Oligonucleotide Therapies for Nonalcoholic Steatohepatitis
Overview
Affiliations
Nonalcoholic steatohepatitis (NASH) represents a severe disease subtype of nonalcoholic fatty liver disease (NAFLD) that is thought to be highly associated with systemic metabolic abnormalities. It is characterized by a series of substantial liver damage, including hepatocellular steatosis, inflammation, and fibrosis. The end stage of NASH, in some cases, may result in cirrhosis and hepatocellular carcinoma (HCC). Nowadays a large number of investigations are actively under way to test various therapeutic strategies, including emerging oligonucleotide drugs (e.g., antisense oligonucleotide, small interfering RNA, microRNA, mimic/inhibitor RNA, and small activating RNA) that have shown high potential in treating this fatal liver disease. This article systematically reviews the pathogenesis of NASH/NAFLD, the promising druggable targets proven by current studies in chemical compounds or biological drug development, and the feasibility and limitations of oligonucleotide-based therapeutic approaches under clinical or pre-clinical studies.
Current Therapeutic Landscape for Metabolic Dysfunction-Associated Steatohepatitis.
Devasia A, Ramasamy A, Leo C Int J Mol Sci. 2025; 26(4).
PMID: 40004240 PMC: 11855529. DOI: 10.3390/ijms26041778.
Dileo E, Saba F, Parasiliti-Caprino M, Rosso C, Bugianesi E Nutrients. 2025; 17(3).
PMID: 39940335 PMC: 11821005. DOI: 10.3390/nu17030477.
Current Treatment Regimens and Promising Molecular Therapies for Chronic Hepatobiliary Diseases.
Durazzo M, Ferro A, Navarro-Tableros V, Gaido A, Fornengo P, Altruda F Biomolecules. 2025; 15(1).
PMID: 39858515 PMC: 11763965. DOI: 10.3390/biom15010121.
Recent Advances in miRNA-Based Therapy for MASLD/MASH and MASH-Associated HCC.
Carpi S, Daniele S, de Almeida J, Gabbia D Int J Mol Sci. 2024; 25(22).
PMID: 39596297 PMC: 11595301. DOI: 10.3390/ijms252212229.
Pathogenesis and research progress of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.
Shan G, Wan H, Zhang Y, Cheng J, Qiao D, Liu Y World J Hepatol. 2024; 16(10):1142-1150.
PMID: 39474575 PMC: 11514618. DOI: 10.4254/wjh.v16.i10.1142.