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靶向递送 Stk25 反义寡核苷酸至肝细胞可保护小鼠免受非酒精性脂肪性肝病的影响。

Targeted Delivery of Stk25 Antisense Oligonucleotides to Hepatocytes Protects Mice Against Nonalcoholic Fatty Liver Disease.

机构信息

Lundberg Laboratory for Diabetes Research, Department of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Department of Hepato-Pancreato-Biliary Surgery, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

Cell Mol Gastroenterol Hepatol. 2019;7(3):597-618. doi: 10.1016/j.jcmgh.2018.12.004. Epub 2018 Dec 19.


DOI:10.1016/j.jcmgh.2018.12.004
PMID:30576769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6411916/
Abstract

BACKGROUND & AIMS: Nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) are emerging as leading causes of liver disease worldwide. Currently, no specific pharmacologic therapy is available for NAFLD/NASH, which has been recognized as one of the major unmet medical needs of the 21st century. Our recent studies in genetic mouse models, human cell lines, and well-characterized patient cohorts have identified serine/threonine protein kinase (STK)25 as a critical regulator of hepatic lipid partitioning and NAFLD/NASH. Here, we studied the metabolic benefit of liver-specific STK25 inhibitors on NAFLD development and progression in a mouse model of diet-induced obesity. METHODS: We developed a hepatocyte-specific triantennary N-acetylgalactosamine (GalNAc)-conjugated antisense oligonucleotide (ASO) targeting Stk25 and evaluated its effect on NAFLD features in mice after chronic exposure to dietary lipids. RESULTS: We found that systemic administration of hepatocyte-targeting GalNAc-Stk25 ASO in obese mice effectively ameliorated steatosis, inflammatory infiltration, hepatic stellate cell activation, nutritional fibrosis, and hepatocellular damage in the liver compared with mice treated with GalNAc-conjugated nontargeting ASO, without any systemic toxicity or local tolerability concerns. We also observed protection against high-fat-diet-induced hepatic oxidative stress and improved mitochondrial function with Stk25 ASO treatment in mice. Moreover, GalNAc-Stk25 ASO suppressed lipogenic gene expression and acetyl-CoA carboxylase protein abundance in the liver, providing insight into the molecular mechanisms underlying repression of hepatic steatosis. CONCLUSIONS: This study provides in vivo nonclinical proof-of-principle for the metabolic benefit of liver-specific inhibition of STK25 in the context of obesity and warrants future investigations to address the therapeutic potential of GalNAc-Stk25 ASO in the prevention and treatment of NAFLD.

摘要

背景与目的:非酒精性脂肪性肝病(NAFLD)和非酒精性脂肪性肝炎(NASH)正在成为全球范围内导致肝脏疾病的主要原因。目前,NAFLD/NASH 尚无特定的药物治疗方法,这已被认为是 21 世纪主要的未满足医疗需求之一。我们最近在遗传小鼠模型、人类细胞系和特征明确的患者队列中的研究发现,丝氨酸/苏氨酸蛋白激酶(STK)25 是肝脏脂质分配和 NAFLD/NASH 的关键调节因子。在这里,我们研究了肝特异性 STK25 抑制剂在饮食诱导肥胖的小鼠模型中对 NAFLD 发展和进展的代谢益处。

方法:我们开发了一种针对 Stk25 的肝细胞特异性三触角 N-乙酰半乳糖胺(GalNAc)缀合的反义寡核苷酸(ASO),并评估了其在慢性暴露于饮食脂质后对小鼠 NAFLD 特征的影响。

结果:我们发现,在肥胖小鼠中系统给予肝细胞靶向 GalNAc-Stk25 ASO 可有效改善肝脂肪变性、炎症浸润、肝星状细胞激活、营养性纤维化和肝细胞损伤,与用 GalNAc 缀合的非靶向 ASO 治疗的小鼠相比,没有任何全身毒性或局部耐受性问题。我们还观察到用 Stk25 ASO 治疗可防止高脂肪饮食引起的肝氧化应激和改善线粒体功能。此外,GalNAc-Stk25 ASO 抑制了肝脏中脂肪生成基因的表达和乙酰辅酶 A 羧化酶蛋白的丰度,为抑制肝脂肪变性的分子机制提供了见解。

结论:这项研究为肥胖背景下肝特异性抑制 STK25 的代谢益处提供了体内非临床初步证据,并需要进一步研究来解决 GalNAc-Stk25 ASO 在预防和治疗 NAFLD 中的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/7d54d9f719bb/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/0a9d7df3c83e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/912a0bbf39af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/a0c08564f27d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/a66f4092b784/gr3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/09b3b0a9f0af/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/8bc0a0f0c424/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/b5111f0a88f1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/62d44f992b2f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/468e12ccb274/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/e7741c539d8c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/c48cd6fde45a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/356f0a6ec621/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/436297aa83f2/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/7d54d9f719bb/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/0a9d7df3c83e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/912a0bbf39af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/a0c08564f27d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/a66f4092b784/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/6ef0f83e4f5f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/09b3b0a9f0af/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/8bc0a0f0c424/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/b5111f0a88f1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/62d44f992b2f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/468e12ccb274/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/e7741c539d8c/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/c48cd6fde45a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/356f0a6ec621/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/436297aa83f2/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5525/6411916/7d54d9f719bb/gr14.jpg

相似文献

[1]
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[2]
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[6]
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[7]
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[8]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
STK25 Regulates Cardiovascular Disease Progression in a Mouse Model of Hypercholesterolemia.

Arterioscler Thromb Vasc Biol. 2018-8

[2]
STK25 regulates oxidative capacity and metabolic efficiency in adipose tissue.

J Endocrinol. 2018-5-24

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Triggering and resolution of inflammation in NASH.

Nat Rev Gastroenterol Hepatol. 2018-6

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RNA-Targeted Therapeutics.

Cell Metab. 2018-4-3

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Serine/threonine protein kinase 25 antisense oligonucleotide treatment reverses glucose intolerance, insulin resistance, and nonalcoholic fatty liver disease in mice.

Hepatol Commun. 2017-11-20

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Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention.

Nat Rev Gastroenterol Hepatol. 2017-9-20

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