PCSK9 Inhibitors - A New Hope for Dyslipidemia in HIV

Cardiol Rev. 2025 Mar-Apr;33(2):112-113. doi: 10.1097/CRD.0000000000000587. Epub 2023 Nov 29.

Abstract

Cardiovascular disease has become increasingly prevalent in the HIV population. Antiretroviral therapy and HIV itself independently increase the risk of dyslipidemia. While statins are currently the predominant therapy to treat dyslipidemia in HIV patients, drug-drug interactions and adverse drug events can limit their use. Proprotein convertase subtilisin/kexin type 9 inhibitors have shown promising results in preliminary trials by significantly reducing low density lipoprotein and other atherogenic lipid levels. They should be considered as an early intervention alongside statins in HIV patients with dyslipidemia.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Anticholesteremic Agents / therapeutic use
  • Dyslipidemias* / drug therapy
  • HIV Infections* / complications
  • HIV Infections* / drug therapy
  • Humans
  • PCSK9 Inhibitors*
  • Proprotein Convertase 9

Substances

  • PCSK9 Inhibitors
  • PCSK9 protein, human
  • Antibodies, Monoclonal, Humanized
  • Anticholesteremic Agents
  • evolocumab
  • Proprotein Convertase 9