Hepatic stellate cells (HSCs) are the primary cell type responsible for liver fibrogenesis.
Transforming growth factor beta 1 (TGF-β1) and
platelet-derived growth factor (PDGF) are key profibrotic
cytokines that regulate HSC activation and proliferation with functional convergence. Dual RNA interference against their receptors may achieve
therapeutic effects. A novel RNAi strategy based on HSC-specific GFAP promoter-driven and lentiviral-expressed artificial
microRNAs (amiRNAs) was devised that consists of an microRNA-30a backbone and effective shRNAs against mouse Pdgfrβ and
Tgfbr2. Then, its antifibrotic efficacy was tested in primary and cultured HSCs and in mice affected with
carbon tetrachloride-induced hepatic
fibrosis. The study shows that amiRNA-mediated Pdgfrβ and
Tgfbr2 co-silencing inhibits HSC activation and proliferation. After recombinant lentiviral particles were delivered into the liver via tail-vein injection, therapeutic amiRNAs were preferentially expressed in HSCs and efficiently co-knocked down in situ
Tgfbr2 and Pdgfrβ expression, which correlates with downregulated expression of target or effector genes of their signaling, which include
Pai-1,
P70S6K, and D-
cyclins. amiRNA-based HSC-specific co-silencing of
Tgfbr2 and Pdgfrβ significantly suppressed hepatic expression of fibrotic markers α-Sma and Col1a1, extracellular matrix regulators
Mmps and Timp1, and phenotypically ameliorated
liver fibrosis, as indicated by reductions in serum
alanine aminotransferase activity,
collagen deposition, and α-Sma-positive staining. The findings provide proof of concept for the use of amiRNA-mediated co-silencing of two profibrogenic pathways in
liver fibrosis treatment and highlight the therapeutic potential of concatenated amiRNAs for gene therapy.