Apolipoprotein B knockdown by AAV-delivered shRNA lowers plasma cholesterol in mice

Annemart Koornneef1, Piotr Maczuga, Richard van Logtenstein

  • 1Department of Research and Development, Amsterdam Molecular Therapeutics, Amsterdam, The Netherlands. p.konstantinova@amtbiopharma.com

Insights

RNA interference targeting apolipoprotein B100 (ApoB) effectively reduced LDL-C in mice. This study demonstrates a promising RNAi-based gene therapy candidate for treating high cholesterol by lowering ApoB levels.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Gene Therapy

Background:

  • Elevated low-density lipoprotein cholesterol (LDL-C) is a primary risk factor for atherosclerotic cardiovascular disease.
  • Apolipoprotein B100 (ApoB) is the main structural protein of LDL-C, making it a key therapeutic target.

Purpose of the Study:

  • To develop and evaluate RNA interference (RNAi) using short hairpin RNAs (shRNAs) delivered via adeno-associated virus (AAV) to inhibit ApoB expression.
  • To assess the efficacy and safety of ApoB knockdown in reducing LDL-C levels in a mouse model.

Main Methods:

  • Screened 19 shRNAs targeting conserved ApoB mRNA sequences.
  • Utilized self-complementary AAV serotype 8 (scAAV8) for liver transduction in mice.
  • Administered varying doses of shApoB via AAV to assess dose-dependent effects.

Main Results:

  • Achieved robust, dose-dependent knockdown of ApoB mRNA and protein in the liver.
  • Observed significant reduction in serum total cholesterol and LDL-C levels.
  • Demonstrated specific reduction of LDL-C without affecting high-density lipoprotein cholesterol (HDL-C) levels in dyslipidemic mice.

Conclusions:

  • AAV-delivered shRNA targeting ApoB is a potent strategy for lowering LDL-C.
  • This approach shows promise as a gene therapy for hypercholesterolemia with manageable side effects like hepatic lipid accumulation.
  • Further development is warranted for clinical translation of this RNAi-based therapy.

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