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ATP1A1 antisense RNA 1 (ATP1A1-AS1)

Target
ATP1A1-AS1
Molecular classification
Long non-coding RNA (lncRNA)
01

Overview

ATP1A1 antisense RNA 1 (ATP1A1-AS1) is a long non-coding RNA transcribed from the antisense strand of the ATP1A1 gene. It is implicated in the regulation of vascular smooth muscle cell phenotype and apoptosis, especially in the context of intracranial aneurysms, where it is upregulated and promotes disease progression. ATP1A1-AS1 also functions as a competitive endogenous RNA, interacting with microRNAs and indirectly modulating target gene expression involved in cancer and other diseases. Its diagnostic potential is supported by upregulation in disease and its stability in exosomal form, emphasizing its value as a biomarker in clinical settings[1][2][5][6][7].

Other names
ATP1A1-AS1ATP1A1OSC1orf203MGC16179ATP1A1 antisense gene protein 1ATP1A1 opposite strand proteinATP1A1 opposite strand
02

Mechanism of action

Acts via antisense regulation of ATP1A1 gene expression. Serves as a competing endogenous RNA for microRNAs (e.g., miR-620). Indirectly regulates signaling pathways relevant to apoptosis, vascular cell function, and cancer.

03

Biological functions

Regulates Na/K-ATPase alpha-1 by antisense mechanismsInduces phenotype switching in vascular smooth muscle cellsPromotes apoptosis and inhibits cell proliferation in some cancer contextsModulates MMP-9 expressionFunctions as a competitive endogenous RNA interacting with microRNAs, e.g., miR-620/IRF2BP2
04

Disease associations

Intracranial aneurysm—diagnostic biomarker and pathogenic mechanismThyroid carcinoma—regulator of proliferation and apoptosisCharcot-Marie-Tooth disease, Axonal, Type 2Dd (gene-disease association)Hypomagnesemia, seizures, and impaired intellectual development 2 (gene-disease association)Potential implication in other cardiovascular and central nervous system diseases via exosomal lncRNA roles
05

Safety considerations

As a biomarker, the main clinical challenge is RNA instability in plasma, though exosomal packaging improves stabilityNotable therapeutic challenges for lncRNAs include specificity of targeting and off-target effects
06

Biomarkers

ATP1A1-AS1 is a reported biomarker for intracranial aneurysm diagnosis, detectable in exosomes and differentially expressed in disease

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