Published online Feb 7, 2024. doi: 10.3748/wjg.v30.i5.471
Peer-review started: October 7, 2023
First decision: December 8, 2023
Revised: December 17, 2023
Accepted: January 12, 2024
Article in press: January 12, 2024
Published online: February 7, 2024
Processing time: 115 Days and 20.7 Hours
Primary sclerosing cholangitis (PSC) which may progress to cholangiocarcinoma is an idiopathic cholestatic disease and there is a very limited medical option to interfere with the course of PSC. Recombinant adeno-associated virus (rAAV) provides a prospective platform for gene therapy on such kinds of diseases. A microRNA (miRNA) let-7a has been reported to be associated with the progress of PSC but the potential therapeutic implication of inhibition of let-7a on PSC has not been evaluated.
To investigate the potential function and mechanisms of miRNA let-7a-5p transferred by rAAV8 in animal model of PSC.
To study the therapeutic effects of inhibition of let-7a-5p transferred by rAAV8 on a 3,5-Diethoxycarbonyl-1,4-Dihydrocollidine (DDC)-induced mouse model of sclerosing cholangitis.
A mouse model of sclerosing cholangitis was induced by 0.1% DDC feeding for 2 wk or 6 wk, and rAAV8-mediated anti-let-7a-5p sponges or scramble control was injected in vivo onset of DDC feeding. After sacrifice of the mice, the liver and the serum were collected from each mouse. The hepatobiliary injuries, hepatic inflammation was evaluated. The targets of let-7a-5p and downstream molecule NF-κB were detected using Western blot.
The reduced expression of let-7a-5p can alleviate hepato-biliary injuries indicated by serum markers, and prevent the proliferation of cholangiocytes and biliary fibrosis. Furthermore, inhibition of let-7a mediated by rAAV8 can increase the expression of potential target molecules such as SOCS1 and Dectin1, which consequently inhibition of NF-κB-mediated hepatic inflammation.
Our findings suggested that a rAAV8 vector designed for liver-specific inhibition of let-7a-5p can potently ameliorate symptoms in a xenobiotic-induced mouse model of sclerosing cholangitis, which provides a possible therapeutic strategy for PSC.
The present study demonstrates that the rAAV-mediated miRNAs strategy may provide a promising therapeutic opportunity for this debilitating and life-threatening disease.