Application of APOA5 inhibitor in prevention and treatment of PD-L1 high-expression liver diseases and screening of drugs for regulating liver immune inflammatory microenvironment homeostasis

By developing APOA5 inhibitors to regulate the expression and activity of APOA5, the treatment problem of acute liver injury in sepsis was solved, and the effect of reducing hepatic cell apoptosis and reducing inflammatory factors was achieved, providing a new treatment approach for liver injury in sepsis.

CN120478636APending Publication Date: 2025-08-15SHANGHAI CHILDRENS HOSPITAL
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Patent Information

Application Number
CN202510528359.4
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-04-25
Publication Date
2025-08-15

AI Technical Summary

Technical Problem

In the prior art, sepsis-related acute liver injury (SALI) in early stages of sepsis lacks effective treatment methods, and the application of anti-PD-L1 therapy in sepsis is challenging. Direct regulation of PD-L1 expression is complex and it is difficult to effectively alleviate liver injury caused by sepsis.

Method used

By developing APOA5 inhibitors, the expression, secretion and activity of APOA5 are reduced, and the expression of PD-L1 is reduced, especially in macrophages. APOA5 is used as an alternative pathway for PD-L1 inhibitors, and small-molecular compounds such as metformin or gene editing techniques such as CRISPR-Cas9 knock out the APOA5 gene to regulate the liver immune microenvironment.

Benefits of technology

Effectively reduce hepatocyte apoptosis, reduce the level of macrophage inflammatory factors, prolong the survival time of mice with acute liver injury in sepsis, and reduce liver damage, providing a potential therapeutic target for acute liver injury in sepsis, and replacing direct anti-PD-L1 treatment methods.

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Abstract

The invention discloses application of an APOA5 inhibitor in prevention and treatment of PD-L1 high expression liver diseases and screening of drugs for regulating liver immune inflammatory microenvironment homeostasis. The APOA5 inhibitor reduces and / or inhibits at least one of expression, secretion and activity of APOA5. The application finds that the expression level of PD-L1 (especially the expression level of macrophage PD-L1) is reduced by knocking down APOA5, and the APOA5 can be applied to reduction of liver cell apoptosis, reduction of the level of macrophage inflammatory factors and prevention and treatment of PD-L1 high-expression related diseases such as sepsis acute liver injury.
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