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Global Translational Medicine                                        Epigenetics on cardiovascular diseases




















            Figure 5. The effect of epigenetics on cardiovascular diseases.
            Abbreviation: ncRNAs: Non-coding RNAs.

            cardiovascular health (CVH) by applying the Life’s Simple   Alexandar  et al. [146]  have established a literature-
            7 metrics. There are four health elements and three   based database, CardioGenBase, collecting gene-disease
            health behaviors of lifestyle [142,143] . Joyce et al. [143]  provided   association from PubMed and MEDLINE, and containing
            evidence that GrimAge acceleration (GrimAA), a measure   approximately 1500 CVD genes from around 24,000
            of epigenetic aging, maybe a practical biomarker of CVD   research  articles.  CardioGenBase  is  an  indispensable
            risk; this gives a biological understanding of the epigenetic   online resource to uphold genome-wide analysis of genetic,
            mechanisms associated with age-related CVH decline and   epigenetic, and pharmacological studies [146] .
            CVDs.
                                                                 In  addition  to data  retrieval  and manipulation,
            5. Systems medicine and interdisciplinary          computational analysis is crucial to accurately approaching
            integration                                        unprocessed information material and overcoming
                                                               the complex fragmentation of data required. The real
            The  epigenetic  impact  is  a  constant  and  uninterrupted   constraint is not the availability of data but the limited
            process with broad cell and tissue applications, increasing   processing power, which is the critical technology needed.
            our understanding of disease progression and treatment.   CVDs should be explored through different levels or
            At the moment, it is not fully integrated into medical   sections of information, from genetic and molecular realms
            practice or extensively used in clinical applications.   to clinical phenotypes, unraveling and connecting the
            Epigenetic data are increasing due to the progress in high-  available biological networks in pursuit of defining clinical
            throughput sequencing and microarray technologies.   complexity. Thus, the holistic multiscale and integrative
            The  question  now  is  how  to  enlarge  and  analyze  the   approach of SB will increase the prospects for true systems
            data findings and identify and interpret their functional   medicine.  Regardless  of  important  breakthroughs  in
            repercussions in normal development and disease .   clinical medicine through the reductionist methodology,
                                                        [56]
            The extensive parallel sequencing technologies merged   there are still unanswered questions and limitations for
            with analytical molecular approaches and computational   common complex diseases [147] .
            techniques have permitted clinicians and researchers to
            realize  chronic mechanisms  involved  in the pathology   Ahn et al. [148]  argue that reductionism has limitations and
            of CVDs. As a consequence of the absence of suitable   a different explanation is needed. The systems perspective
            and  effective  computational  methods,  most  studies   respects the holistic and compounded attributes, solving
            concentrate on a single epigenetic element in isolation   the problem through the use of computational and
            despite the fact that numerous connections from multiple   mathematical tools. In another paper, the same authors
            constituents and genotypes are taking place  in vivo [144] .   claim that reductionism splits up the problem into its
            An effective data informative statement is required   parts, missing important information about the whole,
            for data standardization to enhance the reproduction   and disregards interactions between elements [149] . Systems
            of epigenetic discoveries [145] . A  great number of   medicine looks beyond linear relationships and isolated
            epigenetic  data  are  assembled  in the  domain of  CVDs,   parameters, using multiple parameters from multiple
            but comprehension of the basic mechanistic features of   time points and spatial conditions to accomplish a holistic
            CVDs remains unrevealed; a new friendly strategy and   perspective of an individual [147] . Ung  et al. [150]  argue
            extensive  information  processing  to  elucidate  disease   that it remains ambiguous how epigenetic regulations
            pathophysiology is needed.                         consensually guide the advancement of biological memories


            Volume 2 Issue 4 (2023)                         12                       https://doi.org/10.36922/gtm.1868
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