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Genomic DNA at cardiometabolic loci

Molecular classification
Nucleic acid, Genomic DNA
01

Overview

Genomic DNA at cardiometabolic loci refers to the specific sequences and regulatory regions of the human genome that influence metabolic and cardiovascular health. These loci are identified primarily through genome-wide association studies (GWAS) and include genes such as PCSK9, ANGPTL3, and LPA, which regulate cholesterol and triglyceride levels (Source: NIH, 2022). While traditional drugs target the proteins encoded by these genes, emerging therapies like CRISPR-based base editing directly target the genomic DNA at these specific loci to permanently lower disease-causing proteins (Source: Nature Medicine, 2023). This approach represents a shift toward 'genetic medicines' for common chronic diseases like atherosclerosis and type 2 diabetes. Because this 'target' is a collection of diverse genetic sites rather than a single molecule, it is considered a therapeutic category rather than a single drug target. Safety concerns include potential off-target editing and the long-term consequences of permanent genomic alteration (Source: Science, 2021). The biological function of these loci involves the complex regulation of lipid metabolism, glucose homeostasis, and inflammatory pathways. Therapeutic success at these loci depends on the precision of the delivery system and the specificity of the genetic modification tool.

Other names
Cardiometabolic risk lociCardiometabolic GWAS lociMetabolic syndrome associated genomic regionsCardiovascular disease associated DNA sequences
02

Mechanism of action

Base editing or gene editing (e.g., CRISPR/Cas9) to permanently modify specific DNA sequences at these loci to silence or alter the expression of genes involved in metabolic pathways.

03

Biological functions

Regulation of gene expressionGenetic inheritanceMetabolic regulationLipid homeostasis
04

Disease associations

Cardiovascular diseaseType 2 diabetesObesityDyslipidemiaMetabolic syndromeAtherosclerosis
05

Safety considerations

Off-target genomic editingGenotoxicityUnintended germline transmissionLong-term safety of permanent genetic changesPotential for unintended gene silencing
06

Interacting drugs

Verve-101

1 more in the full profile.

07

Biomarkers

Single nucleotide polymorphisms (SNPs)Polygenic risk scores (PRS)DNA methylation patternsCirculating lipid levels (e.g., LDL-C)

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