、功能和药理学靶点进行综述.
Hypercholesterolemia is a major risk factor for atherosclerosis and heart disease. Current cholesterol-limiting therapies fail in some patients, where additional therapeutic targets are needed. PCSK9 encodes a pro-protein convertase subtitisin/kexin type 9a that plays an important role in cholesterol metabolism by the modulation of LDL receptor levels in the liver. Gain-of-function mutations of PCSK9 resulted in elevated levels of LDL-cholesterol in the plasma. Loss-of-function mutations led to high levels of the LDL receptor and low LDL-cholesterol. This review focuses on the structure, functions and pharmacological targets of PCSK9.
出处
《中国生物化学与分子生物学报》
CAS
CSCD
北大核心
2009年第11期991-996,共6页
Chinese Journal of Biochemistry and Molecular Biology
基金
国家自然科学基金资助项目(No.30700325)
湖南省应用基础研究计划重点项目(2008FJ2006)资助
湖南省高校科技创新团队支持计划资助~~
关键词
前蛋白转化酶枯草溶菌素9
高胆固醇血症
药理学靶点
pro-protein convertase subtilisin/kexin 9 (PCSKg)
hypercholesterinemia
pharmacology target