{
  "version": "20260604_core_validation_v45",
  "input": {
    "raw_sequence": "AUGCUACUGACUGA",
    "canonical_dna_sequence": "ATGCTACTGACTGA",
    "length": 14,
    "target": "PCSK9",
    "modification": "GalNAc",
    "endpoint": ""
  },
  "sequence_features": {
    "seed_2_8": "TGCTACT",
    "unique_7mer_windows_first_12": [
      "ATGCTAC",
      "TGCTACT",
      "GCTACTG",
      "CTACTGA",
      "TACTGAC",
      "ACTGACT",
      "CTGACTG",
      "TGACTGA"
    ],
    "contains_ambiguous_base": false
  },
  "status": {
    "release_grade_sequence_columns_available": true,
    "release_grade_sequence_alignment_available": false,
    "current_mode": "sequence parsing plus seed/off-target/modification evidence lookup",
    "upgrade_needed": "Curate release-grade oligo sequence and modification strings before claiming full sequence-alignment search.",
    "sequence_coverage_endpoint": "/api/sequence_coverage",
    "curation_template": "/api/download/sequence_modification_curation_template.csv"
  },
  "evidence_query": {
    "terms": [
      "PCSK9",
      "GalNAc",
      "seed",
      "off-target",
      "hybridization",
      "mismatch"
    ],
    "release_endpoint": "/api/evidence_records?q=PCSK9+GalNAc+seed+off-target&limit=25&target=PCSK9",
    "candidate_endpoint": "/api/curation_candidates?q=GalNAc&limit=25"
  },
  "release_hits": [
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      "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,
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      "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"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 250,
      "canonical_name": "PCSK9; Inclisiran",
      "modality": "siRNA",
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      "sense_sequence": null,
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      "conjugate_delivery": null,
      "sequence_annotation_status": "needs_curator_sequence_curation",
      "modification_annotation_status": "needs_curator_modification_curation",
      "category": "general safety",
      "evidence_label": "safety/tolerability",
      "evidence_grade": "B",
      "source_location": "PubMed abstract",
      "source_document_id": 1217,
      "source_title": "Muscle Adverse Events Associated With Inclisiran: Data Mining of FAERS Database and Mendelian Randomization Analysis.",
      "pmid": "41289434",
      "source_pmcid": null,
      "doi": "10.1097/FJC.0000000000001778",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/41289434/",
      "source_license_status": "abstract_metadata_only",
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      "curation_basis": "source-linked derived annotation",
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      "is_observed_experimental": 1,
      "is_computational_prediction": 0,
      "audit_validation_status": "curator_verified",
      "curator_decision": "accept",
      "curator_id": "ni_jie",
      "audit_note": "Among 4685 adverse event reports of inclisiran, 523 MAEs reports were found.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
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      "canonical_name": "PCSK9; GN3; MC3-LNP",
      "modality": "siRNA",
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      "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/",
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      "curation_basis": "source-linked derived annotation",
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      "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"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 359,
      "canonical_name": "PCSK9; NCT04652726; inclisiran",
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      "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",
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      "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"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 361,
      "canonical_name": "PCSK9; inclisiran",
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      "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/",
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      "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"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 382,
      "canonical_name": "PCSK9; NCT05763875; Inclisiran",
      "modality": "ASO/siRNA mixed context",
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      "category": "hepatic",
      "evidence_label": "hepatotoxicity",
      "evidence_grade": "B",
      "source_location": "PubMed abstract",
      "source_document_id": 2280,
      "source_title": "Safety and Lipid-Lowering Efficacy of Inclisiran Monotherapy in Patients Without ASCVD: The VICTORION-Mono Randomized Clinical Trial.",
      "pmid": "40392667",
      "source_pmcid": null,
      "doi": "10.1016/j.jacc.2025.04.049",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/40392667/",
      "source_license_status": "abstract_metadata_only",
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      "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 no new safety concerns.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 401,
      "canonical_name": "PCSK9; NCT03060577; inclisiran",
      "modality": "siRNA",
      "target_gene_symbol": null,
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      "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": 2697,
      "source_title": "Long-term efficacy and safety of inclisiran in patients with high cardiovascular risk and elevated LDL cholesterol (ORION-3): results from the 4-year open-label extension of the ORION-1 trial.",
      "pmid": "36620965",
      "source_pmcid": null,
      "doi": "10.1016/S2213-8587(22)00353-9",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/36620965/",
      "source_license_status": "abstract_metadata_only",
      "source_reuse_category": "derived_annotations_only",
      "curation_basis": "source-linked derived annotation",
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      "is_observed_experimental": 1,
      "is_computational_prediction": 0,
      "audit_validation_status": "curator_verified",
      "curator_decision": "accept",
      "curator_id": "ni_jie",
      "audit_note": "Adverse events at the injection site were reported in 39 (14%) of 284 patients in the inclisiran-only arm and 12 (14%) of 87 patients in the switching arm.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 414,
      "canonical_name": "Inclisiran",
      "modality": "siRNA",
      "target_gene_symbol": "PCSK9",
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      "sequence_annotation_status": "needs_curator_sequence_curation",
      "modification_annotation_status": "needs_curator_modification_curation",
      "category": "general safety",
      "evidence_label": "clinical laboratory safety",
      "evidence_grade": "A",
      "source_location": "RESULTS > Safety Analysis; paragraph 36",
      "source_document_id": 2498,
      "source_title": "Efficacy and Safety of Inclisiran in Adolescents With Genetically Confirmed Homozygous Familial Hypercholesterolemia: Results From the Double-Blind, Placebo-Controlled Part of the ORION-13 Randomized Trial.",
      "pmid": "40391436",
      "source_pmcid": "PMC12180692",
      "doi": "10.1161/CIRCULATIONAHA.124.073233",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/40391436/",
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      "is_observed_experimental": 1,
      "is_computational_prediction": 0,
      "audit_validation_status": "curator_verified",
      "curator_decision": "accept",
      "curator_id": "ni_jie",
      "audit_note": "No serious adverse events, treatment discontinuations because of adverse events, or deaths occurred.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 417,
      "canonical_name": "Inclisiran",
      "modality": "siRNA",
      "target_gene_symbol": "PCSK9",
      "disease_context": null,
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      "sequence_annotation_status": "needs_curator_sequence_curation",
      "modification_annotation_status": "needs_curator_modification_curation",
      "category": "general safety",
      "evidence_label": "treatment-emergent adverse events",
      "evidence_grade": "A",
      "source_location": "Results > Safety; paragraph 23",
      "source_document_id": 2632,
      "source_title": "Efficacy and Safety of Inclisiran in Patients with Polyvascular Disease: Pooled, Post Hoc Analysis of the ORION-9, ORION-10, and ORION-11 Phase 3 Randomized Controlled Trials.",
      "pmid": "36550348",
      "source_pmcid": "PMC11101568",
      "doi": "10.1007/s10557-022-07413-0",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/36550348/",
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      "curation_basis": "source-localized derived annotation",
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      "is_observed_experimental": 1,
      "is_computational_prediction": 0,
      "audit_validation_status": "curator_verified",
      "curator_decision": "accept",
      "curator_id": "ni_jie",
      "audit_note": "Proportions of patients with reported treatment-emergent adverse events (TEAEs) and treatment-emergent serious adverse events were similar between treatment arms, irrespective of PVD status, except for an excess of mild or moderate clinically relevant TEAEs at the injection site with inclisiran.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
      "evidence_id": 420,
      "canonical_name": "G5-GalNAc siRNA platform",
      "modality": "siRNA",
      "target_gene_symbol": "PCSK9/AGT",
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      "sense_sequence": null,
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      "sequence_annotation_status": "needs_curator_sequence_curation",
      "modification_annotation_status": "needs_curator_modification_curation",
      "category": "general safety",
      "evidence_label": "nonclinical toxicology and biodistribution safety",
      "evidence_grade": "C",
      "source_location": "Discussion; paragraph 17",
      "source_document_id": 1069,
      "source_title": "Ribofuranose-based GalNAc-conjugated siRNA enhances the liver-targeted delivery and elicits robust RNAi-mediated gene silencing.",
      "pmid": "41541269",
      "source_pmcid": "PMC12800395",
      "doi": "10.1016/j.omtn.2025.102801",
      "source_url": "https://pubmed.ncbi.nlm.nih.gov/41541269/",
      "source_license_status": "abstract_metadata_only",
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      "curation_basis": "source-localized derived annotation",
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      "is_observed_experimental": 1,
      "is_computational_prediction": 0,
      "audit_validation_status": "curator_verified",
      "curator_decision": "accept",
      "curator_id": "ni_jie",
      "audit_note": "The no observed adverse effect level was established at 300 mg/kg.",
      "audited_at": "2026-06-07T02:20:35+00:00"
    },
    {
      "evidence_domain": "toxicity",
      "entity_table": "toxicity_endpoint",
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      "canonical_name": "siPCSK9 (recovered B2 from PMID:41290746, curator:CM)",
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      "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/",
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      "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"
    }
  ],
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      "id": 16,
      "queue_id": 30,
      "pmid": "37589246",
      "doi": "10.1002/jcph.2337",
      "evidence_domain": "chemistry",
      "candidate_modality": "siRNA",
      "source_location": "PubMed abstract sentence 5",
      "matched_terms": "galnac;lna;conjugate",
      "candidate_signal": "chemistry candidate; matched derived terms: galnac, lna, conjugate; source title: Pharmacokinetics and Pharmacodynamics of GalNAc-Conjugated siRNAs.",
      "suggested_evidence_grade": "B",
      "confidence_label": "high_candidate",
      "validation_status": "candidate_needs_curator_review",
      "curator_decision": "pending",
      "redistribution_level": "derived_annotations_only",
      "source_title": "Pharmacokinetics and Pharmacodynamics of GalNAc-Conjugated siRNAs."
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      "pmid": "37589246",
      "doi": "10.1002/jcph.2337",
      "evidence_domain": "delivery",
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      "source_location": "PubMed abstract sentence 5",
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      "candidate_signal": "delivery candidate; matched derived terms: galnac, conjugated; source title: Pharmacokinetics and Pharmacodynamics of GalNAc-Conjugated siRNAs.",
      "suggested_evidence_grade": "C",
      "confidence_label": "high_candidate",
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      "curator_decision": "pending",
      "redistribution_level": "derived_annotations_only",
      "source_title": "Pharmacokinetics and Pharmacodynamics of GalNAc-Conjugated siRNAs."
    },
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      "queue_id": 38,
      "pmid": "38334488",
      "doi": "10.1097/MED.0000000000000857",
      "evidence_domain": "delivery",
      "candidate_modality": "siRNA",
      "source_location": "PubMed abstract sentence 8",
      "matched_terms": "galnac;conjugated",
      "candidate_signal": "delivery candidate; matched derived terms: galnac, conjugated; source title: APOC3 siRNA and ASO therapy for dyslipidemia.",
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      "curator_decision": "pending",
      "redistribution_level": "derived_annotations_only",
      "source_title": "APOC3 siRNA and ASO therapy for dyslipidemia."
    },
    {
      "id": 24,
      "queue_id": 52,
      "pmid": "40134378",
      "doi": "10.1089/nat.2024.0090",
      "evidence_domain": "chemistry",
      "candidate_modality": "siRNA",
      "source_location": "PubMed abstract sentence 1",
      "matched_terms": "galnac;lna;conjugate",
      "candidate_signal": "chemistry candidate; matched derived terms: galnac, lna, conjugate; source title: Mechanistic Insights into Hybridization-Based Off-Target Activity of GalNAc-siRNA Conjugates.",
      "suggested_evidence_grade": "B",
      "confidence_label": "high_candidate",
      "validation_status": "curator_rejected",
      "curator_decision": "reject",
      "redistribution_level": "derived_annotations_only",
      "source_title": "Mechanistic Insights into Hybridization-Based Off-Target Activity of GalNAc-siRNA Conjugates."
    },
    {
      "id": 25,
      "queue_id": 53,
      "pmid": "40134378",
      "doi": "10.1089/nat.2024.0090",
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      "curator_decision": "pending",
      "redistribution_level": "derived_annotations_only",
      "source_title": "Mechanistic Insights into Hybridization-Based Off-Target Activity of GalNAc-siRNA Conjugates."
    },
    {
      "id": 26,
      "queue_id": 54,
      "pmid": "40134378",
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      "redistribution_level": "derived_annotations_only",
      "source_title": "Mechanistic Insights into Hybridization-Based Off-Target Activity of GalNAc-siRNA Conjugates."
    },
    {
      "id": 50,
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      "confidence_label": "high_candidate",
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      "curator_decision": "accept",
      "redistribution_level": "derived_annotations_only",
      "source_title": "Pharmacokinetics and Safety of Pelacarsen, a GalNAc(3)-Conjugated Antisense Oligonucleotide Targeting Apo(a), in Participants With Mild Hepatic Impairment."
    },
    {
      "id": 51,
      "queue_id": 119,
      "pmid": "41994868",
      "doi": "10.1093/nar/gkag345",
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      "redistribution_level": "derived_annotations_only",
      "source_title": "Targeted knockdown of hepatic XDH via GalNAc-siRNA alleviates hyperuricaemia and renal injury in UOX(-/-) mice."
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      "id": 84,
      "queue_id": 188,
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      "source_location": "PubMed abstract sentence 3",
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      "source_title": "General Platform for Efficient and Modular Assembly of GalNAc-siRNA Conjugates via Primary Amines and o-Nitrobenzyl Alcohol Cyclization Photoclick Chemistry Enabling Rapid Access to Therapeutic Oligonucleotides."
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      "redistribution_level": "derived_annotations_only",
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      "source_title": "GalNAc-modified five-component lipid nanoparticles for liver-targeted delivery of p65 siRNA to alleviate cytokine storm in liver injury via NF-κB targeting."
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          "audit_note": "The increased levels of ALT, AST and GLDH observed in animals treated with the parent D1 were completely normalized with D16, which closely mimicked that of the saline control (Figure 4D).",
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          "source_title": "Properties of Parallel Tetramolecular G-Quadruplex Carrying N-Acetylgalactosamine as Potential Enhancer for Oligonucleotide Delivery to Hepatocytes.",
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