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PAI-1 siRNA (plasminogen activator inhibitor-1 small interfering RNA) refers to a class of RNA interference (RNAi) therapeutics designed to selectively silence the expression of the SERPINE1 gene, which encodes PAI-1. PAI-1 is a key serine protease inhibitor that suppresses fibrinolysis by inhibiting tissue plasminogen activator (tPA) and urokinase plasminogen activator (uPA). Elevated levels of PAI-1 are associated with thrombosis, tissue fibrosis (such as pulmonary and ovarian fibrosis), obesity, and cellular senescence. By degrading PAI-1 mRNA, PAI-1 siRNA reduces PAI-1 protein levels, thereby promoting fibrinolysis, reducing fibrotic extracellular matrix accumulation, and potentially mitigating age-related pathologies. Various formulations, including lipid nanoparticles (LNPs) and polymeric nanoparticles, are being investigated in preclinical models for indications such as thrombosis, pulmonary fibrosis, and diminished ovarian reserve.
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