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Global Translational Medicine                                        Epigenetics on cardiovascular diseases






























            Figure 3. Cardiovascular phenotypes: The network complexity between cardiovascular phenotypes, epigenetics, and other causal factors (Adopted from
                          [32]
            Louridas and Lourida  with modifications).
            Abbreviation: SB: Systems biology.
                                                                 The three above-described epigenetic regulatory
                                                               mechanisms play a role in the atherosclerotic process,
                                                               incorporating small non-coding  ribonucleic acids
                                                               (sncRNAs). In addition, recent revelations underscore
                                                               the potential of miRNAs and lncRNAs as biomarkers .
                                                                                                           [52]
                                                               According  to  Xu  et al. ,  atherosclerosis  is  not  solely
                                                                                   [53]
                                                               a chronic inflammatory and lipid-depository disease
                                                               but is also characterized as an epigenetic disease.
                                                               A growing body of evidence attests to the involvement of
                                                               epigenetic modifications in the genesis and progression of
                                                               atherosclerosis and plaque development. This recognition
                                                               underlines the importance of epigenetic biomarkers
                                                               as predictors of CVDs and emphasizes the therapeutic
                                                               potential of epigenetic drugs in cardiovascular therapeutics.
                                                               Notably, low-density lipoprotein (LDL) cholesterol and
                                                               oxidized LDL have been proposed as stimulants that
                                                               sustain an everlasting epigenetic system, remaining active
                                                                                                        [54]
            Figure  4.  Epigenetic processes involve interactions among cellular   even after the elimination of atherosclerotic stimuli .
            molecules, indicating the transfer of information and/or the regulation
            of these transfer processes (Adopted from Robinson  et al.  with   3.1. DNA methylation
                                                     [38]
            modifications).                                    Any irregularity detected in the DNA methylation process
            Abbreviations: DNA: Deoxyribonucleic acid; miRNAs: microRNAs;
            PTM: Post-translational modification; RNA: Ribonucleic acid.  is known to be implicated in the genesis of CVDs and
                                                               can serve as a marker for evaluating CVD progression.
            through  chromatin  packaging.  Chromatin,  a  composite   DNA methylation, facilitated by DNA methyltransferases
            system comprising DNA and DNA-binding histone      (DNMTs),  represents an  important post-translational
            proteins, orchestrates the organization of DNA packaging   epigenetic regulatory mechanism. While various
            and its accessibility to transcription factors. Chromatin   mechanisms of methylated modification exist, the
            undergoes restructuring, adopting a compact condition   majority occur on cytosine phosphate guanine (CpG)
            (heterochromatin)  or  an  open  structure  (euchromatin),   islands in the gene promoter region, allowing for the
            thereby permitting the regulation of gene expression [17,49-51] .  transfer of genetic information to offspring DNA through



            Volume 2 Issue 4 (2023)                         6                        https://doi.org/10.36922/gtm.1868
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