Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis
Objectives. We aimed to investigate the effects of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor on blood lipid levels in patients with high and very-high cardiovascular risk. Design. 14 trials (n = 52,586 patients) comparing treatment with or without PCSK9 inhibitors were retrieve...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2022/8729003 |
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| _version_ | 1832554797595623424 |
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| author | Yue Zhang Yanrong Suo Lin Yang Xiaolu Zhang Qun Yu Miao Zeng Wenlan Zhang Xijuan Jiang Yijing Wang |
| author_facet | Yue Zhang Yanrong Suo Lin Yang Xiaolu Zhang Qun Yu Miao Zeng Wenlan Zhang Xijuan Jiang Yijing Wang |
| author_sort | Yue Zhang |
| collection | DOAJ |
| description | Objectives. We aimed to investigate the effects of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor on blood lipid levels in patients with high and very-high cardiovascular risk. Design. 14 trials (n = 52,586 patients) comparing treatment with or without PCSK9 inhibitors were retrieved from PubMed and Embase updated to 1st Jun 2021. The data quality of included studies was assessed by two independent researchers using the Cochrane systematic review method. All-cause mortality, cardiovascular mortality, and changes in serum low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), triglyceride (TG), apolipoprotein B (ApoB), lipoprotein (a) (LP (a)), non-high-density lipoprotein cholesterol (non-HDL-C), high-density lipoprotein cholesterol (HDL-C), and apolipoprotein A1 (ApoA1) from baseline were analyzed using Rev Man 5.1.0 software. Results. Compared with treatments without PCSK9 inhibitor, addition of PCSK9 inhibitors (evolocumab and alirocumab) had obvious decreasing effects on the levels of LDL-C [MD = −46.86, 95% CI (−54.99 to −38.72), P<0.00001], TC [MD = −31.92, 95% CI (−39.47 to −24.38), P<0.00001], TG [MD = −8.13, 95% CI (−10.48 to −5.79), P<0.00001], LP(a) [MD = −26.69, 95% CI (-27.93 to −25.44), P<0.00001], non-HDL-C [MD = −42.86, 95% CI (−45.81 to −39.92), P<0.00001], and ApoB [MD = −38.44, 95% CI (−42.23 to -34.65), P<0.00001] in high CVD risk patients. Conversely, changes of HDL-C [MD = 6.27, CI (5.17 to 7.36), P<0.00001] and ApoA1 [MD = 4.33, 95% CI (3.53 to 5.13), P<0.00001] from baseline were significantly more in high cardiovascular disease risk patients who received PCSK9 inhibitors treatment. Conclusion. Addition of PCSK9 inhibitors to standard therapy resulted in definite improvement in blood lipid levels compared with therapies that did not include them. |
| format | Article |
| id | doaj-art-cd09aeb26af443ba9a43d83ba3dda459 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-cd09aeb26af443ba9a43d83ba3dda4592025-02-03T05:50:31ZengWileyCardiology Research and Practice2090-05972022-01-01202210.1155/2022/8729003Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-AnalysisYue Zhang0Yanrong Suo1Lin Yang2Xiaolu Zhang3Qun Yu4Miao Zeng5Wenlan Zhang6Xijuan Jiang7Yijing Wang8School of Integrative MedicineTraditional Chinese Medicine DepartmentSchool of Integrative MedicineSchool of Integrative MedicineSchool of Integrative MedicineSchool of Integrative MedicineSchool of Integrative MedicineSchool of Integrative MedicineSchool of NursingObjectives. We aimed to investigate the effects of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor on blood lipid levels in patients with high and very-high cardiovascular risk. Design. 14 trials (n = 52,586 patients) comparing treatment with or without PCSK9 inhibitors were retrieved from PubMed and Embase updated to 1st Jun 2021. The data quality of included studies was assessed by two independent researchers using the Cochrane systematic review method. All-cause mortality, cardiovascular mortality, and changes in serum low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), triglyceride (TG), apolipoprotein B (ApoB), lipoprotein (a) (LP (a)), non-high-density lipoprotein cholesterol (non-HDL-C), high-density lipoprotein cholesterol (HDL-C), and apolipoprotein A1 (ApoA1) from baseline were analyzed using Rev Man 5.1.0 software. Results. Compared with treatments without PCSK9 inhibitor, addition of PCSK9 inhibitors (evolocumab and alirocumab) had obvious decreasing effects on the levels of LDL-C [MD = −46.86, 95% CI (−54.99 to −38.72), P<0.00001], TC [MD = −31.92, 95% CI (−39.47 to −24.38), P<0.00001], TG [MD = −8.13, 95% CI (−10.48 to −5.79), P<0.00001], LP(a) [MD = −26.69, 95% CI (-27.93 to −25.44), P<0.00001], non-HDL-C [MD = −42.86, 95% CI (−45.81 to −39.92), P<0.00001], and ApoB [MD = −38.44, 95% CI (−42.23 to -34.65), P<0.00001] in high CVD risk patients. Conversely, changes of HDL-C [MD = 6.27, CI (5.17 to 7.36), P<0.00001] and ApoA1 [MD = 4.33, 95% CI (3.53 to 5.13), P<0.00001] from baseline were significantly more in high cardiovascular disease risk patients who received PCSK9 inhibitors treatment. Conclusion. Addition of PCSK9 inhibitors to standard therapy resulted in definite improvement in blood lipid levels compared with therapies that did not include them.http://dx.doi.org/10.1155/2022/8729003 |
| spellingShingle | Yue Zhang Yanrong Suo Lin Yang Xiaolu Zhang Qun Yu Miao Zeng Wenlan Zhang Xijuan Jiang Yijing Wang Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis Cardiology Research and Practice |
| title | Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis |
| title_full | Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis |
| title_fullStr | Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis |
| title_short | Effect of PCSK9 Inhibitor on Blood Lipid Levels in Patients with High and Very-High CVD Risk: A Systematic Review and Meta-Analysis |
| title_sort | effect of pcsk9 inhibitor on blood lipid levels in patients with high and very high cvd risk a systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2022/8729003 |
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