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10.1016/j.jhep.2015.11.002

http://scihub22266oqcxt.onion/10.1016/j.jhep.2015.11.002
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C4761314!4761314!26555271
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suck abstract from ncbi


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pmid26555271      J+Hepatol 2016 ; 64 (3): 699-707
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  • Liver Bid-suppression for treatment of fibrosis associated with nonalcoholic steatohepatitis #MMPMID26555271
  • Eguchi A; Mollerat Du Jeu XD; Johnson CD; Nektaria A; Feldstein AE
  • J Hepatol 2016[Mar]; 64 (3): 699-707 PMID26555271show ga
  • Background & Aims: Liver fibrosis is the most worrisome feature of Nonalcoholic Steatohepatitis (NASH). Growing evidence supports a link between hepatocyte apoptosis and liver fibrogenesis. Our aim was to determine the therapeutic efficacy and safety of liver Bid, a key pro-apoptotic molecule, suppression using RNA interference (RNAi) for the treatment of fibrosis. Methods: First, we optimized the delivery system for Bid siRNA in mice using ten different stealth RNAi siRNAs and two lipid formulations -Invivofectamine2.0 and a newly developed inviofectamine3.0 - that have been designed for high efficacy accumulation in the liver, assessed via real time PCR of Bid mRNA. Next, C57BL/6 mice were placed on a choline-deficient L-amino acid defined (CDAA) diet. After 19 wks of CDAA diet, a time-point that results in severe fibrotic-NASH, mice were injected with the selected Bid siRNA-Invivofectamine3.0 biweekly for three weeks. Additionally hepatocyte-specific Bid-deficient (Bid?hep) mice were placed on CDAA diet for 20 wks. Results: A maximum Bid knockdown was achieved at 1.5 mg/kg siRNA with inviofectamine3.0, whereas it was at 7 mg/kg with Invivofectamine2.0. In NASH mice, after 3 wks of treatment, BID protein was reduced to 10% and this was associated with an improvement in liver fibrosis and inflammation associated with a marked reduction in TUNEL-positive cells, caspase 3 activation, and a reduction in mitochondrial BAX and BAK. Bid?hep mice showed similar protection from fibrotic changes. Conclusion: Our data demonstrate that liver Bid suppression by RNAi technology, as well as hepatocyte-specific Bid-deficiency, improves liver fibrosis coupled with a reduction of inflammation in experimental NASH. These findings are consistent with existing evidence that hepatocyte apoptosis triggers HSC activation and liver fibrosis and suggest that Bid inhibition may be useful as an antifibrotic NASH therapy.
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