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Updated: Dec 27, 2025

Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
Epigenetic regulation as a promising tool for treatment of atherosclerosis
Daria Alexandrovna Skuratovskaia1, Maria Alexandrovna Vulf2, Aleksandra Komar2
1Laboratory of Immunology and Cell Biotechnology, Immanuel Kant Baltic Federal University, Kaliningrad, Russian Federation, Russia, DSkuratovskaya@kantiana.ru.
Abstract:
Atherosclerosis is one of the leading causes of death from cardiovascular disease (CVD) that primarily involves mid size and large arteries. Atherosclerosis is associated with disruption of lipid metabolism and chronic inflammatory processes. One approach for treatment of atherosclerosis is by virtue of epigenetic control by noncoding RNAs (ncRNA) including miRNA, siRNA and lncRNA, commonly employing miRNA antagonists and mimic compounds. Here, we review such usages as well as other approaches for correcting the molecular lesions of atherosclerosis including specific activation of atheroprotective miRNAs, as well as use of siRNAs and lcRNA to control aberrant lipid metabolism. We also discuss some of these technologies that have already shown to be effective in clinical trials and are likely to enter the clinical arena.
Insights
Epigenetic therapies using noncoding RNAs (ncRNAs) offer novel treatments for atherosclerosis, a major cause of cardiovascular disease. These approaches target lipid metabolism and inflammation, with some showing promise in clinical trials.
Area of Science:
- Cardiovascular Science
- Molecular Biology
- Genetics
Background:
- Atherosclerosis is a leading cause of cardiovascular disease (CVD) mortality.
- It involves lipid metabolism disruption and chronic inflammation in arteries.
- Epigenetic modifications by noncoding RNAs (ncRNAs) are implicated in its pathogenesis.
Purpose of the Study:
- To review the therapeutic potential of ncRNAs in treating atherosclerosis.
- To explore the use of miRNA antagonists, mimics, and other ncRNAs.
- To discuss clinical trial progress and future applications of these epigenetic strategies.
Main Methods:
- Review of current literature on ncRNA-based atherosclerosis treatments.
- Analysis of miRNA, siRNA, and lncRNA applications.
- Examination of clinical trial data for emerging therapies.
Main Results:
- ncRNA-based therapies, including miRNA antagonists and mimics, are effective in preclinical models.
- Specific activation of atheroprotective miRNAs shows therapeutic promise.
- siRNAs and lncRNAs can modulate aberrant lipid metabolism.
Conclusions:
- Epigenetic regulation by ncRNAs represents a promising therapeutic avenue for atherosclerosis.
- Several ncRNA-based strategies are advancing through clinical trials.
- These novel treatments are poised to enter clinical practice for cardiovascular disease management.
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