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Suppressor of inflammatory macrophage apoptosis lncRNA (SIMALR) is a human-specific long intergenic noncoding RNA (lincRNA) highly expressed in inflammatory “M1-type” macrophages. SIMALR is induced by stimuli such as LPS/IFN-γ and protects these macrophages from apoptosis in part by promoting NTN1 expression via HIF1α-dependent transcriptional regulation. SIMALR plays a critical role in modulating macrophage survival and inflammatory responses within atherosclerotic plaques. Knockdown of SIMALR increases apoptosis in these cells and reduces NTN1 levels; addition of recombinant NTN1 rescues macrophage survival. SIMALR is expressed in macrophages in human carotid atherosclerotic plaques and may represent a novel therapeutic target for modulating inflammatory cell survival in cardiovascular disease[2][3][5][7].
SIMALR protects inflammatory macrophages from apoptosis by increasing the transcription of NTN1, a known survival factor for macrophages. SIMALR interacts with HIF1α to facilitate NTN1 promoter activation, thereby increasing macrophage survival during inflammation
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