Abstract

Synthetic oligonucleotide technologies are DNA or RNA based molecular compounds that are utilized to disrupt gene transcription or translation in target tissues or cells. Optimally, oligonucleotides are 10–30 base pairs in length, and mediate target gene suppression through directed sequence homology with messenger RNA (mRNA), leading to mRNA degradation. Examples of specific oligonucleotide technologies include antisense oligonucleotides (ASO), short hairpin RNAs (shRNA), and small interfering RNAs (siRNA). In vitro and in vivo studies that model obesity related disorders have demonstrated that oligonucleotide technologies can be implemented to improve the metabolism of cells and tissues, exemplified by improvements in fat utilization and hepatic insulin signaling, respectively. Oligonucleotide therapy has also been associated with reductions in lipid accumulation in both the liver and adipose tissue in models of diet-induced obesity. Recent advances in oligonucleotide technologies include the addition of chemical modifications such as N-acetylgalactosamine (GalNAc) conjugates that have been successful at achieving affinity for the liver, in turn improving specificity, and thus reducing off target effects. However, some challenges are still yet to be overcome relating to hepatic injury and off-target effects that have been reported with some compounds, including ASOs. In summary, oligonucleotide-based therapies are an effective tool to elucidate mechanistic insights into metabolic pathways and provide an attractive avenue for translational research into the clinic.

Highlights

  • Antisense Oligonucleotide Technology in Obesity class of therapeutics broadly known as synthetic oligonucleotides or oligo therapies

  • We will focus on the utilization of antisense oligonucleotides (ASO) in the setting of obesity and fatty liver disease as well as discuss the current limitations and challenges encountered with their usage for such a purpose

  • Hepatic injury was not assessed in mice, but in a cohort of Angptl8-ASO treated rats, which exhibited reduced hepatic steatosis and improved insulin sensitivity, no increase in plasma aspartate transaminase (AST) or alanine transaminase (ALT) levels was observed, a well known side effect of ASO administration (Burel et al, 2016), which is discussed further below

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Summary

Antisense Oligonucleotide Technologies to Combat Obesity and Fatty Liver Disease

Specialty section: This article was submitted to Lipid and Fatty Acid Research, a section of the journal Frontiers in Physiology. Synthetic oligonucleotide technologies are DNA or RNA based molecular compounds that are utilized to disrupt gene transcription or translation in target tissues or cells. In vitro and in vivo studies that model obesity related disorders have demonstrated that oligonucleotide technologies can be implemented to improve the metabolism of cells and tissues, exemplified by improvements in fat utilization and hepatic insulin signaling, respectively. Oligonucleotide therapy has been associated with reductions in lipid accumulation in both the liver and adipose tissue in models of diet-induced obesity. Some challenges are still yet to be overcome relating to hepatic injury and off-target effects that have been reported with some compounds, including ASOs. In summary, oligonucleotide-based therapies are an effective tool to elucidate mechanistic insights into metabolic pathways and provide an attractive avenue for translational research into the clinic

INTRODUCTION
LIVER DISEASE
CHALLENGES AND LIMITATIONS IN ASO STUDIES
Findings
FUTURE PERSPECTIVES
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