RT Journal Article SR Electronic T1 A compound that directly and selectively stalls PCSK9 translation JF bioRxiv FD Cold Spring Harbor Laboratory SP 083097 DO 10.1101/083097 A1 Nathanael G. Lintner A1 Kim F. McClure A1 Donna Petersen A1 Allyn T. Londregan A1 David W. Piotrowski A1 Liuqing Wei A1 Jun Xiao A1 Michael Bolt A1 Paula M. Loria A1 Bruce Maguire A1 Kieran F. Geoghegan A1 Austin Huang A1 Tim Rolph A1 Spiros Liras A1 Jennifer A. Doudna A1 Robert G. Dullea A1 Jamie H.D. Cate YR 2016 UL http://biorxiv.org/content/early/2016/10/25/083097.abstract AB Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) plays a key role in regulating the levels of plasma low density lipoprotein cholesterol (LDL-C). Here we demonstrate that the compound PF-06446846 inhibits translation of PCSK9 by inducing the ribosome to stall around codon 34, mediated by the sequence of the nascent chain within the exit tunnel. We further show that PF-06446846 reduces plasma PCSK9 and total cholesterol levels in rats following oral dosing. Using ribosome profiling, we demonstrate that PF-06446846 is highly selective for the inhibition of PCSK9 translation. The mechanism of action employed by PF-06446846 reveals a previously unexpected tunability of the human ribosome, which allows small molecules to specifically block translation of individual transcripts.One Sentence Summary A small-molecule PCSK9 inhibitor targets the human ribosome and selectively prevents PCSK9 synthesis.