{
  "version": "20260604_core_validation_v45",
  "dossier_id": "0af107408c52712a",
  "title": "OligoVigil Safety Evidence Dossier",
  "headline": "From oligonucleotide design to citable safety evidence.",
  "input": {
    "raw_sequence": "AUGCUACUGACUGA",
    "helm_notation": "",
    "sequence_input_mode": "plain sequence",
    "canonical_dna_sequence": "ATGCTACTGACTGA",
    "invalid_sequence_characters": [],
    "target": "PCSK9",
    "modification": "GalNAc",
    "delivery": "GalNAc",
    "endpoint": "hepatic",
    "species": "human",
    "cell_type": ""
  },
  "executive_summary": {
    "interpretation": "Evidence-dense safety review required.",
    "supported_concerns": 7,
    "candidate_gap_concerns": 0,
    "release_records_considered": 25,
    "candidate_gap_records_considered": 36,
    "prediction_boundary": "no de novo safety prediction"
  },
  "dossier_sections": [
    {
      "section": "Design context",
      "purpose": "Normalize user-provided sequence, HELM-derived bases, target, chemistry, delivery, tissue/species, and endpoint focus."
    },
    {
      "section": "Risk matrix",
      "purpose": "Separate evidence-supported concerns, contextual evidence, candidate gaps, and non-assessable concerns."
    },
    {
      "section": "Evidence graph",
      "purpose": "Connect design features, safety concerns, release records, sources, and candidate gaps."
    },
    {
      "section": "Provenance packet",
      "purpose": "Expose source location, PMID/DOI/PMCID, curator audit, grade policy, and citable record links."
    },
    {
      "section": "Benchmark reuse",
      "purpose": "Identify Grade A/B records that can be reused in fixed reference split comparisons."
    }
  ],
  "risk_matrix": [
    {
      "concern_id": "hematology_platelet",
      "domain": "toxicity",
      "concern": "Hematology and platelet safety",
      "evidence_state": "evidence-supported concern",
      "release_records": 20,
      "benchmark_eligible_records": 18,
      "candidate_records": 20,
      "top_release_records": [
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 313,
          "canonical_name": "PCSK9; GN3; MC3-LNP",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "C",
          "source_location": "PubMed abstract",
          "source_document_id": 11712,
          "source_title": "Engineering a biomimetic system for hepatocyte-specific RNAi treatment of non-alcoholic fatty liver disease.",
          "pmid": "37951519",
          "source_pmcid": null,
          "doi": "10.1016/j.actbio.2023.10.038",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/37951519/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-linked derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "Having optimized the GalNAc-engineering strategy, insertion orders, and cell membrane source, we obtained the best-performing GalNAc-formulations allowing strong hepatocyte-specific internalization with reduced Kupffer cell capture, resulting in robust gene silencing and less hepatotoxicity when compared with cationic lipid-based GalNAc-formulations.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 8,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity, liver, hepatocyte",
          "record": "toxicity:313"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 48,
          "canonical_name": "HsPCSK9-1811-LNA/GalNAc ASO panel from PMID 34760338",
          "modality": "ASO",
          "target_gene_symbol": "PCSK9",
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "renal; hepatic",
          "evidence_label": "renal and hepatic safety",
          "evidence_grade": "A",
          "source_location": "Results > Evaluating the safety of the GalNAc conjugate in rat; paragraph 15",
          "source_document_id": 1632,
          "source_title": "Drug discovery and development scheme for liver-targeting bridged nucleic acid antisense oligonucleotides.",
          "pmid": "34760338",
          "source_pmcid": "PMC8560717",
          "doi": "10.1016/j.omtn.2021.10.008",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/34760338/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-localized derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "Histopathological examination revealed mild injury with degeneration, karyomegaly, single-cell necrosis, and vacuolation in proximal tubules in both animals dosed at 30 mg/kg.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 7,
          "triage_matched_terms": "pcsk9, galnac, hepatic, liver",
          "record": "toxicity:48"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 556,
          "canonical_name": "siPCSK9 (recovered B2 from PMID:41290746, curator:CM)",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "unspecified",
          "modification_annotation_status": "unspecified",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "A",
          "source_location": "Results > NP containing PCSK9 siRNA and STING agonists enable safe and effective cancer immunotherapy; paragraph 17",
          "source_document_id": 7717,
          "source_title": "Silencing PCSK9 reshapes the spatiotemporal activation of STING for safe and effective cancer immunotherapy.",
          "pmid": "41290746",
          "source_pmcid": "PMC12749358",
          "doi": "10.1038/s41467-025-66630-x",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/41290746/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-localized derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "exhibited excellent safety profiles, without body weight changes at 24 h and 48 h post-administration",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 6,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity",
          "record": "toxicity:556"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 359,
          "canonical_name": "PCSK9; NCT04652726; inclisiran",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "B",
          "source_location": "PubMed abstract",
          "source_document_id": 1155,
          "source_title": "Efficacy and safety of inclisiran in adolescents with heterozygous familial hypercholesterolaemia (ORION-16): a two-part, randomised, multicentre clinical trial.",
          "pmid": "41616799",
          "source_pmcid": null,
          "doi": "10.1016/S2213-8587(25)00351-1",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/41616799/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-linked derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "Inclisiran was well tolerated, with a safety profile comparable to studies in adults.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 6,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity",
          "record": "toxicity:359"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 361,
          "canonical_name": "PCSK9; inclisiran",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "B",
          "source_location": "PubMed abstract",
          "source_document_id": 1179,
          "source_title": "Comparative effectiveness and safety of inclisiran versus evolocumab and alirocumab: a 180-day real-world study.",
          "pmid": "42141407",
          "source_pmcid": null,
          "doi": "10.1186/s12872-026-05931-5",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/42141407/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-linked derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "All therapies were well-tolerated with no new safety signals.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 6,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity",
          "record": "toxicity:361"
        }
      ],
      "top_candidate_records": [
        {
          "id": 178,
          "queue_id": 388,
          "pmid": "38742636",
          "doi": "10.1093/nar/gkae350",
          "evidence_domain": "toxicity",
          "candidate_modality": "siRNA",
          "source_location": "source title",
          "matched_terms": null,
          "candidate_signal": "toxicity candidate from queue only; source title: Evaluating the oral delivery of GalNAc-conjugated siRNAs in rodents and non-human primates.",
          "suggested_evidence_grade": "B",
          "confidence_label": "low_candidate",
          "validation_status": "curator_rejected",
          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Evaluating the oral delivery of GalNAc-conjugated siRNAs in rodents and non-human primates.",
          "triage_match_score": 3,
          "triage_matched_terms": "galnac, liver, human"
        },
        {
          "id": 1897,
          "queue_id": 4523,
          "pmid": "33928571",
          "doi": "10.1007/978-1-0716-1298-9_6",
          "evidence_domain": "toxicity",
          "candidate_modality": "siRNA",
          "source_location": "source title",
          "matched_terms": null,
          "candidate_signal": "toxicity candidate from queue only; source title: siRNA Design and GalNAc-Empowered Hepatic Targeted Delivery.",
          "suggested_evidence_grade": "B",
          "confidence_label": "low_candidate",
          "validation_status": "curator_rejected",
          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "siRNA Design and GalNAc-Empowered Hepatic Targeted Delivery.",
          "triage_match_score": 3,
          "triage_matched_terms": "galnac, hepatic, liver"
        },
        {
          "id": 2224,
          "queue_id": 5268,
          "pmid": "40080657",
          "doi": "10.1021/acschembio.5c00039",
          "evidence_domain": "toxicity",
          "candidate_modality": "siRNA",
          "source_location": "source title",
          "matched_terms": null,
          "candidate_signal": "toxicity candidate from queue only; source title: Optimizing Peptide-Conjugated Lipid Nanoparticles for Efficient siRNA Delivery across the Blood-Brain Barrier and Treatment of Glioblastoma Multiforme.",
          "suggested_evidence_grade": "B",
          "confidence_label": "low_candidate",
          "validation_status": "curator_rejected",
          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Optimizing Peptide-Conjugated Lipid Nanoparticles for Efficient siRNA Delivery across the Blood-Brain Barrier and Treatment of Glioblastoma Multiforme.",
          "triage_match_score": 3,
          "triage_matched_terms": "liver, ast, blood"
        },
        {
          "id": 3380,
          "queue_id": 8202,
          "pmid": "41430089",
          "doi": "10.1038/s41598-025-32407-x",
          "evidence_domain": "toxicity",
          "candidate_modality": "ASO/siRNA",
          "source_location": "source title",
          "matched_terms": null,
          "candidate_signal": "toxicity candidate from queue only; source title: Delivery of lipid nanoparticles containing small interfering RNA targeting transmembrane serine protease 4 in a human gastric cancer model using nude mice.",
          "suggested_evidence_grade": "B",
          "confidence_label": "low_candidate",
          "validation_status": "curator_rejected",
          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Delivery of lipid nanoparticles containing small interfering RNA targeting transmembrane serine protease 4 in a human gastric cancer model using nude mice.",
          "triage_match_score": 3,
          "triage_matched_terms": "liver, ast, human"
        },
        {
          "id": 3665,
          "queue_id": 8893,
          "pmid": "40633772",
          "doi": "10.1016/j.jconrel.2025.114018",
          "evidence_domain": "toxicity",
          "candidate_modality": "ASO",
          "source_location": "source title",
          "matched_terms": null,
          "candidate_signal": "toxicity candidate from queue only; source title: Low-frequency ultrasound-mediated blood-brain barrier opening enables non-invasive lipid nanoparticle RNA delivery to glioblastoma.",
          "suggested_evidence_grade": "B",
          "confidence_label": "low_candidate",
          "validation_status": "curator_rejected",
          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Low-frequency ultrasound-mediated blood-brain barrier opening enables non-invasive lipid nanoparticle RNA delivery to glioblastoma.",
          "triage_match_score": 3,
          "triage_matched_terms": "liver, ast, blood"
        }
      ],
      "rationale": "20 curator-verified release records and 20 candidate gap records matched this concern.",
      "recommended_action": "Check platelet, coagulation, and hematology endpoints before dose escalation.",
      "release_endpoint": "/api/evidence_records?domain=toxicity&q=platelet&limit=20",
      "candidate_endpoint": "/api/curation_candidates?domain=toxicity&q=platelet&limit=20"
    },
    {
      "concern_id": "hepatobiliary_toxicity",
      "domain": "toxicity",
      "concern": "Hepatic and hepatobiliary toxicity",
      "evidence_state": "evidence-supported concern",
      "release_records": 20,
      "benchmark_eligible_records": 18,
      "candidate_records": 20,
      "top_release_records": [
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 313,
          "canonical_name": "PCSK9; GN3; MC3-LNP",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "C",
          "source_location": "PubMed abstract",
          "source_document_id": 11712,
          "source_title": "Engineering a biomimetic system for hepatocyte-specific RNAi treatment of non-alcoholic fatty liver disease.",
          "pmid": "37951519",
          "source_pmcid": null,
          "doi": "10.1016/j.actbio.2023.10.038",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/37951519/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-linked derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "Having optimized the GalNAc-engineering strategy, insertion orders, and cell membrane source, we obtained the best-performing GalNAc-formulations allowing strong hepatocyte-specific internalization with reduced Kupffer cell capture, resulting in robust gene silencing and less hepatotoxicity when compared with cationic lipid-based GalNAc-formulations.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 8,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity, liver, hepatocyte",
          "record": "toxicity:313"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 48,
          "canonical_name": "HsPCSK9-1811-LNA/GalNAc ASO panel from PMID 34760338",
          "modality": "ASO",
          "target_gene_symbol": "PCSK9",
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "renal; hepatic",
          "evidence_label": "renal and hepatic safety",
          "evidence_grade": "A",
          "source_location": "Results > Evaluating the safety of the GalNAc conjugate in rat; paragraph 15",
          "source_document_id": 1632,
          "source_title": "Drug discovery and development scheme for liver-targeting bridged nucleic acid antisense oligonucleotides.",
          "pmid": "34760338",
          "source_pmcid": "PMC8560717",
          "doi": "10.1016/j.omtn.2021.10.008",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/34760338/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-localized derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "Histopathological examination revealed mild injury with degeneration, karyomegaly, single-cell necrosis, and vacuolation in proximal tubules in both animals dosed at 30 mg/kg.",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 7,
          "triage_matched_terms": "pcsk9, galnac, hepatic, liver",
          "record": "toxicity:48"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 556,
          "canonical_name": "siPCSK9 (recovered B2 from PMID:41290746, curator:CM)",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "unspecified",
          "modification_annotation_status": "unspecified",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "A",
          "source_location": "Results > NP containing PCSK9 siRNA and STING agonists enable safe and effective cancer immunotherapy; paragraph 17",
          "source_document_id": 7717,
          "source_title": "Silencing PCSK9 reshapes the spatiotemporal activation of STING for safe and effective cancer immunotherapy.",
          "pmid": "41290746",
          "source_pmcid": "PMC12749358",
          "doi": "10.1038/s41467-025-66630-x",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/41290746/",
          "source_license_status": "abstract_metadata_only",
          "source_reuse_category": "derived_annotations_only",
          "curation_basis": "source-localized derived annotation",
          "raw_quote_included": "false",
          "is_observed_experimental": 1,
          "is_computational_prediction": 0,
          "audit_validation_status": "curator_verified",
          "curator_decision": "accept",
          "curator_id": "ni_jie",
          "audit_note": "exhibited excellent safety profiles, without body weight changes at 24 h and 48 h post-administration",
          "audited_at": "2026-06-07T02:20:35+00:00",
          "triage_match_score": 6,
          "triage_matched_terms": "pcsk9, hepatic, hepatotoxicity",
          "record": "toxicity:556"
        },
        {
          "evidence_domain": "toxicity",
          "entity_table": "toxicity_endpoint",
          "evidence_id": 359,
          "canonical_name": "PCSK9; NCT04652726; inclisiran",
          "modality": "siRNA",
          "target_gene_symbol": null,
          "disease_context": null,
          "sense_sequence": null,
          "antisense_sequence": null,
          "guide_sequence": null,
          "passenger_sequence": null,
          "seed_region": null,
          "backbone_chemistry": null,
          "sugar_modification": null,
          "base_modification": null,
          "conjugate_delivery": null,
          "sequence_annotation_status": "needs_curator_sequence_curation",
          "modification_annotation_status": "needs_curator_modification_curation",
          "category": "hepatic",
          "evidence_label": "hepatotoxicity",
          "evidence_grade": "B",
          "source_location": "PubMed abstract",
          "source_document_id": 1155,
          "source_title": "Efficacy and safety of inclisiran in adolescents with heterozygous familial hypercholesterolaemia (ORION-16): a two-part, randomised, multicentre clinical trial.",
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          "candidate_signal": "toxicity candidate; matched derived terms: renal; source title: Hepatocyte mitochondrial DNA activated store-operated Ca(2+) entry via Stim1/Orai1-induced podocyte injury in trichloroethylene sensitized mice: A new insight in liver and kidney crosstalk.",
          "suggested_evidence_grade": "B",
          "confidence_label": "medium_candidate",
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          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Hepatocyte mitochondrial DNA activated store-operated Ca(2+) entry via Stim1/Orai1-induced podocyte injury in trichloroethylene sensitized mice: A new insight in liver and kidney crosstalk.",
          "triage_match_score": 4,
          "triage_matched_terms": "liver, hepatocyte, renal, kidney"
        },
        {
          "id": 1508,
          "queue_id": 3668,
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          "doi": "10.1093/toxres/tfae173",
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          "candidate_signal": "toxicity candidate; matched derived terms: risk, adverse, renal; source title: 4-Methyl-2,4-bis(4-hydroxyphenyl)pent-1-ene (MBP) exposure induces hepatotoxicity and nephrotoxicity - role of oxidative stress, mitochondrial dysfunction and pathways of cytotoxicity.",
          "suggested_evidence_grade": "B",
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          "curator_decision": "reject",
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          "source_title": "4-Methyl-2,4-bis(4-hydroxyphenyl)pent-1-ene (MBP) exposure induces hepatotoxicity and nephrotoxicity - role of oxidative stress, mitochondrial dysfunction and pathways of cytotoxicity.",
          "triage_match_score": 4,
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        },
        {
          "id": 8790,
          "queue_id": 30946,
          "pmid": "39460726",
          "doi": "10.1021/acsami.4c10171",
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          "source_location": "PubMed abstract sentence 2",
          "matched_terms": "toxicity;toxic;renal",
          "candidate_signal": "toxicity candidate; matched derived terms: toxicity, toxic, renal; source title: Mitigation of Cisplatin-Induced Nephrotoxicity and Augmentation of Anticancer Potency via Tea Polyphenol Nanoparticles' Codelivery of siRNA from CRISPR/Cas9 Screened Targets.",
          "suggested_evidence_grade": "B",
          "confidence_label": "high_candidate",
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          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Mitigation of Cisplatin-Induced Nephrotoxicity and Augmentation of Anticancer Potency via Tea Polyphenol Nanoparticles' Codelivery of siRNA from CRISPR/Cas9 Screened Targets.",
          "triage_match_score": 4,
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        },
        {
          "id": 178,
          "queue_id": 388,
          "pmid": "38742636",
          "doi": "10.1093/nar/gkae350",
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          "source_location": "source title",
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          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "Evaluating the oral delivery of GalNAc-conjugated siRNAs in rodents and non-human primates.",
          "triage_match_score": 3,
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        },
        {
          "id": 1897,
          "queue_id": 4523,
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          "source_location": "source title",
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          "suggested_evidence_grade": "B",
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          "curator_decision": "reject",
          "redistribution_level": "derived_annotations_only",
          "source_title": "siRNA Design and GalNAc-Empowered Hepatic Targeted Delivery.",
          "triage_match_score": 3,
          "triage_matched_terms": "galnac, hepatic, liver"
        }
      ],
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      "recommended_action": "Check kidney biomarkers, histopathology, and chemistry/dose context.",
      "release_endpoint": "/api/evidence_records?domain=toxicity&q=renal&limit=20",
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          "source_title": "Acyclic serinol nucleic acid modification of siRNAs overcomes seed region mediated off-target effects while maintaining potency.",
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        {
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        {
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          "doi": "10.1089/scd.2015.0383",
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          "suggested_evidence_grade": "C",
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          "source_title": "Modeling Nonalcoholic Fatty Liver Disease with Human Pluripotent Stem Cell-Derived Immature Hepatocyte-Like Cells Reveals Activation of PLIN2 and Confirms Regulatory Functions of Peroxisome Proliferator-Activated Receptor Alpha.",
          "triage_match_score": 4,
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        },
        {
          "id": 17756,
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          "pmid": "36006421",
          "doi": "10.18632/aging.204242",
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        {
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          "queue_id": 47013,
          "pmid": "18646787",
          "doi": "10.1021/pr800153s",
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          "redistribution_level": "derived_annotations_only",
          "source_title": "Quantitative proteomic signature of liver cancer cells: tissue transglutaminase 2 could be a novel protein candidate of human hepatocellular carcinoma.",
          "triage_match_score": 4,
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        }
      ],
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      "recommended_action": "Run transcriptome/3'UTR seed-match screening before claiming sequence-specific safety.",
      "release_endpoint": "/api/evidence_records?domain=offtarget&q=seed&limit=20",
      "candidate_endpoint": "/api/curation_candidates?domain=offtarget&q=seed&limit=20"
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          "source_location": "Results > Hybridization-dependent off-target splicing events do not play a major role after transfection; paragraph 19",
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          "source_title": "Determining off-target effects of splice-switching antisense oligonucleotides using short read RNAseq in neuronally differentiated human induced pluripotent stem cells.",
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          "doi": "10.1093/hmg/ddaf153",
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          "audited_at": "2026-06-07T02:20:35+00:00",
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        },
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          "source_title": "Analysis of siRNA specificity on targets with double-nucleotide mismatches.",
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          "doi": "10.1093/nar/gkn190",
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          "source_title": "Using RNA-seq to Assess Off-Target Effects of Antisense Oligonucleotides in Human Cell Lines.",
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          "doi": "10.1007/s40291-020-00504-4",
          "source_url": "https://pubmed.ncbi.nlm.nih.gov/33314011/",
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          "source_title": "Block or degrade? Balancing on- and off-target effects of antisense strategies against transcripts with expanded triplet repeats in DM1.",
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          "doi": "10.3389/fcell.2024.1416780",
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          "source_title": "Multicompartment Polyion Complex Micelles Based on Triblock Polypept(o)ides Mediate Efficient siRNA Delivery to Cancer-Associated Fibroblasts for Antistromal Therapy of Hepatocellular Carcinoma.",
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}