Evidence map›Paper›PMID 25474576›Full record

ArticlePloS one2014

Peptide-based anti-PCSK9 vaccines - an approach for long-term LDLc management.

Gergana Galabova, Sylvia Brunner, Gabriele Winsauer, Claudia Juno, Bettina Wanko, Andreas Mairhofer, Petra Lührs, Achim Schneeberger, Arne von Bonin, Frank Mattner and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
11.4field-weighted citation impact, top 1% of its field
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

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Biotechnology Approaches for the Treatment of Dyslipidemia.Cardiovascular drugs and therapy · 2021
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. Engineering chimeric PCSK9 for a vaccine against atherosclerosis.Molecular therapy. Methods & clinical development · 2025
    Article
  7. Mitigating atherosclerosis: Integrating vaccines with gene targets.American heart journal plus : cardiology research and practice · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. The evolving landscape of PCSK9 inhibition in cancer.European journal of pharmacology · 2023
    Review

10 more citing papers are in PubMed but not listed here.

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

12 authors at 1 institution in 1 country.

Gergana GalabovaAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Sylvia BrunnerAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Gabriele WinsauerAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Claudia JunoAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Bettina WankoAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Andreas MairhoferAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Petra LührsAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Achim SchneebergerAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Arne von BoninAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Frank MattnerAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Walter SchmidtAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
Guenther StafflerAFFiRiS AG, Karl-Farkas-Gasse 22, Vienna, 1030, Austria.
AFFiRiS (Austria) · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow Density Lipoprotein (LDL) hypercholesterolemia, and its associated cardiovascular diseases, are some of the leading causes of death worldwide. The ability of proprotein convertase subtilisin/kexin 9 (PCSK9) to modulate circulating LDL cholesterol (LDLc) concentrations made it a very attractive target for LDLc management. To date, the most advanced approaches for PCSK9 inhibition are monoclonal antibody (mAb) therapies. Although shown to lower LDLc significantly, mAbs face functional limitations because of their relatively short in vivo half-lives necessitating frequent administration. Here, we evaluated the long-term efficacy and safety of PCSK9-specific active vaccines in different preclinical models. METHODS AND FINDING: PCSK9 peptide-based vaccines were successfully selected by our proprietary technology. To test their efficacy, wild-type (wt) mice, Ldlr+/- mice, and rats were immunized with highly immunogenic vaccine candidates. Vaccines induced generation of high-affine PCSK9-specific antibodies in all species. Group mean total cholesterol (TC) concentration was reduced by up to 30%, and LDLc up to 50% in treated animals. Moreover, the PCSK9 vaccine-induced humoral immune response persisted for up to one year in mice, and reduced cholesterol levels significantly throughout the study. Finally, the vaccines were well tolerated in all species tested.

conclusionsPeptide-based anti-PCSK9 vaccines induce the generation of antibodies that are persistent, high-affine, and functional for up to one year. They are powerful and safe tools for long-term LDLc management, and thus may represent a novel therapeutic approach for the prevention and/or treatment of LDL hypercholesterolemia-related cardiovascular diseases in humans.

Indexed as

VaccinationAnimalsCholesterol, LDLFemaleHypercholesterolemiaMaleMice, 129 StrainMice, Inbred BALB CMice, Inbred C57BLMice, TransgenicProprotein Convertase 9Proprotein ConvertasesRats, WistarSerine EndopeptidasesVaccines, SubunitCholesterol, LDLPCSK9 protein, humanProprotein Convertase 9Proprotein ConvertasesSerine EndopeptidasesVaccines, Subunit

Identifiers

PMID25474576
PMCPMC4256444
OpenAlexW2056390664

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.