STARD4-AS1 promotes coronary artery disease and modulates endothelial dysfunction by targeting miR-204-3p/FLI1

Yuan Li1, Li Liu1

  • 1Department of General Practice, Chinese and Western Medicine Hospital of Panzhihua, Panzhihua, 617000, China.

Microvascular Research
|February 18, 2026
PubMed
Abstract

Insights

Steroidogenic acute regulator protein-related lipid transfer domain containing 4-antisense RNA 1 (STARD4-AS1) is elevated in coronary artery disease (CAD) and regulates endothelial cell function. STARD4-AS1 shows potential as a therapeutic target and biomarker for CAD.

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Genetics

Background:

  • Coronary artery disease (CAD) is a leading global cause of mortality.
  • Understanding the molecular mechanisms underlying CAD is crucial for developing effective treatments.
  • The role of long non-coding RNAs (lncRNAs) like STARD4-AS1 in CAD pathogenesis is under investigation.

Purpose of the Study:

  • To investigate the expression, function, and regulatory mechanisms of STARD4-AS1 in CAD.
  • To evaluate STARD4-AS1 as a potential diagnostic biomarker for CAD.
  • To explore STARD4-AS1 as a therapeutic target for CAD.

Main Methods:

  • Analysis of the GSE113079 dataset to identify STARD4-AS1 expression in CAD.
  • Quantification of serum STARD4-AS1 levels in CAD patients and healthy controls using RT-qPCR.
  • In vitro functional assays in human primary coronary artery endothelial cells (HCAECs) under hypoxia, including siRNA-mediated knockdown of STARD4-AS1, assessment of monocyte adhesion, LDH release, MDA, SOD, and LDL-C levels.
  • Prediction and validation of miRNA targets for STARD4-AS1 using dual-luciferase reporter assays.
  • Rescue experiments to validate the STARD4-AS1/miRNA axis function.

Main Results:

  • STARD4-AS1 was significantly elevated in CAD peripheral blood mononuclear cells and serum.
  • Elevated STARD4-AS1 levels correlated positively with LDL-C and demonstrated diagnostic value for CAD.
  • Knockdown of STARD4-AS1 in HCAECs under hypoxia reduced LDH release, MDA levels, intracellular LDL-C, and monocyte adhesion.
  • MiR-204-3p was identified as a direct target of STARD4-AS1, and FLI1 as a target of miR-204-3p.
  • Inhibition of miR-204-3p reversed the protective effects of STARD4-AS1 suppression on hypoxic HCAECs.

Conclusions:

  • STARD4-AS1 plays a significant role in regulating endothelial cell function under hypoxic conditions relevant to CAD.
  • The STARD4-AS1/miR-204-3p/FLI1 axis is implicated in CAD pathogenesis.
  • STARD4-AS1 represents a promising novel therapeutic target and a potential circulating biomarker for CAD.

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