Authors :
Zeba Sultana; Shaik Nikhath Faheem
Volume/Issue :
Volume 9 - 2024, Issue 5 - May
Google Scholar :
https://tinyurl.com/2yyf9dn5
Scribd :
https://tinyurl.com/46meb6y3
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAY510
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Blood pressure, which includes ischemic heart
disease, stroke, and chronic kidney disease, is the leading
preventable cause of death from cardiovascular illnesses
on a global scale. Worldwide, arterial hypertension ranks
first among cardiovascular diseases (CVDs) and has done
so for a long time. One of the first drugs to target
hypertension using small interfering RNA (siRNA)
technology is zilebesiran. Zilebesiran, an RNA
interference therapy drug now in development, binds
strongly to the hepatic asialoglycoprotein receptor. A
therapeutic target for hypertension, it aims to decrease
angiotensinogen production by measuring hepatic
angiotensinogen messenger RNA (mRNA) quantities.
Zilebesiran is a novel, ground-breaking siRNA therapy
for the treatment of hypertension that is now in the second
stage of clinical studies. How much of it crosses the
placenta and whether it might be utilized to treat
preeclampsia should be addressed in future research.
Keywords :
Zilebesiran, Cardiovascular diseases, Renin- angiotensin-aldosterone system, N-acetylgalactosamine (GalNAc), Angiotensinogen (AGT).
References :
- Ranasinghe, P., Addison, M. L., & Webb, D. J. (2022). Small interfering RNA therapeutics in hypertension: A viewpoint on vasopressor and vasopressor‐sparing strategies for counteracting blood pressure lowering by angiotensinogen–targeting small interfering RNA. Journal of the American Heart Association, 11(20).
- Wang, G., Grosse, S. D., & Schooley, M. W. (2017). Conducting research on the economics of hypertension to improve cardiovascular health. American Journal of Preventive Medicine, 53(6), S115–S117.
- Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J., Chalmers, J., Rodgers, A., & Rahimi, K. (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet, 387(10022), 957–967.
- Srikanth, S., Mondal, A., Aggarwal, S., Naga Ruthvika Alle, O., Parth, R., Nayak, A., & Vyas, R. (2024). Key hypertension breakthroughs and emerging trends from the AHA’s scientific sessions. Current Problems in Cardiology, 49.
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- Ampofo, A. G., & Boateng, E. B. (2020). Beyond 2020: Modelling obesity and diabetes prevalence. Diabetes Research and Clinical Practice, 167(108362), 108362.
- Sarzani, R., Spannella, F., Pentima, C. D., Giulietti, F., Landolfo, M., & Allevi, M. (2024). Molecular Therapies in Cardiovascular Diseases: Small Interfering RNA in Atherosclerosis, Heart Failure, and Hypertension. International Journal of Molecular Sciences, 25(1).
- Ye, D., Edwyn, O., Cruz-López, H.-C., Tu, I., & Zlatev, A. H. (2023). Targeting Angiotensinogen With N -Acetylgalactosamine-Conjugated Small Interfering RNA to Reduce Blood Pressure. Arteriosclerosis, Thrombosis, and Vascular Biology, 43, 2256–2264.
- Addison, M. L., Ranasinghe, P., & Webb, D. J. (2023). Emerging insights and future prospects for therapeutic application of siRNA targeting angiotensinogen in hypertension. Expert Review of Clinical Pharmacology, 1–9.
- Liuzzo, G., & Volpe, M. (2023). Silencing liver angiotensinogen synthesis as a novel approach to hypertension management: promises and challenges. European Heart Journal, 44(40), 4217–4219.
- Touyz Rhian, M. (2023). Silencing Angiotensinogen in Hypertension. N Engl J Med, 389, 278–281.
- Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., Barengo, N. C., Beaton, A. Z., Benjamin, E. J., Benziger, C. P., Bonny, A., Brauer, M., Brodmann, M., Cahill, T. J., Carapetis, J., Catapano, A. L., Chugh, S. S., Cooper, L. T., Coresh, J., … Fuster, V. (2020). Global burden of cardiovascular diseases and risk factors, 1990–2019. Journal of the American College of Cardiology, 76(25), 2982–3021.
- Choudhry, N. K., Kronish, I. M., Vongpatanasin, W., Ferdinand, K. C., Pavlik, V. N., Egan, B. M., Schoenthaler, A., Houston Miller, N., Hyman, D. J., & on behalf of the American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology. (2022). Medication adherence and blood pressure control: A scientific statement from the American heart association. Hypertension, 79(1).
- Desai, A. S., Webb, D. J., Taubel, J., Casey, S., Cheng, Y., Robbie, G. J., Foster, D., Huang, S. A., Rhyee, S., Sweetser, M. T., & Bakris, G. L. (2023). Zilebesiran, an RNA interference therapeutic agent for hypertension. The New England Journal of Medicine, 389(3), 228–238.
- Huang, S. A., Taubel, J., Fiore, G., Dewland, P., Bakris, G. L., Desai, A. S., Cheng, Y., Agarwal, S., Harrop, J., Nguyen, H. V., Lu, J., Foster, D., Vaishnaw, A., & Kim, J. B. (2020). Abstract 14387: Dose-related reductions in blood pressure with a RNA interference (RNAi) therapeutic targeting angiotensinogen in hypertensive patients: Interim results from a first-in-human phase 1 study of ALN-AGT01. Circulation, 142(Suppl_3).
- Desai, A. S., Webb, D. J., Taubel, J., Casey, S., Cheng, Y., Robbie, G. J., Foster, D., Huang, S. A., Rhyee, S., Sweetser, M. T., & Bakris, G. L. (2023b). Zilebesiran, an RNA interference therapeutic agent for hypertension. The New England Journal of Medicine, 389(3), 228–238.
- Braunwald, E. (2023). Inhibition of angiotensinogen in the treatment of hypertension. European Heart Journal.
- Povlsen, A. L., Grimm, D., Wehland, M., Infanger, M., & Krüger, M. (2020). The vasoactive Mas receptor in essential hypertension. Journal of Clinical Medicine, 9(1), 267.
Blood pressure, which includes ischemic heart
disease, stroke, and chronic kidney disease, is the leading
preventable cause of death from cardiovascular illnesses
on a global scale. Worldwide, arterial hypertension ranks
first among cardiovascular diseases (CVDs) and has done
so for a long time. One of the first drugs to target
hypertension using small interfering RNA (siRNA)
technology is zilebesiran. Zilebesiran, an RNA
interference therapy drug now in development, binds
strongly to the hepatic asialoglycoprotein receptor. A
therapeutic target for hypertension, it aims to decrease
angiotensinogen production by measuring hepatic
angiotensinogen messenger RNA (mRNA) quantities.
Zilebesiran is a novel, ground-breaking siRNA therapy
for the treatment of hypertension that is now in the second
stage of clinical studies. How much of it crosses the
placenta and whether it might be utilized to treat
preeclampsia should be addressed in future research.
Keywords :
Zilebesiran, Cardiovascular diseases, Renin- angiotensin-aldosterone system, N-acetylgalactosamine (GalNAc), Angiotensinogen (AGT).