GalNAc-conjugated siRNA targeting C/EBPβ reverses metabolic dysfunction and restores liver homeostasis in a murine

Shirin Elizabeth Khorsandi1,2,3, Daniel Vasconcelos1,4, Roman Nicholas1

  • 1Department of Surgery and Cancer, Imperial College London, London W12 0NN, UK.

Insights

GalNAc-conjugated siRNA targeting CCAAT/enhancer-binding protein beta (C/EBPβ) effectively treats metabolic dysfunction-associated steatotic liver disease (MASLD) in mice. This novel RNAi therapy improves liver function and metabolic health, offering potential for clinical translation.

Area of Science:

  • Hepatology
  • RNA Therapeutics
  • Metabolic Diseases

Background:

  • CCAAT/enhancer-binding protein beta (C/EBPβ) is a key regulator of liver metabolism, inflammation, and fibrosis.
  • C/EBPβ is an underexploited therapeutic target for metabolic dysfunction-associated steatotic liver disease (MASLD).

Purpose of the Study:

  • To evaluate the efficacy of GalNAc-conjugated small interfering RNA (siRNA) targeting C/EBPβ (GalNAc-siCEBPβ) in a high-fat diet (HFD)-induced murine model of MASLD.
  • To assess the impact of GalNAc-siCEBPβ on liver steatosis, metabolic parameters, liver function, and potential hepatotoxicity.

Main Methods:

  • In vitro validation of GalNAc-siCEBPβ for dose-dependent C/EBPβ mRNA knockdown in primary mouse hepatocytes.
  • In vivo subcutaneous administration of GalNAc-siCEBPβ (10 mg/kg) in HFD-fed mice.
  • Assessment of hepatic C/EBPβ expression, liver steatosis, body weight, glucose levels, triglyceride levels, albumin, bilirubin, ALT, and AST.

Main Results:

  • GalNAc-siCEBPβ achieved significant C/EBPβ mRNA knockdown in vitro (∼80% at 0.1 μM).
  • In vivo treatment reduced hepatic C/EBPβ expression by 45% (p < 0.01), decreased liver steatosis, and improved metabolic profile (reduced weight gain, glucose, and triglycerides).
  • Restored liver function (increased albumin, decreased bilirubin) without inducing hepatotoxicity (unchanged ALT/AST) despite continued HFD feeding.

Conclusions:

  • GalNAc-siCEBPβ demonstrates significant therapeutic potential for MASLD by targeting C/EBPβ.
  • This RNAi-based approach improves liver health and metabolic parameters, addressing limitations of current MASLD therapies.
  • The findings support the clinical translation of GalNAc-siCEBPβ for MASLD and associated complications like hepatocellular carcinoma.

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