Understanding the role of non-coding RNA (ncRNA) in stent restenosis

Atherosclerosis. 2018 May:272:153-161. doi: 10.1016/j.atherosclerosis.2018.03.036. Epub 2018 Mar 22.

Abstract

Coronary heart disease (CHD) is one of the leading disorders with the highest mortality rate. Percutaneous angioplasty and stent implantation are the currently available standard methods for the treatment of obstructive coronary artery disease. However, the stent being an exogenous substance causes several complications by promoting the proliferation of vascular smooth muscle cells, immune responses and neointima formation after implantation, leading to post-stent restenosis (ISR) and late thrombosis. The prevention of these adverse vascular events is important to achieve long-term proper functioning of the heart after stent implantation. Non-coding ribonucleic acids (ncRNAs) are RNA molecules not translated into proteins, theyhave a great potential in regulating endothelial cell and vascular smooth muscle function as well as inflammatory reactions. In this review, we outline the regulatory functions of different classes of ncRNA in cardiovascular disease and propose ncRNAs as new targets for stent restonosis treatment.

Keywords: Coronary artery disease; Immune response; Inflammation; Long non-coding RNA; Non-coding RNA; Restonosis; microRNA.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Coronary Artery Disease / complications
  • Coronary Disease / metabolism
  • Coronary Restenosis / metabolism*
  • Drug-Eluting Stents / adverse effects
  • Endothelial Cells / cytology
  • Endothelium, Vascular / cytology
  • Humans
  • MicroRNAs / metabolism*
  • Muscle, Smooth, Vascular / metabolism
  • Neointima / metabolism
  • Percutaneous Coronary Intervention / adverse effects
  • Proto-Oncogene Proteins c-akt / metabolism*
  • RNA, Small Interfering / metabolism
  • RNA, Untranslated / metabolism*
  • Stents*

Substances

  • MIRN21 microRNA, human
  • MicroRNAs
  • RNA, Small Interfering
  • RNA, Untranslated
  • AKT1 protein, human
  • Proto-Oncogene Proteins c-akt