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ARO-PNPLA3 (formerly JNJ-75220795) is an investigational, GalNAc-conjugated small interfering RNA (siRNA) therapeutic designed to treat non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). Developed using Arrowhead Pharmaceuticals' Targeted RNAi Molecule (TRiM) platform, the drug specifically targets the mRNA of the patatin-like phospholipase domain containing 3 (PNPLA3) gene to reduce its expression in the liver. It is particularly aimed at patients carrying the I148M genetic mutation in PNPLA3, which is strongly associated with increased liver fat and progression to advanced liver disease. By silencing the expression of this variant, ARO-PNPLA3 aims to reduce hepatic steatosis and inflammation. Originally developed in collaboration with Janssen Pharmaceuticals, the rights were returned to Arrowhead in early 2023 following a strategic portfolio review by Janssen.
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