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Author response: MicroRNA-26b protects against MASH development in mice and can be efficiently targeted with lipid nanoparticles

Abstract

Fatty liver disease is a condition characterized by the abnormal accumulation of fat in the liver. In certain cases, the fatty build-up can lead to inflammation and, in time, scarring. This advanced stage is known as MASH (short for metabolic dysfunction-associated steatohepatitis), and it can increase the risk of liver failure, cancer, and other complications. Yet the underlying mechanisms that initiate inflammation and thereby drive the disease are still poorly understood. Identifying the molecular factors contributing to this transition could aid in discovering new treatment targets. To explore this question, Peters et al. focus on microRNA-26b, a small molecule involved in many heart and metabolic diseases that helps regulate gene expression. They aimed to clarify the role of microRNA-26b in MASH using mice genetically manipulated to lack this regulatory molecule. The experiments revealed that the animals had larger amounts of fat in their livers, with the organs also showing clear signs of scarring and increased inflammation – including high levels of inflammatory signalling molecules and the presence of immune cells known as macrophages. Peters et al. then treated the animals with specially designed compounds that can act as microRNA-26b. The molecules were safely delivered to the liver within tiny fat-based spheres known as lipid nanoparticles. Following such treatment, the mice showed decreased levels of liver fat and inflammation. The anti-inflammatory effect of the microRNA-26b ‘mimics’ was also confirmed in human liver samples. Together, these results show that microRNA-26b plays a protective role in the development of MASH. Future research should focus on confirming whether these molecules could represent a viable therapeutic treatment, in particular when delivered within lipid-based nanoparticles.

Authors 24

  1. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  2. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  3. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  4. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  5. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  6. Cheng Lin Aachen

    RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  7. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  8. University of Groningen

    Affiliation as printed

    University of Groningen

  9. University of Groningen

    Affiliation as printed

    University of Groningen

  10. Maastricht University

    Affiliation as printed

    Maastricht University

  11. Maastricht University

    Affiliation as printed

    Maastricht University

  12. University of Groningen

    Affiliation as printed

    University of Groningen

  13. Medical University of Vienna

    Affiliation as printed

    Medical University Vienna

  14. Saarland University

    Affiliation as printed

    Saarland University

  15. Saarland University

    Affiliation as printed

    Saarland University

  16. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  17. Ludwig-Maximilians-Universität München

    Affiliation as printed

    Ludwig-Maximilians-Universität München

  18. Ludwig-Maximilians-Universität München

    Affiliation as printed

    Ludwig Maximilian University of Munich

  19. Maastricht University Medical Centre

    Affiliation as printed

    Maastricht University Medical Centre

  20. Maastricht University

    Affiliation as printed

    Maastricht University

  21. Maastricht University Medical Centre

    Affiliation as printed

    Maastricht University Medical Centre

  22. University of Bern

    Affiliation as printed

    University of Bern

  23. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

  24. RWTH Aachen University

    Affiliation as printed

    RWTH Aachen University

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