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[Inclisiran - a new era in lipid-lowering therapy].
Voevoda, M I; Gurevich, V S; Ezhov, M V; Sergienko, I V.
Afiliación
  • Voevoda MI; Federal Research Center of Fundamental and Translational Medicine, Novosibirsk.
  • Gurevich VS; Mechnikov North-Western State Medical University, St. Petersburg.
  • Ezhov MV; Chazov National Medical Research Center of Cardiology, Moscow.
  • Sergienko IV; Chazov National Medical Research Center of Cardiology, Moscow.
Kardiologiia ; 62(6): 57-62, 2022 Jun 30.
Article en Ru | MEDLINE | ID: mdl-35834343
Inclisiran is a novel hypolipidemic drug that inhibits synthesis of the PCSK9 protein through the process called RNA interference. Inclisiran is a double-stranded, modified RNA bound to the N-acetylgalactosamine (GalNAc) carbohydrate molecule, a ligand of the acialoglycoprotein receptor, that is expressed by hepatocytes. After entering hepatocytes, inclisiran cleaves matrix RNA and, thereby, reduces the PCSK9 protein synthesis. This, in turn, enhances the uptake of circulating low-density lipoproteins (LDL) by specific receptors on hepatocytes, thereby lowering LDL levels in circulation. Efficacy and safety of inclisiran for lowering LDL cholesterol (C) in blood and its effect on the risk of clinical complications of atherosclerosis have been studied in the ORION program that includes multiple clinical trials. According to results of this program, inclisiran effectively reduces both LDL-C levels and the incidence of cardiovascular complications in the absence of clinically significant adverse reactions. An important advantage of inclisiran compared with other lipid-lowering drugs is the administration schedule (twice a year), which allows a considerable improvement of patients' compliance with the treatment and also of the effectiveness of the hypolipidemic treatment.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proproteína Convertasa 9 / Anticolesterolemiantes Límite: Humans Idioma: Ru Revista: Kardiologiia Año: 2022 Tipo del documento: Article Pais de publicación: Rusia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proproteína Convertasa 9 / Anticolesterolemiantes Límite: Humans Idioma: Ru Revista: Kardiologiia Año: 2022 Tipo del documento: Article Pais de publicación: Rusia