Cyclic Polypeptides Inhibit PCSK9 to Reduce LDL Cholesterol
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Solution Overview
Problem
There is a need for compounds that inhibit the binding of PCSK9 to LDLR to treat or prevent hypercholesterolemia, as current methods do not effectively address the high levels of LDL cholesterol leading to cardiovascular diseases.
Innovation Solution
Cyclic polypeptide compounds are developed to inhibit the interaction between PCSK9 and the EGF-A domain of LDLR, reducing LDL cholesterol levels and treating hypercholesterolemia and associated diseases.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If current treatment methods are used for hypercholesterolemia, then LDL cholesterol levels remain high, but cardiovascular diseases progress
Solution Approach 1:
The patent introduces PCSK9 as an intermediary molecule that mediates the degradation of LDLR. By inhibiting PCSK9 with cyclic polypeptides, the harmful degradation of LDLR is blocked, thereby reducing LDL cholesterol levels without directly targeting LDLR itself. This intermediary approach resolves the contradiction by providing a new therapeutic target that indirectly controls LDL cholesterol.
Solution Approach 2:
The patent extracts and isolates the catalytic domain of PCSK9 as a specific therapeutic target. By focusing on this extracted portion of the PCSK9 protein, the invention develops targeted inhibitors that specifically block PCSK9's harmful function while leaving other physiological processes intact, thereby effectively reducing LDL cholesterol levels.
2Quantity of substance
If PCSK9 binds to LDLR, then LDLR is directed to lysosomes for degradation, but LDL cholesterol levels increase
Solution Approach 1:
The patent applies preliminary anti-action by developing cyclic polypeptide inhibitors that preemptively block PCSK9's binding to LDLR before degradation can occur. These inhibitors are designed to bind to PCSK9's catalytic domain in advance, preventing the harmful interaction between PCSK9 and LDLR, thereby maintaining LDLR stability and reducing LDL cholesterol levels.
3Quantity of substance
If inhibition compounds are administered, then LDL cholesterol levels decrease, but treatment complexity increases
Solution Approach 1:
The patent employs parameter changes by modifying the cyclic polypeptide structure to optimize its binding affinity and specificity for PCSK9. By adjusting parameters such as amino acid sequence, ring size, and stereochemistry, the invention achieves potent inhibition of PCSK9 with a relatively simple cyclic polypeptide structure, thereby effectively reducing LDL cholesterol levels without overly complex treatment regimens.
Data Source
AI summary
Provided herein are cyclic polypeptide compounds that can, e.g., bind specifically to human proprotein convertase subtilisin/kexin type 9 (PCSK9) and optionally also inhibit interaction between human PCSK9 and human low density lipoprotein receptor (LDLR), and pharmaceutical compositions comprising one or more of these compounds. Also provided are methods of reducing LDL cholesterol level in a subject in need thereof that include administering to the subject one or more of the cyclic polypeptide compounds or a pharmaceutical composition provided herein.


