TY - EJOU AU - Wu, Jingjing AU - Wang, Jing AU - Wan, Yufeng AU - Li, Yue TI - Effect of LncRNA UFC1 Downregulation on Alleviating Glucocorticoid Resistance in Chronic Obstructive Pulmonary Disease via the PI3K/AKT Pathway T2 - BIOCELL PY - VL - IS - SN - 1667-5746 AB - Background: Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory airway disease frequently complicated by glucocorticoid (GC) resistance. This study investigated whether lncRNA UFC1 regulates cigarette smoke extract (CSE)-induced inflammation, apoptosis, and GC resistance through phosphatidylinositol 3-kinase/protein kinase B (PI3K/AKT) signaling. Methods: To simulate cellular damage and GC insensitivity in vitro, U937 cells were subjected to CSE stimulation. The influence of lncRNA UFC1 silencing on cell survival, inflammatory responses, apoptosis, and GC responsiveness was evaluated through a combination of Cell Counting Kit-8 (CCK-8), reverse transcription quantitative polymerase chain reaction (RT-qPCR), enzyme-linked immunosorbent assay (ELISA), Western blot, flow cytometry, and immunofluorescence assays. The PI3K activator 740Y-P was used for validation. In vivo, COPD rat models were induced by intermittent intratracheal lipopolysaccharide (LPS) instillation combined with chronic cigarette smoke exposure, and AAV-sh-UFC1 and dexamethasone (DEX) were used to evaluate lung injury, inflammation, and molecular expression. Results: CSE upregulated UFC1 and induced inflammation, apoptosis, and GC resistance in U937 cells. UFC1 knockdown improved cell viability (p < 0.01); reduced IL-6, IL-1β, TNF-α, IL-8, GM-CSF, and MIP-3α levels; decreased apoptosis (p < 0.01); and enhanced DEX sensitivity (p < 0.01), with increased GRα and HDAC2 and decreased GRβ expression. Mechanistically, UFC1 downregulation inhibited PI3K/AKT activation (both p < 0.001), while 740Y-P partially reversed these effects (both p < 0.05). In vivo experiments confirmed that inhibiting Ufc1 attenuated lung injury and inflammation (p < 0.01 vs. COPD + AAV-NC), improved GC resistance indicators, and inhibited PI3K/AKT activation (both p < 0.01 vs. COPD + AAV-NC). Conclusion: Downregulation of lncRNA UFC1 alleviated CSE-induced inflammation, apoptosis, and GC resistance and COPD-related injury, potentially through PI3K/AKT inhibition, suggesting lncRNA UFC1 as a potential target for GC-resistant COPD. KW - Long non-coding RNA UFC1; pulmonary disease; chronic obstructive; glucocorticoid resistance; phosphatidylinositol 3-kinase/protein kinase b signaling pathway; inflammation; apoptosis DO - 10.32604/biocell.2026.086220