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AAV-NFE2L1 is a preclinical, research-stage gene therapy designed to deliver the wild-type NFE2L1 (nuclear factor erythroid 2-related factor 1) gene using an adeno-associated viral (AAV) vector. Developed at the Harvard T.H. Chan School of Public Health, the therapy targets the hepatic NFE2L1/INSIG1 pathway, which acts as a control switch for cholesterol and lipid homeostasis in liver cells. In preclinical models of metabolic dysfunction-associated steatohepatitis (MASH), NFE2L1 overexpression has been shown to activate SREBP1/2, lower hepatic cholesterol, and attenuate liver injury, inflammation, and fibrosis without elevating atherogenic lipoproteins. The therapy is being investigated for the treatment of MASH-associated atherogenic dyslipidemia.
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