Cadd4 potently induces PCSK9 degradation in arterial tissues, mitigates atherosclerotic progression and improves plaque composition via lipid-independent inhibition of the NF-κB/TNF-α pathway. These findings underscore the therapeutic promise of Cadd4 as a candidate for managing atherosclerotic cardiovascular disease.
He had been taking almonertinib for 26 months, hybutimibe for 3 months and alirocumab for 1 month prior to admission. Almonertinib is a moderately sensitive substrate of CYP3A4, thereby may elevate statin concentration and increase the likelihood of developing myopathy. For patients who need to take almonertinib and cholesterol-lowering drugs simultaneously, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors and cholesterol absorption inhibitors (such as ezetimibe and hybutimibe) can be considered instead of atorvastatin for the reduction of cardiovascular events.
2 months ago
Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)