Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease

Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, despite advances in prevention and therapy. Emerging evidence highlights the central role of epigenetic modifications and non-coding RNAs including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) in the...

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Main Authors: Shoudu Yuan, Qi Ye, Ran Qin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1579352/full
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author Shoudu Yuan
Qi Ye
Ran Qin
author_facet Shoudu Yuan
Qi Ye
Ran Qin
author_sort Shoudu Yuan
collection DOAJ
description Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, despite advances in prevention and therapy. Emerging evidence highlights the central role of epigenetic modifications and non-coding RNAs including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) in the regulation of gene expression networks underlying cardiovascular homeostasis and disease. Concurrently, physical exercise has been recognized not only as a preventive and therapeutic strategy for CVDs but also as a potent modulator of epigenetic landscapes. This review explores the mechanistic links between aerobic exercise and epigenetic modulation, focusing on how structured physical activity influences the expression and function of miRNAs and lncRNAs, as well as chromatin remodeling processes in cardiovascular tissues. We provide a comprehensive overview of aerobic exercise-responsive non-coding RNAs implicated in vascular inflammation, endothelial function, cardiac remodeling, myocardial infarction, and atherosclerosis. Additionally, we discuss aerobic exercise-induced changes in DNA methylation and histone modification patterns that contribute to transcriptional reprogramming and long-term cardiovascular benefits. Finally, the review evaluates the translational potential of targeting aerobic exercise-regulated epigenetic factors for early diagnosis, risk stratification, and personalized therapies in CVD management. Understanding the molecular underpinnings of cardioepigenetic responses to exercise opens promising avenues for precision cardiovascular medicine and integrative therapeutic strategies.
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spelling doaj-art-1149df2f582349b1b6f48032d4fec9dc2025-08-20T03:33:21ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-08-011210.3389/fcvm.2025.15793521579352Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular diseaseShoudu Yuan0Qi Ye1Ran Qin2School of Physical Education and Health, Chongqing College of International Business and Economics, Chongqing, ChinaPhysical Education Institute, Chongqing College of Humanities, Science & Technology, Chongqing, ChinaSouthwest University Hospital, Southwest University, Chongqing, ChinaCardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, despite advances in prevention and therapy. Emerging evidence highlights the central role of epigenetic modifications and non-coding RNAs including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) in the regulation of gene expression networks underlying cardiovascular homeostasis and disease. Concurrently, physical exercise has been recognized not only as a preventive and therapeutic strategy for CVDs but also as a potent modulator of epigenetic landscapes. This review explores the mechanistic links between aerobic exercise and epigenetic modulation, focusing on how structured physical activity influences the expression and function of miRNAs and lncRNAs, as well as chromatin remodeling processes in cardiovascular tissues. We provide a comprehensive overview of aerobic exercise-responsive non-coding RNAs implicated in vascular inflammation, endothelial function, cardiac remodeling, myocardial infarction, and atherosclerosis. Additionally, we discuss aerobic exercise-induced changes in DNA methylation and histone modification patterns that contribute to transcriptional reprogramming and long-term cardiovascular benefits. Finally, the review evaluates the translational potential of targeting aerobic exercise-regulated epigenetic factors for early diagnosis, risk stratification, and personalized therapies in CVD management. Understanding the molecular underpinnings of cardioepigenetic responses to exercise opens promising avenues for precision cardiovascular medicine and integrative therapeutic strategies.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1579352/fullmicroRNAslong non-coding RNAsepigenetic modificationscardioprotectionexercise
spellingShingle Shoudu Yuan
Qi Ye
Ran Qin
Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
Frontiers in Cardiovascular Medicine
microRNAs
long non-coding RNAs
epigenetic modifications
cardioprotection
exercise
title Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
title_full Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
title_fullStr Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
title_full_unstemmed Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
title_short Cardioepigenetics in action: aerobic exercise-induced modulation of miRNAs, lncRNAs, and chromatin remodeling in cardiovascular disease
title_sort cardioepigenetics in action aerobic exercise induced modulation of mirnas lncrnas and chromatin remodeling in cardiovascular disease
topic microRNAs
long non-coding RNAs
epigenetic modifications
cardioprotection
exercise
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1579352/full
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