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Non-targeting locked nucleic acid (nt-LNA) is an experimental synthetic oligonucleotide therapeutic that acts as an antagonist of Toll-like receptor 8 (TLR8). Developed by researchers at Vanderbilt University Medical Center, nt-LNA is designed to block the activation of TLR8 by microbial small RNAs (msRNAs) which are transported by low-density lipoproteins (LDL). In macrophages, this activation leads to pro-inflammatory polarization and contributes to the progression of atherosclerosis. Preclinical studies in mouse models (*Apoe-/-* and *Ldlr-/-*) have demonstrated that nt-LNA treatment can reduce plaque burden and promote the regression of advanced atherosclerotic lesions, suggesting a potential novel therapeutic approach for cardiovascular disease by targeting the LDL-msRNA-TLR8 axis.
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