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Mechanistically, the rationale linking PCSK9 inhibition to cardiometabolic longevity rests on lipid-lowering and vascular aging pathways. Liu 2023 provided preclinical data showing that PCSK9 attenuates efferocytosis in endothelial cells, thereby promoting vascular aging, with experiments conducted in PCSK9 knockout mice and aging wild-type mice administered a PCSK9 inhibitor (Pep2-8, 10 µg/kg body weight over 2 weeks). Together, clinical RCT evidence from Wang 2022 and mechanistic human and preclinical studies from Liu 2023 suggest biological plausibility for PCSK9 inhibition attenuating vascular aging, though direct longevity endpoints remain sparse.

Evidence grade: exploratory

Contradiction status: none

Publication: 4753c82f-24d3-490c-8a23-6cc8d4194c24

Provenance: Derivation Web chain

Citation Support

  • source_1 Ma 2025
  • source_2 Schwartz 2021
  • source_3 Lehrke 2024
  • source_4 Imran 2023
  • source_5 Faraidy 2023

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