Dual-functional poly(disulfide) enables “Once-and-for-all” atherosclerosis therapy via precision hepatocyte base editing

May 29, 2026Biomaterials

A dual-action molecule enables precise liver cell gene editing for one-time atherosclerosis treatment

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Abstract

A single administration of a dual-functional poly(disulfide) resulted in durable editing of the ANGPTL-3 gene in a mouse model of atherosclerosis.

  • The poly(disulfide) facilitates hepatocyte-specific targeting through galactose ligands that bind to asialoglycoprotein receptors.
  • Direct cytosolic delivery of adenine base editors is achieved by bypassing endosomal entrapment via thiol-disulfide exchange.
  • One-dose treatment led to sustained reductions in low-density lipoprotein cholesterol levels.
  • Significant attenuation of plaque formation was observed following the single-dose treatment.
  • This method represents the first successful application of base editing for atherosclerosis prevention and treatment.

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