Review
Copyright ©The Author(s) 2020.
World J Cardiol. Jul 26, 2020; 12(7): 303-333
Published online Jul 26, 2020. doi: 10.4330/wjc.v12.i7.303
Table 1 MicroRNA sequences associated with macrophage ”foam cell” formation and atheroma
MicroRNA (↑↓)MacrophageStimulusTargetOutcomes in vitroOutcomes in vivoRef.
Lethal: (let)-7g-5p (↓)Human: THP-1 macrophagesOxidized low density lipoprotein (oxLDL)Nuclear factor kappa beta (NF-κB) (canonical and non-canonical pathways)Inhibits phosphorylation of inhibitor kappa B kinase (IKK-κB and inhibitor (I) κB, downregulates sterol regulatory element binding transcription factor (SREBF2) and upregulates ATP binding cassette (ABC) transporter A1 (ABCA1); reduces expression of mitogen-activated protein kinase kinase kinase 1 (MEKK1), IKK-κ and inhibits IKK-κ phosphorylationOverexpression of let-7 g in apolipoprotein (apo)E-/- mice fed a high fat diet (HFD) reduces macrophage accumulation and aortic plaque area; let-7 g sponge accelerates aortic macrophage accumulation in the same modelWang et al[155], 2017
miR-7-5pHuman: THP-1 macrophagesoxLDL ± puerarinSerine/threonine kinase 11 (STK11)Mimic significantly decreases cholesterol efflux and promotes cholesterol deposition-Li et al[156], 2017
miR-9-5pHuman: THP-1 macrophagesoxLDLAcyl CoA: Cholesterol acyltransferase (ACAT-1; SOAT1)Mimic decreases levels of ACAT-1 protein, reduces cholesterol esterification and blocks foam cell formation-Xu et al[157], 2013
miR-10a-5pMurine: ApoE-/- macrophagesDeletion of dicer-Mimic rescues defective oxidation of fatty acids in alternatively activated Dicer-deficient macrophages, limiting foam cell formation and inflammationLevels of hsa-miR-10a are negatively linked to atheroma progression; blockade of miR-10a exacerbates atheroma in apoE-/- mice (HFD)Wei et al[158], 2018
miR-16-5p (↓)Murine: RAW 264.7 macrophagesOxLDLProgrammed cell death 4 (PDCD4)Mimic decreases expression and secretion of pro-inflammatory cytokines (interleukin (IL)-6, Tumour necrosis factor (TNF-α), promotes that of anti-inflammatory IL-10, and suppresses NF-κB expression; inhibitor achieves the reverseLevels decreased in atheroma in apoE-/- (HFD)Liang et al[159], 2016
miR-17-5pHuman: THP-1 macrophagesoxLDLBeclin-1Mimic inhibits the enhancement of autophagy and cholesterol efflux induced by interferon-stimulated gene 15 (ISG15)-Huang et al[160], 2018
miR-19a-3p--HMG-Box transcription factor-1 (HBP-1)-Serum levels are elevated in atherosclerotic patients, and in aortae susceptible to atherosclerosis. Inhibition decreases atheroma and aortic lipid accumulation in apoE-/- (HFD) miceChen et al[161], 2017
miR-19b-3p (↑)Human: THP-1 macrophages; Murine: Peritoneal macrophagesAcetylated LDL (AcLDL)ABCA1Mimic inhibits cholesterol efflux to ApoA-I, increasing cholesterol massOverexpression of miR-19b decreases reverse cholesterol transport (RCT) in vivo; mimic reduces high density lipoprotein (HDL) levels, increases lesion area and lipid content in apoE-/- mice fed a Western diet (WD); inhibitor achieves the reverseLv et al[162], 2014
miR-19b-3p (↓)Human: THP-1 macrophages; Murine: Peritoneal macrophagesAcLDL + diosgeninABCA1Inhibitor enhances ABCA1 cholesterol effluxInhibitor promotes RCT in vivo, elevates HDL levels, reduces aortic lipid deposition and plaque area in apoE-/- mice (WD)Lv et al[163], 2015
miR-20a/b (-5p)Human: THP-1 macrophages; Murine: RAW264.7 macrophagesoxLDLABCA1Mimic decreases cholesterol efflux to apoA-I, and increases macrophage cholesterol contentMimic reduces hepatic expression of ABCA1 and high-density lipoprotein (HDL) levels, impairs reverse cholesterol transport and promotes atherogenesis in apoE-/- miceLiang et al[164], 2017
miR-21-5pMurine: RAW 264.7 macrophagesOxLDL ± LPS (lipopoly-saccharide)Toll like receptor 4 (TLR4); NF-κBLPS stimulation of miR-21 inhibits foam cell formation and reduces secretion of IL-6, IL-12, TNF-α-Feng et al[165], 2014
miR-21-5pMurine: Bone-marrow derived macrophagesAcLDLMitogen-activated protein kinase kinase 3 (MKK3)MiR21-/- macrophages exhibit increased ABCG1 degradation and decreased cholesterol efflux, enhancing foam cell formation.Most abundant miR in murine macrophages; levels elevated in aortic plaque macrophages isolated from LDL receptor knockout (Ldlr-/-) (WD) mice; knockout of miR-21 enhances arterial macrophage accumulation, production of inflammatory cytokinesCanfrán-Duque et al[166], 2017
miR-23a-5p (↑) miR-23a-3pMurine: RAW 264.7 macrophagesoxLDLABCA1/G1Inhibitor enhances cholesterol efflux and decreases foam cell formation via upregulation of ABCA1/G1 expressionPlasma levels correlate with plaque progression and vulnerability in patient with acute ischemic stroke. Long-term systemic delivery of antagomir reduces atheroma and promotes plaque stability (apoE-/- mice)Yang et al[167], 2018
miR-24-3pPrimary: Human monocyte-derived macrophagesColony stimulating factor (CSF)Matrix metallo-proteinase (MMP)-14Inhibitor increases macrophage invasive capacityHsa-miR-24 levels inversely correlate with MMP-14 protein, and lesion instability Inhibitor increases lesion size and MMP-14 levels in apoE-/- mice (HFD)Di Gregoli et al[168], 2014
miR-27a/b (-3p)Human: THP-1 macrophages; Murine: RAW264.7 macrophagesAcLDLABCA1Mimic decreases cholesterol efflux, and increases free cholesterol content in macrophages, but blocks uptake of oxLDL [Lipoprotein lipase (LPL), cluster of differentiation (CD36)] and inhibits cholesterol esterification-Zhang et al[169], 2014
miR-28a-5p (↑)Murine: RAW264.7 macrophagesoxLDLLDL receptor class A domain containing 3 (LRAD3)--Li et al[170], 2018
miR-30c-5pHuman: THP-1 macrophagesoxLDLCaspase 3Cluster differentiation (CD) 36-dependent uptake of oxLDL reduces miR-30c-5p, enhancing IL secretionLow serum levels of hsa-miR-30c-5p predict carotid atherosclerosis. Antagomir impairs endothelial healing following carotid injury (C57BL/6J mice)Ceolotto et al[171], 2017
miR-30c-1-3p (↑)Murine: RAW264.7 macrophagesoxLDLOxidized LDL (lectin-like) receptor 1 (LOX-1)--Li et al[170], 2018
miR-33a/b (-5p) (↑)Human: THP-1 macrophagesoxLDL ± C. pneumoniaeABCA1Inhibitor promotes cholesterol efflux compared with C. pneumoniae control-Zhao et al[172], 2014
miR-33a-5pHuman: THP-1 macrophagesVaspin ± LPSABCA1Vaspin decreases expression of miR-33a via inhibition of NF-κB, enhancing cholesterol efflux-Gao et al[173], 2018
miR-33Human: THP-1 macrophages; Murine: Peritoneal macrophages-Peroxisome proliferator activator receptor coactivator 1 (PGC1A), pyruvate dehydrogenase kinase 4 (PDK4), solute carrier family 25 member 25 (SLC25A25), nuclear respiratory factor 1 (NRF1), transcription factor A, mitochondrial (TFAM)Inhibitor enhances mitochondrial respiration, and cholesterol efflux to apoA-IAntagomir reduces atheroma in apoE-/- mice (WD)Karunakaran et al[154], 2015
miR-33Murine: Peritoneal macrophagesAcLDLAutophagy protein 5 (Atg5); autophagy-related 12 (Atg12), microtubule-associated protein light chain 3 (Map11c3b), AMP-activated protein kinase κ1 (Prkaa1), lysosomal associated membrane protein 1 (Lamp1), transcription factor EB (TFEB), Forkhead box O-3 (FOXO3)Mimic inhibits the breakdown of lipid droplets by repressing effectors of macrophage autophagy. Silencing promotes lipid droplet catabolism, aiding ABCA1-dependent cholesterol effluxInhibition restores defective autophagy in aorta and macrophages of Ldlr-/- miceOuimet et al[153], 2017
miR-33a-5p (↑)Human: THP-1 macrophagesoxLDLABCA1Mimic decreases the expression of ABCA1 and promotes lipid accumulation in macrophages, while the inhibitor achieves the reverseLevels are elevated in individuals at risk of atherosclerosisKim et al[174], 2017
miR-34a-5p (↓)Human: THP-1 macrophagesoxLDL + HcyHistone deacetylase 1 (HDAC1)Overexpression of miR-34a reduces HDAC1 levels in foam cells, while knockdown achieves the reverse; HDAC1 induces homocysteine (Hcy) dependent foam cell formationLevels of miR-34a decrease, and expression of HDAC1 increases, in the aorta of apoE-/- mice fed a high methionine dietZhao et al[175], 2017
miR-98-5p (↓)Murine: Peritoneal macrophagesoxLDLOxidized LDL (lectin-like) receptor 1 (LOX-1)Mimic reduces expression of LOX-1 and inhibits foam cell formation; inhibitor achieves the reverseMimic decreases expression of LOX-1 and lipid accumulation in the aortic root in apoE-/- mice (HFD); inhibitor achieves the reverseDai et al[176], 2018
miR-125b-5p (↑)Murine: RAW 264.7 macrophagesLPSNF-κBSilencing of CD40 downregulates levels of miR-125; LPS stimulates miR-125b expressionmiR-125b levels are increased in atherosclerosis; siRNA-CD40 apoE-/- mice exhibit reductions in lesion areaHueso et al[177], 2016
miR-128- (↓)Murine: RAW 264.7 macrophagesoxLDL-Mimic reverses the pro-atherogenic impact of long non-coding (lnc)RNA NEAT1 on foam cell formation-Chen et al[178], 2018
miR-133aMurine: RAW 264.7 macrophagesoxLDLTesticular orphan nuclear receptor 4 (TR4)Mimic prevents TR-4 mediated enhancement of lipid uptake via CD36-Peng et al[179], 2016
miR-134-5pHuman: THP-1 macrophagesoxLDLAngiopoietin (ANGTPL)/lipoprotein lipase (LPL)LPL activity and protein, inflammatory cytokines and cholesterol mass enhanced by miR-134 mimic; inverse achieved using an inhibitor-Lan et al[180], 2016
miR-134-5p--ANGTPL4/LPL-Mimic increases atherosclerotic lesions, release of proinflammatory cytokines and peritoneal macrophage lipid accumulation in apoE-/-(HFD) mice; inhibitor achieves the reverseYe et al[181], 2018
miR-144-3pHuman: THP-1 macrophages;Murine: Peritoneal and J774.1 macrophagesLiver X receptor ligand T0901317ABCA1Mimic reduces cholesterol efflux to apoA-I in macrophagesMimic reduces HDL levels in vivo (C57BL/6); inhibitor achieves the reverseRamirez et al[182], 2013
miR-144-3pHuman: THP-1 macrophagesoxLDLABCA1Mimic reduces cholesterol efflux and enhances expression of cytokines (IL-1, TNF-α, IL-6)Agomir inhibits RCT in vivo, and accelerates atherosclerosis in apoE-/- mice (HFD). Circulating levels of miR-144-3p correlate with acute myocardial infarctionHu et al[183], 2014
miR-146a-5pMurine: Peritoneal macrophages (wild type and apoE-/-)NF-κBIncreases in miR-146a inhibit pro-inflammatory responses in macrophages (TNF-α)miR-146a mimic inhibits inflammation and plaque development in apoE-/- x Ldlr-/- and Ldlr-/- mice (HFD)Li et al[184], 2015
miR-146b-5p (↑)Human: THP-1 macrophagesoxLDLTNF receptor (TNFR) associated factor 6 (TRAF6)Inhibition promotes inflammation and lipid uptake during formation of foam cellsLevels are elevated in foam cells, and clinical specimens from patients with atherosclerosisLin et al[185], 2017
miR-148a-5p miR-152-3p--DNA methyl-transferase 1 (DNMT1)Viral overexpression reduces expression of DNMT1, increases levels of adipocyte differentiation related protein (ADRP) and enhances cholesterol accumulation in foam cells; down-regulation achieves the reverseAortic levels increased in hyperhomo-cysteinaemic apoE-/- miceYang et al[186], 2017
miR-150-5p (↑)Human: THP-1 macrophagesoxLDLAdiponectin receptor 2 (ADIPOR2)Mimic inhibits lipid accumulation, increasing cholesterol efflux to apoA-I and HDL; an inhibitor achieves the reverse. Down-regulation of ADIPOR2 replicates the impact of the miR-150 mimic-Li et al[187], 2016
miR-155-5p (↑)Human: Peripheral blood monocytesoxLDL---Chen et al[178], 2009
miR-155-5p (↑)Murine: RAW 264.7 macrophagesoxLDLHMG-box transcription factor 1 (HBP1)Enhances lipid uptake and reactive oxygen species production by macrophagesAntagomir decreases lipid accumulation in macrophages and lesion formation in apoE-/- mice (HFD). Level is up-regulated in CD14+ monocytes from coronary heart disease (CHD) patientsTian et al[188], 2014
miR-155-5p (↑)Human: THP-1 macrophagesoxLDLCalcium-regulated heat stable protein 1 (CARHPS1)-TNF-αMimic blocks lipid uptake and suppresses expression of TNF-α; inhibitor achieves the reverseElevated in clinical samples (plaque and plasma) from patients with atherosclerosisLi et al[189], 2016
miR-155-5pHuman: THP-1 macrophages-T-cell immunoglobulin and mucin domain-3 (Tim-3)Mimic enhances expression of cholesteryl ester (CE) hydrolase (CEH). Overexpression inhibits foam cell formation, intracellular CE accumulation and enhances efflux of cholesterol-Zhang et al[190], 2018
miR-181a-5p (↓)Human: THP-1 macrophagesoxLDLMitogen-activated protein kinase kinase 1 (MEK1)Activates MEK/ERK/NF-κB, upregulates NLR family leucine-rich repeat protein 3 (NRLP3) inflammasome-related proteins (NRLP, caspase-1, IL-18, IL-1)-Song et al[191], 2019
miR-181a-5p (↑)Human: THP-1 macrophagesoxLDLToll-like receptor 4 (TLR4)Decreases expression of CD36 protein, and lipid [Total cholesterol (TC), Triglyceride (TG)] accumulation. Inhibits THP-1 apoptosis, and increases Il-6, IL-1, TNF-α protein expression-Du et al[192], 2018
miR-188-3p (↑)----Overexpression induces intravascular lipid accumulation, suppresses oxidation and macrophage inflammation in apoE-/- mice, and reduces serum levels of Regulated upon activation normal T-cell expressed and secreted (RANTES), LOX1 and inducible Nitric Oxide Synthase (iNOS)Zhang et al[193], 2018
miR-212-3pHuman: THP-1 macrophagesoxLDLSirtuin 1 (SIRT1)Overexpression promotes lipid accumulation during foam cell formation, and reduces ABCA1 expression and cholesterol efflux; depletion achieves the reverseLevels are decreased in atheroma and macrophages in apoE-/- mice (HFD)Miao et al[194], 2018
miR-216a-5pHuman: THP-1 macrophagesoxLDLCystathionine-γ-lyase (CSE)Mimic inhibits expression of ABCA1, decreases phosphorylation of phosphatidyl-inositol 3-kinase (PI3K) and protein kinase B (AKT), and reduces ABCA1 expression and cholesterol efflux, promoting lipid accumulation; inverse occurs with the inhibitor-Gong et al[195], 2016
miR-217----Serum levels are negatively correlated with plaque development in apoE-/- mice (HFD). Mimic reduces intimal media thickness, reduces levels of pro-atherogenic lipoproteins and inhibits inflammation in the same modelLiu et al[196], 2018
miR-221-3p (↓)Murine: RAW 264.7 macrophagesoxLDLA disintegrin and metalloprotease-22 (ADAM22)Mimic reduces foam cell formation and apoptosis; inhibitor achieves the reverse-Zhuang et al[197], 2019
miR-223 (↓)Murine: Bone marrow derived macrophages; Murine: RAW264.7 macrophagesLPS, oxLDLTLR4Overexpression reduces foam cell formation, and production of pro-inflammatory cytokines via repression of NK-κB signaling; inhibitor achieves the reverseElevated levels in aortic lesions in apoE-/- mice (HFD)Wang et al[198], 2015
mir-302a-3p (↓)Primary: Mouse macrophagesoxLDL, AcLDLABCA1Mimic decreases cholesterol efflux to apoA-IInhibitor enhances ABCA1 in hepatic and aortic tissues of Ldlr-/- mice (HFD), increases HDL and reduces plaque size and inflammationMeiler et al[199], 2015
miR-361-5pHuman: THP-1 macrophagesoxLDLLPLMir-361-5p is upregulated by apelin, resulting in suppression of LPL translation, inhibition of lipid accumulation and proinflammatory cytokine secretion-Zhang et al[200], 2017
miR-378-3p (↑)Human: THP-1 macrophages; Murine: J774.1 macrophagesoxLDL ± coenzyme Q10ABCG1Coenzyme Q10 (Q10) protects cholesterol efflux by reducing expression of miR-378Q10 promotes RCT and reduces atheroma in apoE-/- mice (HFD)Wang et al[201], 2014
miR-382-5p (↑)Human: THP-1 macrophagesoxLDL, AcLDLNuclear factor 1A (NFIA)Mimic increases cholesterol content and reduces cholesterol efflux; enhances LPS-stimulated production of pro-inflammatory cytokines (IL-6, TNF-α, IL-1)-Hu et al[108], 2015
miR-486-5pHuman: THP-1 macrophagesoxLDLHistone acetyl-transferase 1 (HAT1)Mimic downregulates the expression of ABCA1, limiting cholesterol efflux and promoting foam cell formation; inhibitor achieves the reverse-Liu et al[202], 2016
miR-497-5p (↑)Human: THP-1 macrophagesoxLDLApelinOverexpression of miR-497 promotes cholesterol efflux and decreases cholesterol efflux; inhibitor achieves the reverse-Cui et al[203], 2017
miR-758-5pHuman: THP-1 macrophagesoxLDLCD36Mimic decreases uptake of DiI-labelled OxLDL via modulation of CD36; inhibitor achieves the reverse-Li et al[204], 2017