Low density lipoprotein cholesterol (LDL-C) is a pathogenic risk factor for atherosclerotic cardiovascular disease (ASCVD), so domestic and international guidelines recommend strict management of its level. Statins are the cornerstone of lipid-lowering therapy, however, some patients are still unable to achieve LDL-C target with moderate doses of statins. There is a 6% effect of statins, so combination with a novel lipid-lowering drugs is needed. Proprotein convertase chymotrypsin 9 (PCSK9) inhibitors are currently novel lipid-lowering drugs, which further reduce LDL-C levels in plasma by lowering the level or inhibiting the function of PCSK9 in vivo, thus playing a role in regulating blood lipids and reversing atherosclerotic plaques. The PCSK9 inhibitors currently used in clinical application in China include eloeu monoclonal antibody, aliskiren monoclonal antibody and inksilan, etc. This article briefly describes the classification of PCSK9 inhibitors and related clinical studies and summarizes the current research status of PCSK9 inhibitors in regulating blood lipids and affecting atherosclerotic plaques.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |