Plasma LINC00707 levels were elevated in patients with SCI
The baseline clinical characteristics of 30 healthy subjects and 75 patients with SCI were analyzed. Compared with healthy subjects, patients with SCI had markedly lower tactile sensation, acmesthesia, motor, and Functional Independence Measure (FIM) scores, indicating impaired sensory and motor function. In addition, serum levels of pro-inflammatory cytokines were significantly higher in patients with SCI than in healthy controls (Table 1, P < 0.001), suggesting an enhanced inflammatory response.
| Items | HS | SCI | P-value |
| (n=30) | (n=75) |
| Age (years) | 45.83±10.06 | 46.17±9.92 | 0.786 |
| BMI (kg/m2) | 22.82±1.57 | 23.94±1.29 | 0.69 |
| Gender (man, n) | 18 | 41 | 0.619 |
| Smoking (n) | 11 | 28 | 0.949 |
| Drinking (n) | 14 | 33 | 0.804 |
| ASIA Classification of SCI (n) | / | | |
| Complete SCI | / | 18 | |
| Incomplete SCI | / | 36 | |
| Normal neural function | / | 21 | |
| The level of SCI injury (n, %) | / | | |
| Cervical vertebra | / | 27 (36.0%) | |
| Thoracic vertebra | / | 23 (30.7%) | |
| Lumbar vertebra | / | 25 (33.3%) | |
| Tactile sensation score | / | 53.42±22.12 | |
| Acmesthesia score | / | 53.39±24.68 | |
| Exercise score | / | 49.07±18.74 | |
| Functional Independence Measure score | / | 71.33±19.41 | |
| IL-1β (pg/mL) | 1.47±0.52 | 52.21±11.32 | <0.001 |
| IL-6 (pg/mL) | 2.14±0.97 | 88.47±23.52 | <0.001 |
| TNF-α (pg/mL) | 2.84±1.13 | 61.09±18.24 | <0.001 |
| CRP (mg/L) | 1.42±0.63 | 62.67±21.85 | <0.001 |
| Abbreviation: HS, Healthy subject; SCI, Spinal Cord Injury; BMI, Body mass index; ASIA, American Spinal Injury Association; FIM, Functional independence measure; IL, Interleukin; TNF, Tumor necrosis factor; CRP, C-reactive protein. |
Table 1: Comparison of baseline clinical characteristics between healthy subjects and patients with spinal cord injury. This table compares demographic characteristics, neurological function scores, injury-related variables, and inflammatory marker levels between healthy subjects and patients with spinal cord injury. Abbreviations: HS, healthy subjects; SCI, spinal cord injury; ASIA, American Spinal Injury Association; FIM, Functional Independence Measure; IL, interleukin; TNF, tumor necrosis factor; CRP, C-reactive protein.
Plasma LINC00707 expression was quantified using RT-qPCR. Compared with healthy subjects, patients with SCI had significantly increased plasma LINC00707 expression (Figure 1A, P < 0.001). Receiver operating characteristic (ROC) curve analysis provided preliminary evidence that LINC00707 expression might have some discriminatory value in distinguishing patients with SCI from healthy subjects (Figure 1B). Furthermore, plasma LINC00707 expression increased with increasing clinical severity of SCI (Figure 1C, P < 0.001). Correlation analysis showed that plasma LINC00707 expression was positively associated with IL-1β (r = 0.635, P < 0.001), IL-6 (r = 0.612, P < 0.001), TNF-α (r = 0.675, P < 0.001), and C-reactive protein (CRP; r = 0.611, P < 0.001) levels (Figure 1D–G). These findings suggest that elevated LINC00707 expression is associated with inflammatory responses in patients with SCI.

Figure 1: Plasma LINC00707 expression and its correlations with plasma inflammatory factors. (A) Plasma LINC00707 expression was higher in patients with spinal cord injury (SCI) than in healthy subjects. Statistical analysis was performed using an independent-samples t-test. (B) Receiver operating characteristic (ROC) curve analysis provided an initial indication that LINC00707 expression may be useful for distinguishing patients with SCI from healthy subjects. (C) Plasma LINC00707 expression increased with increasing SCI severity according to the American Spinal Injury Association (ASIA) classification. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. (D–G) Plasma LINC00707 expression was positively correlated with inflammatory factor levels. Statistical analysis was performed using Pearson correlation analysis. *P < 0.01 and **P < 0.001. Healthy subjects, n = 30; patients with SCI, n = 75. Data are presented as the mean ± SD. Please click here to view a larger version of this figure.
Factors associated with LINC00707 expression were analyzed using univariate and multivariate logistic regression
Univariate and multivariate logistic regression analyses were performed to identify factors associated with LINC00707 expression. Univariate analysis showed that the ASIA classification of SCI (OR = 3.912, 95% CI: 1.792–8.537, P < 0.001), FIM score (OR = 0.281, 95% CI: 0.108–0.729, P = 0.009), and CRP level (OR = 4.600, 95% CI: 1.724–12.271, P = 0.002) were associated with LINC00707 expression. After adjustment for potential confounding variables, multivariate logistic regression showed that the ASIA classification of SCI (OR = 2.598, 95% CI: 1.088–6.203, P = 0.032), FIM score (OR = 0.303, 95% CI: 0.102–0.902, P = 0.032), and CRP level (OR = 3.202, 95% CI: 1.024–10.015, P = 0.045) were independent factors associated with LINC00707 expression (Table 2). A more severe ASIA classification and elevated CRP levels were associated with higher LINC00707 expression, whereas a higher FIM score was associated with lower LINC00707 expression. These associations further support the possibility that LINC00707 is involved in the pathological process of SCI.
| Items | Univariate regression analysis | Multivariate regression analysis |
| OR | 95% CI | P-value | OR | 95% CI | P-value |
| Age | 1.176 | 0.475-2.914 | 0.725 | | | |
| Gender | 1.303 | 0.524-3.240 | 0.57 | | | |
| ASIA Classification of SCI | 3.912 | 1.792-8.537 | <0.001 | 2.598 | 1.088-6.203 | 0.032 |
| ASIA classification of SCI | 0.588 | 0.497-1.480 | 0.582 | | | |
| Tactile sensation score | 0.85 | 0.343-2.105 | 0.725 | | | |
| Acmesthesia score | 0.854 | 0.345-2.119 | 0.734 | | | |
| Exercise score | 0.392 | 0.153-1.006 | 0.051 | | | |
| FIM score | 0.281 | 0.108-0.729 | 0.009 | 0.303 | 0.102-0.902 | 0.032 |
| IL-1β | 1.181 | 0.475-2.935 | 0.72 | | | |
| IL-6 | 1.453 | 0.585-3.608 | 0.42 | | | |
| TNF-α | 1.304 | 0.526-3.233 | 0.567 | | | |
| CRP | 4.6 | 1.724-12.271 | 0.002 | 3.202 | 1.024-10.015 | 0.045 |
| Abbreviation: OR, Odds Ratio; CI, confidence interval; ASIA, American Spinal Injury Association; FIM, Functional independence measure; IL, Interleukin; TNF, Tumor necrosis factor; CRP, C-reactive protein. |
Table 2: Logistic regression analysis of factors associated with LINC00707 expression. This table presents the univariate and multivariate logistic regression analyses used to identify clinical factors associated with LINC00707 expression in patients with spinal cord injury. Results are presented as odds ratios with 95% confidence intervals and corresponding P values. Abbreviations: OR, odds ratio; CI, confidence interval; ASIA, American Spinal Injury Association; FIM, Functional Independence Measure; IL, interleukin; TNF, tumor necrosis factor; CRP, C-reactive protein.
LINC00707 knockdown alleviated inflammation and oxidative stress in LPS-stimulated BV2 cells
BV2 cells were treated with increasing concentrations of LPS (0, 10, 20, 50, 100, 150, or 200 ng/mL). RT-qPCR analysis showed that LINC00707 expression was significantly increased following treatment with 100, 150, and 200 ng/mL LPS (Figure 2A, P < 0.001, n = 6). Based on these findings and previous reports27˒28, 100 ng/mL LPS was selected to establish the in vitro SCI model. Compared with the control group, LINC00707 expression was significantly elevated in LPS-stimulated BV2 cells. Transfection with si-LINC00707 effectively suppressed LINC00707 expression (Figure 2B, P < 0.001, n = 6).
The effects of LINC00707 knockdown on inflammation and oxidative stress were subsequently evaluated. LPS stimulation significantly increased the secretion of IL-1β (Figure 2C, P < 0.001, n = 5), IL-6 (Figure 2D, P < 0.001, n = 5), and TNF-α (Figure 2E, P < 0.001, n = 5), as well as intracellular ROS levels (Figure 2F, P < 0.001, n = 6) and MDA content (Figure 2G, P < 0.001, n = 5). In contrast, LPS stimulation significantly reduced the levels of the antioxidant markers SOD (Figure 2H, P < 0.001, n = 6) and GSH (Figure 2I, P < 0.001, n = 5). Silencing LINC00707 significantly reduced pro-inflammatory cytokine secretion and pro-oxidative stress marker levels, while restoring antioxidant levels in LPS-stimulated BV2 cells. These findings indicate that LINC00707 knockdown attenuates LPS-induced inflammatory responses and oxidative stress in BV2 cells.

Figure 2: Effects of LINC00707 knockdown on inflammation and oxidative stress in LPS-stimulated BV2 cells. BV2 cells were stimulated with 100 ng/mL lipopolysaccharide (LPS). (A) LINC00707 expression was measured by RT-qPCR in BV2 cells treated with different concentrations of LPS. (B) LINC00707 expression was increased in the LPS group and reduced following transfection with si-LINC00707. (C–E) ELISA showed that the secretion of pro-inflammatory factors was increased in the LPS group and reduced following LINC00707 knockdown. (F–G) Reactive oxygen species (ROS) levels and malondialdehyde (MDA) content were increased in the LPS group and reduced following LINC00707 knockdown. (H–I) Superoxide dismutase (SOD) activity and reduced glutathione (GSH) levels were decreased in the LPS group and increased following LINC00707 knockdown. **P < 0.001; ns, not significant. n ≥ 5. Statistical analyses were performed using one-way ANOVA followed by Tukey’s HSD post hoc test. Data are presented as the mean ± SD. Please click here to view a larger version of this figure.
LINC00707 functions as a molecular sponge for miR-145-5p
To investigate the molecular mechanism underlying the biological function of LINC00707, the ENCORI database was used to predict potential target miRNAs. Bioinformatic analysis identified complementary binding sequences between LINC00707 and miR-145-5p (Figure 3A). Dual-luciferase reporter assays showed that luciferase activity in the WT-LINC00707 construct was significantly decreased by the miR-145-5p mimic and increased by the miR-145-5p inhibitor. In contrast, neither treatment affected luciferase activity in the MUT-LINC00707 construct (Figure 3B, P < 0.001, n = 4), confirming the direct interaction between LINC00707 and miR-145-5p.
RT-qPCR analysis showed that plasma miR-145-5p expression was significantly decreased in patients with SCI compared with healthy subjects (Figure 3C, P < 0.001). In addition, LINC00707 expression was negatively correlated with miR-145-5p expression (Figure 3D, P < 0.001), and plasma miR-145-5p levels progressively decreased with increasing SCI severity (Figure 3E, P < 0.001). In vitro, miR-145-5p expression was significantly reduced in LPS-stimulated BV2 cells compared with control cells, whereas LINC00707 knockdown restored miR-145-5p expression (Figure 3F, P < 0.001, n = 6). These findings suggest that LINC00707 functions as a competing endogenous RNA (ceRNA) by sequestering miR-145-5p and thereby regulating its expression during the pathological progression of SCI.

Figure 3. LINC00707 functions as a molecular sponge for miR-145-5p. (A) The ENCORI database predicted complementary binding sequences between LINC00707 and miR-145-5p. (B) A dual-luciferase reporter assay confirmed the interaction between LINC00707 and miR-145-5p. Statistical analysis was performed using two-way ANOVA followed by Tukey’s HSD post hoc test. (C) RT-qPCR showed that plasma miR-145-5p expression was decreased in patients with SCI. Statistical analysis was performed using an independent-samples t-test. (D) LINC00707 expression was negatively correlated with miR-145-5p expression in patients with SCI. Statistical analysis was performed using Pearson correlation analysis. (E) Plasma miR-145-5p expression decreased with increasing SCI severity according to the ASIA classification. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. (F) miR-145-5p expression was decreased in the LPS group, increased following transfection with si-LINC00707, and reduced following transfection with the miR-145-5p inhibitor. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. P < 0.05, *P < 0.01, and **P < 0.001; ns, not significant. Healthy subjects, n = 30; patients with SCI, n = 75; cell experiments, n ≥ 4. Data are presented as the mean ± SD. Please click here to view a larger version of this figure.
miR-145-5p inhibition enhanced inflammation and oxidative stress in LPS-stimulated BV2 cells
To investigate the role of miR-145-5p, BV2 cells were transfected with a miR-145-5p inhibitor or the corresponding negative control. The levels of inflammatory cytokines and oxidative stress markers were subsequently evaluated. Compared with the inhibitor negative control group, miR-145-5p inhibition significantly increased the secretion of IL-1β (Figure 4A, P < 0.001, n = 5), IL-6 (Figure 4B, P < 0.001, n = 5), and TNF-α (Figure 4C, P < 0.001, n = 5). In addition, intracellular ROS levels (Figure 4D, P < 0.001, n = 6) and MDA content (Figure 4E, P < 0.001, n = 5) were significantly increased, whereas SOD (Figure 4F, P < 0.001, n = 6) and GSH (Figure 4G, P < 0.001, n = 5) levels were significantly decreased. These findings indicate that inhibition of miR-145-5p reverses the protective effects of LINC00707 knockdown on LPS-induced inflammation and oxidative stress in BV2 cells.

Figure 4: Effects of miR-145-5p inhibition on inflammation and oxidative stress in BV2 cells. (A–C) ELISA showed that the secretion of pro-inflammatory factors was significantly increased following transfection with the miR-145-5p inhibitor. (D–E) Reactive oxygen species (ROS) levels and malondialdehyde (MDA) content were significantly increased following transfection with the miR-145-5p inhibitor. (F–G) Superoxide dismutase (SOD) activity and glutathione (GSH) levels were significantly reduced following transfection with the miR-145-5p inhibitor. **P < 0.001. n ≥ 5. Statistical analyses were performed using one-way ANOVA followed by Tukey’s HSD post hoc test. Data are presented as the mean ± SD. Please click here to view a larger version of this figure.
TRAF6 was identified as a target gene of miR-145-5p
The miRDB database predicted TRAF6 as a potential target of miR-145-5p. Complementary binding sequences between the 3′ UTR of TRAF6 and miR-145-5p were identified (Figure 5A). Dual-luciferase reporter assays showed that luciferase activity in the WT-TRAF6 construct was significantly decreased by the miR-145-5p mimic and increased by the miR-145-5p inhibitor. In contrast, neither treatment affected luciferase activity in the MUT-TRAF6 construct (Figure 5B, P < 0.001, n = 4), confirming that TRAF6 is a direct target of miR-145-5p.
RT-qPCR analysis showed that plasma TRAF6 mRNA expression was significantly increased in patients with SCI (Figure 5C, P < 0.001). TRAF6 expression was negatively correlated with miR-145-5p expression (Figure 5D, P < 0.001), and plasma TRAF6 mRNA levels increased with SCI severity (Figure 5E, P < 0.001). In vitro, TRAF6 expression was significantly increased in LPS-stimulated BV2 cells compared with the control group but was significantly reduced following LINC00707 knockdown (Figure 5F, P < 0.001, n = 6). Conversely, inhibition of miR-145-5p restored TRAF6 expression (Figure 5G, P < 0.001, n = 6). These findings indicate that LINC00707 regulates TRAF6 expression through the miR-145-5p signaling pathway.

Figure 5: TRAF6 is a target gene of miR-145-5p. (A) The miRDB database predicted complementary binding sequences between TRAF6 and miR-145-5p. (B) A dual-luciferase reporter assay confirmed the targeting relationship between TRAF6 and miR-145-5p. Statistical analysis was performed using two-way ANOVA followed by Tukey’s HSD post hoc test. (C) RT-qPCR showed that plasma TRAF6 expression was elevated in patients with SCI. Statistical analysis was performed using an independent-samples t-test. (D) TRAF6 expression was negatively correlated with plasma miR-145-5p expression in patients with SCI. Statistical analysis was performed using Pearson correlation analysis. (E) Plasma TRAF6 expression increased with increasing SCI severity according to the ASIA classification. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. (F) TRAF6 expression was increased in LPS-stimulated BV2 cells and reduced following LINC00707 knockdown. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. (G) TRAF6 expression was increased following inhibition of miR-145-5p. Statistical analysis was performed using one-way ANOVA followed by Tukey’s HSD post hoc test. P < 0.05, *P < 0.01, and **P < 0.001; ns, not significant. Healthy subjects, n = 30; patients with SCI, n = 75; cell experiments, n ≥ 4. Data are presented as the mean ± SD. Please click here to view a larger version of this figure.
DATA AVAILABILITY:
The datasets generated and/or analyzed in the current study are available in the Zenodo repository: https://doi.org/10.5281/zenodo.21470454.