Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a condition causing apnea and hypopnea. LncRNA-ROR revealed properties in regulating hypoxia response. Our study explored the roles of ROR in CoCl 2-induced hypoxia injury in HK-2 cells. HK-2 cells were treated with CoCl 2 to induce hypoxia injury. Cell viability, cell apoptosis and apoptotic proteins were detected using CCK-8, flow cytometry and western blot, respectively. The alter expression of ROR and miR-145 was achieved through transfection. Moreover, the expressions of HIF-a and ERK and MAPK related factors were examined using western blot. We found that CoCl 2 decreased cell viability and increased apoptosis as well as increased the expression of ROR. ROR overexpression increased cell viability, decreased cell apoptosis. ROR overexpression upregulated anti-apoptotic proteins Bcl-2 and decreased p53, Bax and cleaved-Caspase-3. ROR overexpression also increased the expression of HIF-a. On the opposite, ROR silence led to the opposite results as relative to ROR overexpression. ROR overexpression decreased expression of miR-145. Co-transfection with ROR overexpression and miR-145 impaired the promoting effects of ROR in CoCl 2 treated cells. ROR increased phosphorylation of ERK while decreased phosphorylation of MAPK. In conclusion, lncRNA ROR alleviated CoCl 2-induced hypoxia injury through regulation of miR-145 as well as modulating ERK and MAPK signalling. HIGHLIGHTS 1. CoCl 2 induces ROR upregulation; 2. Overexpression of ROR reduces CoCl 2-induced HK-2 cell injury; 3. Silence of ROR promotes CoCl 2-induced HK-2 cell injury; 4. Overexpression of ROR decreases miR-145 expression; 5. ROR overexpression modulates ERK and MAPK signalling pathways through regulation of miR-145.