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AAV9-CAG-hSGPL1 is an experimental gene therapy utilizing an adeno-associated virus serotype 9 (AAV9) vector to deliver the human SGPL1 gene under the control of a CAG promoter. The therapeutic mechanism involves augmenting sphingosine-1-phosphate lyase (SPL) activity in lung tissue, which reduces sphingosine-1-phosphate (S1P) levels and attenuates pro-fibrotic signaling. The treatment targets idiopathic pulmonary fibrosis (IPF) by decreasing fibroblast activation, reducing expression of pro-fibrotic cytokines (TNFα, IL-1β), and suppressing pro-fibrotic genes including fibronectin, transforming growth factor-beta 1 (TGF-β1), alpha-smooth muscle actin (ACTA2), and collagen genes. The single intravenous dose has demonstrated proof-of-concept efficacy in bleomycin-induced pulmonary fibrosis animal models.
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