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Global Translational Medicine                                       GalNAc AGT ASO reduce atherosclerosis




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            Figure 3. Effects of hepatocyte-specific antisense oligonucleotides of angiotensinogen (AGT) versus losartan on AGT protein and mRNA. (A) Experimental
            protocol for a single dose of GalNAc AGT ASO injection in male C57BL/6J mice. Plasma AGT concentrations were measured using an enzyme-linked
            immunosorbent assay (ELISA) kit; N = 5. (B) Experimental protocol of GalNAc AGT ASO and losartan comparisons. (C) Plasma AGT concentrations; N
            = 10 per group. (D) Quantitative polymerase chain reaction of liver AGT mRNA; N = 6 per group.
            GalNAc  AGT  ASO:  N-acetylgalactosamine-conjugated  antisense  oligonucleotides  targeting  angiotensinogen;  PBS:  Phosphate-buffered  saline;
            SQ: Subcutaneous.


            contrast, both drugs equivalently reduced atherosclerotic   4. Discussion
            lesion areas (Figure 4D and E).
                                                               This study demonstrated that GalNAc AGT ASO reduced
              Neither drug increased plasma ALT or AST         systolic BP and atherosclerosis in LDL receptor mice
                                                                                                        -/- 
            concentrations (Supplementary File, Figure S1), indicating   fed a Western diet. The effects of GalNAc AGT ASO
            that GalNAc AGT ASO and losartan do not cause liver   5  mg/kg were more pronounced in reducing systolic BP
            damage.  Consistent  with  observations  in  the  first  study   than losartan (15  mg/kg/day). This is likely because this
            (Figure  2), GalNAc AGT ASO reduced liver weight and   ASO dose induced a greater degree of renin-angiotensin
            lipid accumulation in the liver (Figure  5). Compared to   blockade, reflected by the higher renin increase observed
            the vehicle group, losartan did not affect liver weight, nor   after administering GalNAc AGT ASO compared to
            reduced the total cholesterol, triglycerides, or the severity of   losartan. Of note, the effects of both drugs on atherosclerosis
            neutral lipid accumulation in the liver (Figure 5).  were not different. Although high BP is an independent



            Volume 2 Issue 1 (2023)                         6                         https://doi.org/10.36922/gtm.288
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