Pablo Corral/LinkedIn
Nov 22, 2025, 17:16
Pablo Corral Shares Key Insights from the State-of-the-Art Review on PCSK9
Pablo Corral, Pharmacology Professor at FASTA University, Past President of Argentine Lipid Society, shared on LinkedIn:
”The discovery of PCSK9 as a pivotal point in the prevention of cardiovascular disease
Key Insights from the State-of-the-Art Review on PCSK9
A comprehensive review outlines how PCSK9 evolved from a genetic curiosity into a cornerstone of modern lipid-lowering therapy and ASCVD prevention:
- PCSK9 biology: By directing LDL receptors toward lysosomal degradation, PCSK9 is a critical regulator of circulating LDL-C levels and a direct determinant of atherogenic burden.
- Therapeutic impact: PCSK9 inhibition lowers LDL-C by 50–60% on top of statins, with consistent outcome benefits demonstrated in FOURIER and ODYSSEY.
- Long-term safety: Follow-up up to 8.4 years confirms safety even at very low LDL-C levels, with no signal for diabetes, neurocognitive events, or hemorrhagic stroke.
- Expanding modalities: Beyond monoclonal antibodies, new platforms include siRNA (inclisiran), adnectins (lerodalcibep), oral PCSK9 inhibitors (enlicitide, laroprovstat), and CRISPR base-editing — each aiming to improve potency, durability, and adherence.
- Clinical indications: Evidence supports use in secondary prevention, familial hypercholesterolemia, and selected high-risk primary prevention patients.
- Public health challenge: Despite strong evidence, <1% of eligible patients receive PCSK9 inhibitors due to cost and access barriers, underscoring the gap between science and implementation.”
Read the full article here.
Article: The discovery of PCSK9 as a pivotal point in the prevention of cardiovascular disease
Authors: Alexander C. Razavi, Michael D. Shapiro

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