The present application provides an
RNA inhibitor or a pharmaceutically acceptable salt thereof that inhibits the expression of the LPA
gene. The
RNA inhibitor is formed by base
pairing between a
sense strand and an antisense strand having a
chain length of 15-30, preferably 19-23, and at least 85% of the bases of the
sense strand and the antisense strand are complementary. The -OH at the 2'-position of the
glycosyl nucleotides of some or all of the
sense strand and / or the antisense strand may be substituted with a
fluorine or methoxy group, and the
phosphate ester bond between three adjacent nucleotides at at least one end of the sense strand and / or the antisense strand may be thiolated. The structure of the
RNA inhibitor may further include carrier structures 5'MVIP and 3'MVIP. The RNA inhibitor provided herein interferes with the translation template function of LPA mRNA, efficiently and continuously inhibits the expression of the LPA
gene, and can be used to treat and / or prevent diseases associated with elevated levels of LPA(a).