Evidence map›Paper›PMID 41064368›Full record

ArticleResearch (Washington, D.C.)2025

PCSK9 Promotes Atherosclerotic Plaque Instability by Inducing VSMC Ferroptosis through the YAP1-NUPR1 Axis.

Yuting Cui, Yanyu Chen, HengJuan Li, Weizheng Zhang, Xin Wang, Mengdie Xia, Ni Gan, Yating Zhou, Man Li, Huayu Zhang and 7 more

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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  3. Review
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  8. Research (Washington, D.C.) · 2026
    Article
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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

17 authors.

Yuting CuiInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.ORCID https://orcid.org/0000-0001-8191-7950
Yanyu ChenInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.ORCID https://orcid.org/0000-0002-5534-0083
HengJuan LiInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Weizheng ZhangThe Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha 410007, Hunan, China.
Xin WangDepartment of Metabolism and Endocrinology, the First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Mengdie XiaInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Ni GanInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Yating ZhouInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Man LiInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Huayu ZhangInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Qiong XiangInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Xi-Long ZhengDepartments of Biochemistry & Molecular Biology and Physiology & Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.
Gang FanDepartment of Urology, Shenzhen University Sixth Affiliated Hospital, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China.
Jing YangDepartment of Metabolism and Endocrinology, Shenzhen Nanshan People's Hospital, The Sixth Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518052, Guangdong, China.
Juan PengInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.
Xiaoyan DaiDepartment of Cardiovascular Medicine, the Second Affiliated Hospital, University of South China, Hengyang 421001, Hunan, China.
Zhihan TangInstitute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan Intern Scientific and Technological Cooperation Base of Arteriosclerotic Disease, School of Basic Medical Sciences, Hengyang Medical School, University of South China, Hengyang 421001, Hunan, China.ORCID https://orcid.org/0000-0001-7081-493X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis persists as a principal driver of global cardiovascular mortality and morbidity, and its sustained prevalence surge fuels the incidence of major adverse cardiovascular events (MACE). Plaque instability is a critical determinant of MACE, as fissure formation or rupture of vulnerable plaques can precipitate thromboembolic complications. In this study, we investigate a noncanonical role of proprotein convertase subtilisin/kexin type 9 (PCSK9) beyond its lipid regulatory function, focusing on its impact on vascular smooth muscle cells (VSMCs) in the context of plaque instability. Our results demonstrate that PCSK9 overactivity markedly promotes ferroptotic cell death in VSMCs, thereby exacerbating plaque vulnerability. Furthermore, we delineate the underlying mechanism: PCSK9 physically interacts with Yes-associated protein 1 and targets it for lysosomal degradation, which, in turn, suppresses the expression of nuclear protein 1. In conclusion, our findings unveil a novel role of PCSK9 in promoting plaque instability by driving ferroptosis in VSMCs, suggesting that targeting PCSK9 presents a potential avenue for plaque stabilization, thereby mitigating the incidence of major MACE.

Identifiers

PMID41064368
PMCPMC12501616

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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.