Bellon Quinones Noelia, Belluomo Ruggero, Juni Rio P, Boon Reinier A
Institute for Cardiovascular Regeneration, Centre for Molecular Medicine, Goethe University, Frankfurt Am Main, Germany.
German Centre for Cardiovascular Research, Partner Site Frankfurt Rhein/Main, Frankfurt, Germany.
J Cardiovasc Transl Res. 2025 Sep 3. doi: 10.1007/s12265-025-10686-z.
Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, necessitating innovative therapeutic strategies. Long non-coding RNAs (lncRNAs) have emerged as regulators of gene expression, influencing various cellular processes involved in cardiovascular health and disease. This review explores the functional roles of lncRNAs in CVD pathogenesis, highlighting their involvement in processes such as hypertrophy, fibrosis, inflammation, and vascular remodeling. We discuss their potential as diagnostic biomarkers and therapeutic targets, alongside recent advancements in gene therapy approaches. While no lncRNA-based therapies have yet reached clinical trials, emerging RNA-targeting technologies, including antisense oligonucleotides, siRNAs, and CRISPR-based interventions, offer promising avenues for future therapeutic applications. Additionally, we examine the challenges associated with delivering lncRNA-based therapies, evaluating both viral and non-viral delivery methods, and their potential to revolutionize cardiovascular medicine. Ultimately, a deeper understanding of lncRNA biology and improvements in delivery strategies will be crucial in translating these findings into clinical treatments.
心血管疾病(CVDs)仍然是全球发病和死亡的主要原因,因此需要创新的治疗策略。长链非编码RNA(lncRNAs)已成为基因表达的调节因子,影响着心血管健康和疾病中涉及的各种细胞过程。本综述探讨了lncRNAs在CVD发病机制中的功能作用,强调了它们在肥大、纤维化、炎症和血管重塑等过程中的参与。我们讨论了它们作为诊断生物标志物和治疗靶点的潜力,以及基因治疗方法的最新进展。虽然基于lncRNA的疗法尚未进入临床试验,但新兴的RNA靶向技术,包括反义寡核苷酸、小干扰RNA(siRNAs)和基于CRISPR的干预措施,为未来的治疗应用提供了有希望的途径。此外,我们研究了与基于lncRNA的疗法给药相关的挑战,评估了病毒和非病毒递送方法,以及它们彻底改变心血管医学的潜力。最终,对lncRNA生物学的更深入理解和递送策略的改进对于将这些发现转化为临床治疗至关重要。