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Although there are many genetic loci in noncoding regions associated with vascular disease, studies on long noncoding RNAs (lncRNAs) discovered from human plaques that affect atherosclerosis have been highly limited. We aimed to identify and functionally validate a lncRNA using human atherosclerotic plaques. Human aortic samples were obtained from patients who underwent aortic surgery, and tissues were classified according to atherosclerotic plaques. RNA was extracted and analyzed for differentially expressed lncRNAs in plaques. Human aortic smooth muscle cells (HASMCs) were stimulated with oxidized low-density lipoprotein (oxLDL) to evaluate the effect of the identified lncRNA on the inflammatory transition of the cells. Among 380 RNAs differentially expressed between the plaque and control tissues, lncRNA  HSPA7  was selected and confirmed to show upregulated expression upon oxLDL treatment.  HSPA7  knockdown inhibited the migration of HASMCs and the secretion and expression of IL-1β and IL-6; however,  HSPA7  knockdown recovered the oxLDL-induced reduction in the expression of contractile markers. Although miR-223 inhibition promoted the activity of Nf-κB and the secretion of inflammatory proteins such as IL-1β and IL-6,  HSPA7  knockdown diminished these effects. The effects of miR-223 inhibition and  HSPA7  knockdown were also found in THP-1 cell-derived macrophages. The impact of  HSPA7  on miR-223 was mediated in an AGO2-dependent manner.  HSPA7  is differentially increased in human atheroma and promotes the inflammatory transition of vascular smooth muscle cells by sponging miR-223. For the first time, this study elucidated the molecular mechanism of action of  HSPA7 , a lncRNA of previously unknown function, in humans.

LncRNA HSPA7 in human atherosclerotic plaques sponges miR-223 and promotes the proinflammatory vascular smooth muscle cell transition