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The Function and Therapeutic Potential of Circular RNA in Cardiovascular Diseases

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Abstract

Circular RNA (circRNA) has a closed-loop structure, and its 3’ and 5’ ends are directly covalently connected by reverse splicing, which is more stable than linear RNA. CircRNAs usually possess microRNA (miRNA) binding sites, which can bind miRNAs and inhibit miRNA function. Many studies have shown that circRNAs are involved in the processes of cell senescence, proliferation and apoptosis and a series of signalling pathways, playing an important role in the prevention and treatment of diseases. CircRNAs are potential biological diagnostic markers and therapeutic targets for cardiovascular diseases (CVDs). To identify biomarkers and potential effective therapeutic targets without toxicity for heart disease, we summarize the biogenesis, biology, characterization and functions of circRNAs in CVDs, hoping that this information will shed new light on the prevention and treatment of CVDs.

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Data Availability

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Abbreviations

circRNA:

Circular RNA

miRNA:

MicroRNA

CVD:

Cardiovascular disease

ncRNA:

Noncoding RNA

RBP:

RNA binding protein

RNAPol:

RNA polymerase

ecRNA:

Exon circRNA

ciRNA:

Intronic circRNA

elciRNA:

Exon–intron circRNA

MRE:

MiRNA response element

m6A:

N6-methyladenosine

PKR:

Double-stranded RNA-dependent protein kinase

VSMC:

Vascular smooth muscle cell

EMT:

Epithelial-mesenchymal transition

PES 1:

Pescadillo homologue 1

RCA:

Rolling circle amplification

IRES:

Internal ribosome entry site

MFACR:

Mitochondrial fission and apoptosis-related circRNA

EIF4A3:

Eukaryotic translation initiation factor 4A3

MICRA:

Myocardial infarction-related circRNA

I/R:

Ischaemia/reperfusion

RISK:

Reperfusion injury saving kinase

HRCR:

Heart-related circRNA

SRF:

Serum responsive factor

CTGF:

Connective tissue growth factor

Adrb1:

Adrenergic receptor β1

ADCY6:

Adenylate cyclase 6

TGF:

Transforming growth factor

AF:

Atrial fibrillation

EH:

Essential hypertension

SH:

Secondary hypertension

AAA:

Abdominal aortic aneurysm

BNP:

B-type natriuretic peptide

ANP:

Atrial natriuretic peptide

CRP:

C-reactive protein

IL-6:

Interleukin-6

qPCR:

Quantitative polymerase chain reaction

FISH:

Fluorescence in situ hybridization

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Acknowledgements

We thank Professor Kun Wang, the head of the Heart Development Center, and Professor Peifeng Li, the head of translational research, who provided substantial scientific support to this work.

Funding

This work was supported by the National Natural Science Foundation of China (81870236, 82070313, 81770275), Taishan Scholar Programme of Shandong Province, Major Research Programme of the National Natural Science Foundation of China (No. 91849209) and Qingdao Scientific Programme (No. 18–6-1–63-nsh).

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Lu-Yu Zhou, Kai Wang, Xiang-Qian Gao and Tao Wang provided direction and guidance throughout the preparation of this manuscript. Kai Wang drafted the manuscript. Lu-Yu Zhou reviewed and made significant revisions to the manuscript. All authors have read and approved the final manuscript.

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Correspondence to Lu-Yu Zhou.

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Wang, K., Gao, XQ., Wang, T. et al. The Function and Therapeutic Potential of Circular RNA in Cardiovascular Diseases. Cardiovasc Drugs Ther 37, 181–198 (2023). https://doi.org/10.1007/s10557-021-07228-5

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