Evidence mapPaperPMID 40453040Full record

ReviewJournal of experimental pharmacology2025

Small Interfering RNA (siRNA) in Dyslipidemia: A Systematic Review on Safety and Efficacy of siRNA.

Sai Santhosha Mrudula Alla, Dhruv Jayeshkumar Shah, Shourya Meyur, Pahel Agarwal, Deekshitha Alla, Sai Lokesh Moraboina, Gayatri Vijay Ghadvaje, Ruth Getaneh Bayeh, Aparna Malireddi, Tess Shajan and 3 more

Abstract readReview
In one paragraph

Review in Journal of experimental pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sai Santhosha Mrudula AllaDepartment of General Medicine, Andhra Medical College, Visakhapatnam, India.
Dhruv Jayeshkumar ShahDepartment of General Medicine, Massachusetts College of Pharmacy and Health Sciences (MCPHS), Boston, MA, USA.
Shourya MeyurDepartment of General Medicine, AMA School of Medicine, Makati City, Philippines.
Pahel AgarwalDepartment of Internal Medicine, Portsmouth Regional Hospital, Portsmouth, NH, USA.
Deekshitha AllaDepartment of General Medicine, Andhra Medical College, Visakhapatnam, India.
Sai Lokesh MoraboinaDepartment of General Medicine, Apollo Institute of Medical Sciences and Research, Chittoor, India.ORCID 0009-0002-4038-0928
Gayatri Vijay GhadvajeDepartment of General Medicine, Smolensk State Medical University, Smolensk, Russia.
Ruth Getaneh BayehDepartment of General Medicine, Adama General Hospital and Medical College, Adama, Ethiopia.
Aparna MalireddiDepartment of General Medicine, Andhra Medical College, Visakhapatnam, India.ORCID 0009-0001-9602-1900
Tess ShajanDepartment of General Medicine, p k Das Institute of Medical Sciences, Palakkad, India.
Bodipudi VineethaDepartment of General Medicine, Apollo Institute of Medical Sciences and Research, Chittoor, India.
Thalvayapati Sai PrudhviDepartment of General Medicine, Government Kilpauk Medical College, Chennai, India.
Patrick BiziyaremyeDepartment of General Medicine, University of Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: RNA interference (RNAi) therapy represents an evolving advancement in the management of dyslipidemia. One prominent form of RNAi therapy is small interfering RNA (siRNA), which has emerged as a promising therapeutic strategy. This study aims to critically analyze the efficacy and safety of siRNA in the treatment of dyslipidemia. Methods: PubMed, Scopus, and Web of Science servers were used to conduct a systematic search in compliance with the PRISMA guidelines. Results: A total of 20 studies with 6651 participants were included in the analysis. The drugs used in the studies were. Inclisiran led to a notable 44.09% reduction in LDL and 37.5% in apolipoprotein levels among individuals with hypercholesterolemia. In hyperlipoproteinemia(a), therapies like Lepodisiran and Olpasiran achieved a 75.69% drop in apolipoproteins and 16.25% in LDL. For hypertriglyceridemia, agents such as ARO-APOC3 and Plozasiran showed over 50% reductions in both VLDL and triglycerides. In mixed hyperlipidemia and chylomicronemia, Plozasiran significantly reduced triglycerides by up to 79% and apolipoproteins by 87.5%. The 5 most common adverse effects reported were nasopharyngitis, diabetes mellitus (including new-onset diabetes mellitus and worsening diabetes mellitus), injection site adverse effects, back pain, and hypertension. Conclusion: In conclusion, the benefits of siRNA therapy in dyslipidemia management appear to outweigh its potential drawbacks, demonstrating promising efficacy and safety profiles. However, further research is necessary to fully understand its long-term effects and optimize its therapeutic potential.

Indexed as

ALN-PCSARO ANG3ARO-APOC3inclisiranlipodisiranolpasiranPlozasiranRNA interference therapySLN360small interfering RNAzerlasiranzodasiran

Identifiers

PMID40453040
PMCPMC12126973

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.