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Updated: Feb 3, 2026

Overexpressing Long Noncoding RNAs Using Gene-activating CRISPR
Published on: March 1, 2019
Long Noncoding RNAs in Atherosclerosis: JACC Review Topic of the Week
Zhengyi Zhang1, David Salisbury1, Tamer Sallam1
1Division of Cardiology, Department of Medicine, University of California, Los Angeles, California; and the Molecular Biology Institute, University of California, Los Angeles, California.
Insights
Long noncoding RNAs (lncRNAs) are newly discovered mediators that play a crucial role in atherosclerosis. Understanding lncRNAs offers new diagnostic and therapeutic potential for this complex cardiovascular disease.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Genomics
Background:
- Atherosclerosis is a chronic inflammatory disease of the vessel wall, driven by lipid deposition and cellular responses.
- Despite advances, atherosclerosis remains a major global health burden, necessitating novel therapeutic strategies.
- Long noncoding RNAs (lncRNAs) have emerged as critical regulators in various biological processes, including disease pathogenesis.
Purpose of the Study:
- To review the significant roles of lncRNAs in the development and progression of atherosclerosis.
- To highlight the involvement of lncRNAs in key risk factors associated with atherosclerosis.
- To explore the potential of lncRNAs as diagnostic and therapeutic targets for atherothrombotic diseases.
Main Methods:
- Literature review of current research on lncRNAs and atherosclerosis.
- Analysis of studies investigating lncRNA functions in cellular and animal models.
- Synthesis of evidence linking lncRNAs to atherosclerosis and its risk factors.
Main Results:
- lncRNAs are implicated as key mediators in the complex regulatory networks of atherosclerosis.
- Specific lncRNAs influence cellular processes such as lipid metabolism, inflammation, and smooth muscle cell proliferation.
- lncRNAs are involved in the pathogenesis of atherosclerosis-associated conditions like hypercholesterolemia, diabetes, hypertension, and obesity.
Conclusions:
- lncRNAs represent a promising frontier for understanding and treating atherosclerosis.
- Targeting lncRNAs may offer novel avenues for diagnostic and therapeutic interventions in cardiovascular disease.
- Further research into lncRNA mechanisms is crucial for clinical translation in atherothrombotic disease management.
Abstract:
Atherosclerosis is a complex and chronic disease characterized by lipid deposition in the vessel wall that leads to an inflammatory and proliferative cascade involving smooth muscle, endothelial, and immune cells. Despite substantial improvements in our understanding of mechanisms contributing to atherosclerosis and overall reduction in cardiovascular mortality, the absolute disease burden remains substantially high. The recent discovery of a new group of mediators known as long noncoding ribonucleic acids (lncRNAs) offers a unique opportunity for the development of novel diagnostic and therapeutic tools in atherothrombotic disease. A number of studies suggest that lncRNAs are important mediators in health and disease, and rapidly accumulating evidence implicates lncRNAs in regulatory circuits controlling atherosclerosis. In this review, the authors outline important contributions of lncRNAs to atherosclerosis and its associated risk factors, including hypercholesterolemia, diabetes, hypertension, and obesity.
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