Atherosclerosis is a kind of chronic cardiovascular disease, characterized by oxidized low‐density lipoprotein (ox‐LDL) accumulation in macrophage. Tanshinone IIA (Tan), a lipophilic pharmacologically activate compound from Salvia miltiorrhiza Bunge, has been indicated to exert cardioprotective roles. Nevertheless, the biological role of Tan and regulatory mechanism in atherosclerosis are not fully established. In present study, atherosclerosis model was established in THP‐1‐derived macrophages by treatment of ox‐LDL. The adipogenesis was measured by Nile red staining. The expressions of inflammatory factors, microRNA‐130b (miR‐130b) and WNT5A were measured by quantitative real‐time polymerase chain reaction or Western blot. The target association between miR‐130b and WNT5A was explored via luciferase activity and RNA immunoprecipitation assay. The results showed that exposure of Tan inhibited ox‐LDL‐induced adipogenesis and expressions of interleukin‐1β (IL‐1β), IL‐6, and tumor necrosis factor‐alpha in THP‐1‐derived macrophages. miR‐130b expression was decreased in THP‐1‐derived macrophages treated by ox‐LDL and its overexpression attenuated adipogenesis as well as inflammatory response. miR‐130b knockdown reversed the regulatory effect of Tan on adipogenesis and inflammatory response in THP‐1‐derived macrophages stimulated by ox‐LDL. In addition, WNT5A acted as a functional target of miR‐130b and inhibited by Tan and miR‐130b. As a conclusion, Tan decreased the adipogenesis and inflammatory response by mediating miR‐130b and WNT5A, providing a novel theoretical foundation for treatment of atherosclerosis.
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