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. 2022 Mar 24;13:20417314221088509. doi: 10.1177/20417314221088509

Figure 6.

Figure 6.

The effect of PCSK9 on atherosclerotic progression.116,160,161 Covered by inflammatory conditions, oxLDL and ROS at the plaque site, response cells (ECs, SMCs, and MAs) synthesize PCSK9, elevating SR (LOX-1, SRA, CD36) expression for more oxLDL intake, lowering ABCA1 and ABCG1 with decrease cholesterol outflow. Under this modulation, lipid-laden cells emerge as foam cells. Concomitantly, PCSK9 upregulates adhesion molecules VCAM-1 expression (more monocytes trafficking), and provokes macrophages to liberate inflammatory molecules (TNFα and IL-1β) based on TLR4/NF-κB pathway activation.