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Published on: February 20, 2019
Long Noncoding RNAs in Atherosclerosis and Vascular Injury: Pathobiology, Biomarkers, and Targets for Therapy
Jacob B Pierce1,2, Mark W Feinberg1
1From the Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.B.P., M.W.F.).
Insights
Long noncoding RNAs (lncRNAs) are key epigenetic regulators in atherosclerosis and restenosis after vascular injury. This review explores their roles, mechanisms, biomarker potential, and therapeutic strategies for cardiovascular disease.
Area of Science:
- Molecular Biology
- Cardiovascular Research
- Epigenetics
Background:
- Atherosclerotic cardiovascular disease poses a significant global health and economic burden.
- Vascular restenosis after percutaneous coronary interventions limits treatment effectiveness.
- Long noncoding RNAs (lncRNAs) are emerging as critical epigenetic regulators in vascular disease.
Purpose of the Study:
- To review the role of lncRNAs in atherosclerosis development.
- To examine lncRNAs' contribution to restenosis following vascular injury.
- To discuss lncRNA mechanisms, biomarker utility, and therapeutic potential.
Main Methods:
- Literature review of lncRNAs in atherosclerosis and restenosis.
- Analysis of intracellular regulatory mechanisms of lncRNAs.
- Evaluation of lncRNAs as biomarkers and therapeutic targets.
Main Results:
- lncRNAs play crucial roles in regulating atherosclerosis and restenosis.
- Diverse intracellular mechanisms underlie lncRNA function in vascular pathology.
- lncRNAs show promise as biomarkers and therapeutic targets.
Conclusions:
- lncRNAs are significant epigenetic regulators in cardiovascular disease.
- Targeting lncRNAs offers potential therapeutic strategies for atherosclerosis and restenosis.
- Further research into lncRNA mechanisms and applications is warranted.
Abstract:
Despite major advances in the primary and secondary prevention of atherosclerosis and its risk factors, atherosclerotic cardiovascular disease remains a major clinical and financial burden on individuals and health systems worldwide. In addition, neointima formation and proliferation due to mechanical trauma to the vessel wall during percutaneous coronary interventions can lead to vascular restenosis and limit the longevity and effectiveness of coronary revascularization. Long noncoding RNAs (lncRNAs) have emerged as a novel class of epigenetic regulators with critical roles in the pathogenesis of atherosclerosis and restenosis following vascular injury. Here, we provide an in-depth review of lncRNAs that regulate the development of atherosclerosis or contribute to the pathogenesis of restenosis following mechanical vascular injury. We describe the diverse array of intracellular mechanisms by which lncRNAs exert their regulatory effects. We highlight the utility and challenges of lncRNAs as biomarkers. Finally, we discuss the immense translational potential of lncRNAs and strategies for targeting them therapeutically using oligonucleotide-based therapeutics and novel gene therapy platforms.
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