PURPOSE OF REVIEW: To summarize all available data on targeting angiotensinogen with RNA-based therapeutics as a new tool to combat cardiovascular diseases. RECENT FINDINGS: Liver-targeted, stable antisense oligonucleotides and small interfering RNA targeting angiotensinogen are now available, and may allow treatment with at most a few injections per year, thereby improving adherence. Promising results have been obtained in hypertensive animal models, as well as in rodent models of atherosclerosis, polycystic kidney disease and pulmonary fibrosis. The next step will be to evaluate the optimal degree of suppression, synergy with existing renin-angiotensin-aldosterone system blockers, and to determine harmful effects of suppressing angiotensinogen in the context of common comorbidities, such as heart failure and chronic kidney disease. SUMMARY: Targeting angiotensinogen with RNA-based therapeutics is a promising new tool to treat hypertension and diseases beyond. Their long-lasting effects are particularly exciting, and if translated to a clinical application of at most a few administrations per year, may help to eliminate nonadherence.

Additional Metadata
Keywords angiotensin, angiotensinogen, antisense oligonucleotides, drug adherence, renin, RNA interference
Persistent URL dx.doi.org/10.1097/MNH.0000000000000586, hdl.handle.net/1765/124346
Series VSNU Open Access deal
Journal Current Opinion in Nephrology & Hypertension
Organisation Department of Internal Medicine
Citation
Ren, L, Colafella, K.M.M. (Katrina M Mirabito), Bovée, D.M. (Dominique M.), Uijl, E, & Danser, A.H.J. (A H Jan). (2020). Targeting angiotensinogen with RNA-based therapeutics. Current Opinion in Nephrology & Hypertension, 29(2), 180–189. doi:10.1097/MNH.0000000000000586