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Updated: Sep 23, 2025

Overexpressing Long Noncoding RNAs Using Gene-activating CRISPR
Published on: March 1, 2019
Targeting Circulating lncRNA ENST00000538705.1 Relieves Acute Coronary Syndrome via Modulating ALOX15
Hao Chen1, Shiwei Huang1, Fanlu Guan1
1Department of Cardiology, The Third Affiliated Hospital of Shanghai University (Wenzhou People's Hospital), Wenzhou, 325000 Zhejiang, China.
Objective:
Acute coronary syndrome (ACS) is the most dangerous and deadly form of coronary heart disease. Herein, we aimed to explore ACS-specific circulating lncRNAs and their regulatory mechanisms.
Methods:
This study collected serum samples from ACS patients and healthy controls for microarray analysis. Dysregulated circulating lncRNAs and mRNAs were determined with |log2fold - change| > 1 and p < 0.05. lncRNA-mRNA coexpression analysis was carried out. ENST00000538705.1 and ALOX15 expression was further verified in serum specimens. In human coronary artery endothelial cells (HCAECs), ENST00000538705.1 and ALOX15 were knocked out through transfecting specific siRNAs. Thereafter, proliferation and migration were investigated with CCK-8 and wound-healing assays. Myocardial infarction rat models were established and administrated with siRNAs against ENST00000538705.1 or ALOX15. Myocardial damage was investigated with H&E staining, and serum TC, LDL, and HDL levels were measured.
Results:
Microarray analysis identified 353 dysregulated circulating lncRNAs and 441 dysregulated circulating mRNAs in ACS. Coexpression analysis indicated the interaction between ENST00000538705.1 and ALOX15. RT-qPCR confirmed the remarkable upregulation of circulating ENST00000538705.1 and ALOX15 in ACS patients. In HCAECs, ENST00000538705.1 knockdown lowered the expression of ALOX15 but ALOX15 did not alter the expression of ENST00000538705.1. Silencing ENST00000538705.1 or ALOX15 weakened the proliferation and migration of HCAECs. Additionally, knockdown of ENST00000538705.1 or ALOX15 relieved myocardial damage, decreased serum TC and LDL levels, and elevated HDL levels in myocardial infarction rats.
Conclusion:
Collectively, our findings demonstrate that circulating ENST00000538705.1 facilitates ACS progression through modulating ALOX15, which provide potential targets for ACS treatment.
Insights
Circulating ENST00000538705.1 promotes acute coronary syndrome (ACS) by regulating ALOX15. This study identifies potential therapeutic targets for ACS treatment, offering new avenues for managing this critical heart condition.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Biomarker Discovery
Background:
- Acute coronary syndrome (ACS) represents a severe manifestation of coronary heart disease.
- Identifying specific circulating biomarkers and their regulatory pathways is crucial for understanding ACS pathogenesis.
- Long non-coding RNAs (lncRNAs) are increasingly recognized for their roles in cardiovascular diseases.
Purpose of the Study:
- To investigate ACS-specific circulating long non-coding RNAs (lncRNAs) and their regulatory mechanisms.
- To identify novel molecular targets for the treatment of acute coronary syndrome.
Main Methods:
- Serum samples from ACS patients and healthy controls underwent microarray analysis to identify dysregulated lncRNAs and mRNAs.
- lncRNA-mRNA coexpression analysis was performed, followed by in vitro studies in human coronary artery endothelial cells (HCAECs) and in vivo experiments using myocardial infarction rat models.
- Gene silencing via siRNA transfection was used to assess the functional roles of ENST00000538705.1 and ALOX15 in cellular processes and myocardial infarction.
Main Results:
- Microarray analysis revealed 353 dysregulated lncRNAs and 441 dysregulated mRNAs in ACS patients.
- ENST00000538705.1 was found to upregulate ALOX15 expression, and both were significantly elevated in ACS patients' serum.
- Silencing ENST00000538705.1 or ALOX15 inhibited HCAEC proliferation and migration, reduced myocardial damage, and improved lipid profiles in a rat model of myocardial infarction.
Conclusions:
- Circulating ENST00000538705.1 plays a critical role in promoting ACS progression by modulating ALOX15.
- The ENST00000538705.1/ALOX15 axis represents a promising therapeutic target for acute coronary syndrome.
- These findings contribute to the development of novel diagnostic and therapeutic strategies for ACS management.
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