Low-density
lipoprotein cholesterol (LDL-C) is usually considered as a “bad
cholesterol” for it is one of the major risk factors for coronary
heart disease. As a scavenger of LDL-C, the low density lipoprotein
receptor (LDLR) binds with LDL-C in the liver. However, the protein
levels and function of LDLR are regulated by Proprotein convertase
subtilisin/kexin type 9 (PCSK9). Loss of PCSK9 induces the increase
of LDLR levels and reduction of plasma LDL-C. Here, we developed a
novel style of artificial platelets with biomimetic properties, high
stability, and long circulation which enabled the efficient delivery
of siRNA targeting Pcsk9. The bioinspired nanoparticles induced Pcsk9
mRNA reduction by 66% in vitro. For in vivo studies,
the nanoparticles accumulated in the liver to reduce Pcsk9 transcription,
which results in ∼28% reduction in plasma LDL-C concentrations
with negligible effects on either high density lipoprotein cholesterol
(HDL-C) or triglycerides (TGs). These results demonstrated the use
of artificial platelets to deliver siRNA and induce effective RNAi
therapeutics to specifically lower LDL-C which provides a potential
strategy to lower PCSK9 and treat hypercholesterolemia.
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