Evidence map›Paper›PMID 34440277›Full record

ArticleBiomedicines2021

Treatment with PCSK9 Inhibitors in Patients with Familial Hypercholesterolemia Lowers Plasma Levels of Platelet-Activating Factor and Its Precursors: A Combined Metabolomic and Lipidomic Approach.

Alessandro Di Minno, Roberta Clara Orsini, Mattia Chiesa, Viviana Cavalca, Ilenia Calcaterra, Maria Tripaldella, Andrea Anesi, Susanna Fiorelli, Sonia Eligini, Gualtiero I Colombo and 3 more

Abstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmacological insights intoFrontiers in pharmacology · 2025
    Pooled it
  2. Trial
  3. Article
  4. The Anti-Thrombotic Effects of PCSK9 Inhibitors.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  5. Review
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alessandro Di MinnoDipartimento di Farmacia, Università degli Studi di Napoli "Federico II", 80131 Napoli, Italy.ORCID 0000-0001-8084-9976
Roberta Clara OrsiniDipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli "Federico II", 80131 Napoli, Italy.
Mattia ChiesaBioinformatics and Artificial Intelligence Facility, Centro Cardiologico Monzino IRCCS, 38010 Milano, Italy.ORCID 0000-0001-7427-9954
Viviana CavalcaCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.
Ilenia CalcaterraDipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli "Federico II", 80131 Napoli, Italy.ORCID 0000-0001-8077-2809
Maria TripaldellaDipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli "Federico II", 80131 Napoli, Italy.
Andrea AnesiFondazione Edmund Mach Research and Innovation Centre, Food Quality and Nutrition Department, Via E. Mach, 1, 38010 S. Michele all' Adige, Italy.ORCID 0000-0002-9334-2610
Susanna FiorelliCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.
Sonia EliginiCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.ORCID 0000-0002-5507-6737
Gualtiero I ColomboCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.ORCID 0000-0002-7348-1939
Elena TremoliCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.
Benedetta PorroCentro Cardiologico Monzino, IRCCS, 38010 Milano, Italy.
Matteo Nicola Dario Di MinnoDipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli "Federico II", 80131 Napoli, Italy.ORCID 0000-0001-8059-3819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFamilial hypercholesterolemia (FH) is characterized by extremely high levels of circulating low-density lipoprotein cholesterol (LDL-C) and is caused by mutations of genes involved in LDL-C metabolism, including LDL receptor (LDLR), apolipoprotein B (APOB), or proprotein convertase subtilisin/Kexin type 9 (PCSK9). Accordingly, PCSK9 inhibitors (PCSK9i) are effective in LDL-C reduction. However, no data are available on the pleiotropic effect of PCSK9i. To this end, we performed an untargeted metabolomics approach to gather a global view on changes in metabolic pathways in patients receiving treatment with PCSK9i.

methodsTwenty-five FH patients starting treatment with PCSK-9i were evaluated by an untargeted metabolomics approach at baseline (before PCSK9i treatment) and after 12 weeks of treatment.

resultsAll the 25 FH subjects enrolled were on maximal tolerated lipid-lowering therapy prior to study entry. After a 12 week treatment with PCSK9i, we observed an expected significant reduction in LDL-cholesterol levels (from 201.0 ± 69.5 mg/dL to 103.0 ± 58.0 mg/dL,

conclusionsTaking advantage of untargeted metabolomics, we first provided evidence of concomitant reductions in inflammation and platelet activation metabolites in FH patients receiving a 12 week treatment with PCSK9i.

Indexed as

familial hypercholesterolemiaPCSK9untargeted metabolomics

Identifiers

PMID34440277
PMCPMC8391636

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.