Researchers have discovered that a long non-coding RNA called NORAD plays a crucial role in regulating endothelial cell function and preventing a potentially deadly process called ferroptosis. This finding could lead to new therapies for atherosclerosis, a major cause of heart attacks and strokes. The study revealed that NORAD levels are significantly elevated in patients with coronary artery disease, suggesting it could serve as a valuable biomarker for early detection of this condition.

A Mysterious RNA with a Big Impact
Imagine a tiny molecule, hidden away in the vast landscape of our cells, wielding immense power over the health of our blood vessels. This is the story of NORAD, a long non-coding RNA (lncRNA) that has recently captured the attention of cardiovascular researchers.
NORAD, or “Highly Expressed in Cancer RNA Activated by DNA Damage,” is a unique lncRNA that plays a crucial role in maintaining chromosome stability and regulating cell division. But its influence extends far beyond the realm of cancer – a new study has unveiled NORAD’s surprising impact on the health of our blood vessels.
A Biomarker for Coronary Artery Disease?
The researchers, led by a team from Wuhan University in China, set out to investigate the role of NORAD in the development of coronary artery disease (CAD), a leading cause of heart attacks and strokes. They measured NORAD levels in the plasma of 75 CAD patients and 76 healthy controls, and the results were striking.
Plasma NORAD levels were significantly elevated in CAD patients compared to the control group. This suggests that NORAD could serve as a valuable biomarker for the early detection of CAD, potentially allowing for earlier intervention and improved patient outcomes.
NORAD’s Role in Endothelial Cell Function
The researchers didn’t stop there – they delved deeper into the mechanisms by which NORAD influences cardiovascular health. They discovered that NORAD plays a critical role in regulating the function of endothelial cells, which line the inside of our blood vessels.
NORAD helps endothelial cells proliferate and migrate, two key processes in maintaining healthy blood vessels. When the researchers knocked down NORAD in human endothelial cells, they observed a significant reduction in cell proliferation and migration.
Uncovering the Link to Ferroptosis
But the story doesn’t end there. The researchers also found that NORAD deficiency induced a form of programmed cell death called ferroptosis in endothelial cells. Ferroptosis is a relatively new concept in cell biology, and it is closely linked to the metabolism of iron and the production of harmful reactive oxygen species (ROS).
When NORAD was silenced, the endothelial cells experienced increased oxidative stress, disrupted mitochondrial function, and a decrease in key ferroptosis-regulating proteins. These changes made the cells more susceptible to ferroptosis, a process that can contribute to the development of atherosclerosis.
A Potential Therapeutic Target
The findings of this study suggest that NORAD could be a promising target for the development of new therapies for atherosclerosis and other cardiovascular diseases. By modulating NORAD levels or its downstream signaling pathways, it may be possible to preserve endothelial cell health and prevent the progression of cardiovascular disease.
Moreover, the elevated levels of NORAD observed in CAD patients could make it a useful biomarker for early detection and risk assessment, potentially allowing for earlier intervention and improved patient outcomes.
As the researchers conclude, “The regulatory network involving NORAD, miR-106a, and their target genes provides a potential therapeutic avenue for atherosclerosis.” This study has shed new light on the intriguing world of long non-coding RNAs and their role in cardiovascular health, opening up new avenues for future research and clinical applications.
Author credit: This article is based on research by Tao He, Junxing Pu, Haijing Ge, Tianli Liu, Xintong Lv, Yu Zhang, Jia Cao, Hong Yu, Zhibing Lu, Fen Du.
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