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Updated: Sep 7, 2025

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
RNA interference-based therapies for the control of atherosclerosis risk factors
Sanna Kettunen1, Anna-Kaisa Ruotsalainen1, Seppo Ylä-Herttuala1,2
1A.I. Virtanen Institute, University of Eastern Finland.
Purpose Of Review:
Atherosclerosis, characterized by lipid accumulation and chronic inflammation in the arterial wall, is the leading causes of death worldwide. The purpose of this article is to review the status of RNA interference (RNAi) based therapies in clinical trials for the treatment and prevention of atherosclerosis risk factors.
Recent Findings:
There is a growing interest on using RNAi technology for the control of atherosclerosis risk factors. Current clinical trials utilizing RNAi for atherosclerosis are targeting lipid metabolism regulating genes including proprotein convertase subtilisin/kexin 9, apolipoprotein C-III, lipoprotein (a) and angiopoietin-like protein 3. Currently, three RNAi-based drugs have been approved by U.S. Food and Drug Administration, but there are several therapies in clinical trials at the moment, and potentially entering the market in near future. In addition, recent preclinical studies on regulating vascular inflammation have shown promising results.
Summary:
In recent years, RNAi based technologies and therapies have been intensively developed for the treatment of atherosclerosis risk factors, such as hyperlipidemia and vascular inflammation. Multiple potential therapeutic targets have emerged, and many of the reported clinical trials have already been successful in plasma lipid lowering. The scope of RNAi therapies is well recognized and recent approvals are encouraging for the treatment of cardiovascular and metabolic disorders.
Insights
RNA interference (RNAi) therapies show promise for treating atherosclerosis by targeting lipid metabolism and inflammation. Several RNAi drugs are approved, with more in clinical trials for cardiovascular and metabolic disorders.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Pharmacology
Background:
- Atherosclerosis is a leading cause of global mortality, driven by arterial lipid accumulation and inflammation.
- RNA interference (RNAi) technology offers a novel therapeutic approach for managing atherosclerosis risk factors.
Purpose of the Study:
- To review the current status of RNA interference (RNAi) based therapies in clinical trials for atherosclerosis.
- To highlight the potential of RNAi in treating atherosclerosis risk factors like hyperlipidemia and vascular inflammation.
Main Methods:
- Review of current clinical trials investigating RNAi therapies for atherosclerosis.
- Analysis of preclinical studies focusing on RNAi for vascular inflammation control.
Main Results:
- RNAi therapies are targeting key genes in lipid metabolism, including PCSK9, ApoC-III, Lp(a), and ANGPTL3.
- Successful plasma lipid lowering has been observed in multiple clinical trials.
- Preclinical studies demonstrate promising results for RNAi in regulating vascular inflammation.
Conclusions:
- RNAi-based therapies are rapidly advancing for atherosclerosis treatment, with several drugs approved and more in development.
- The scope of RNAi therapies is expanding, offering encouraging prospects for cardiovascular and metabolic disorders.
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