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AAV-FGF21 + SIRT1 is an experimental combination gene therapy developed by researchers at the Indian Institute of Technology Kanpur. It utilizes bioengineered "LiverLock" AAV vectors, which incorporate Neddylation-site modifications to enhance liver-specific delivery and expression of human fibroblast growth factor 21 (FGF21) and sirtuin 1 (SIRT1). This geroprotective approach is designed to counteract the progressive decline in organ function and the increased risk of metabolic disorders associated with aging. Preclinical studies in aged mouse models have demonstrated that a single systemic administration can significantly reduce obesity, improve glucose clearance, enhance muscle strength and endurance, and alleviate age-related complications such as hepatic steatosis and cardiac hypertrophy. The therapy works by upregulating longevity factors and improving mitochondrial biogenesis and quality control markers, including TFAM, PGC-1α, and Opa1.
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