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The salient role of microRNAs in atherogenesis
Callum J Donaldson1, Ka Hou Lao2, Lingfang Zeng3
1Department of Pharmacology and Therapeutics, King's College London, London SE5 9NU, UK.
Abstract:
Atherosclerosis, a chronic inflammatory condition that is characterized by the accumulation of lipid-loaded macrophages, occurs preferentially at the arterial branching points where disturbed flow is prominent. The pathogenesis of atherosclerotic lesion formation is a multistage process involving multiple cell types, inflammatory mediators and hemodynamic forces in the vessel wall in response to atherogenic stimuli. Researches from the past decade have uncovered the critical roles of microRNAs (miRNAs) in regulating multiple pathophysiological effects and signaling pathways in endothelial cells (ECs), vascular smooth muscle cells (VSMCs), macrophages and lipid homeostasis, which are key in atherosclerotic lesion formation. The expression of these miRNAs are either in response to biomechanical (flow-responsive) or biochemical (non-flow-responsive) stimuli. Recent evidences also indicate an important role for long non-coding RNAs (lncRNAs) in mediating several atherosclerotic processes. In this review, we provide a detailed summary on the current paradigms in miRNA-dependent regulation, the emerging role of lncRNAs in the initiation and progression of atherosclerosis, and clinical interventions targeting these in an attempt to develop novel diagnostics and treatments for atherosclerosis.
Insights
This review explores how microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) regulate atherosclerosis. Understanding these non-coding RNAs offers new pathways for diagnosing and treating this inflammatory arterial disease.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Biomedical Engineering
Background:
- Atherosclerosis is a chronic inflammatory disease driven by lipid-laden macrophages, often at arterial sites with disturbed blood flow.
- Its development involves complex interactions between cells, inflammatory mediators, and hemodynamic forces.
- Non-coding RNAs, including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs), are increasingly recognized for their roles in atherosclerosis.
Purpose of the Study:
- To review the current understanding of miRNA-dependent regulation in atherosclerosis.
- To highlight the emerging roles of lncRNAs in the initiation and progression of atherosclerotic lesions.
- To discuss potential clinical interventions targeting these non-coding RNAs for novel diagnostics and therapeutics.
Main Methods:
- Literature review of recent research on non-coding RNAs in atherosclerosis.
- Analysis of miRNA and lncRNA expression patterns in response to biomechanical and biochemical stimuli.
- Synthesis of evidence linking non-coding RNAs to key cellular and molecular pathways in atherogenesis.
Main Results:
- MicroRNAs (miRNAs) critically regulate endothelial cells, smooth muscle cells, macrophages, and lipid metabolism in atherosclerosis.
- miRNA expression can be modulated by both flow-dependent and independent stimuli.
- Long non-coding RNAs (lncRNAs) are implicated in various stages of atherosclerotic processes.
Conclusions:
- Non-coding RNAs, particularly miRNAs and lncRNAs, are pivotal regulators of atherosclerosis.
- Targeting these molecules presents promising avenues for developing innovative diagnostic and therapeutic strategies for atherosclerosis.
- Further research into miRNA and lncRNA mechanisms can advance the clinical management of cardiovascular diseases.
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