Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies

Atherosclerosis, the primary cause of coronary artery disease (CAD), remains a leading global cause of mortality. It is characterized by the accumulation of cholesterol-rich plaques and inflammation, which narrow the coronary arteries and increase the risk of rupture. To elucidate this complex biolo...

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Main Authors: Rui Gao, Meilin Liu, Haoyi Yang, Yuhan Shen, Ni Xia
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Molecular Biosciences
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Online Access:https://www.frontiersin.org/articles/10.3389/fmolb.2025.1548355/full
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author Rui Gao
Rui Gao
Rui Gao
Meilin Liu
Meilin Liu
Meilin Liu
Haoyi Yang
Haoyi Yang
Haoyi Yang
Yuhan Shen
Yuhan Shen
Yuhan Shen
Ni Xia
Ni Xia
Ni Xia
author_facet Rui Gao
Rui Gao
Rui Gao
Meilin Liu
Meilin Liu
Meilin Liu
Haoyi Yang
Haoyi Yang
Haoyi Yang
Yuhan Shen
Yuhan Shen
Yuhan Shen
Ni Xia
Ni Xia
Ni Xia
author_sort Rui Gao
collection DOAJ
description Atherosclerosis, the primary cause of coronary artery disease (CAD), remains a leading global cause of mortality. It is characterized by the accumulation of cholesterol-rich plaques and inflammation, which narrow the coronary arteries and increase the risk of rupture. To elucidate this complex biological process and improve therapeutic strategies, CAD has been extensively explored from an epigenetic perspective over the past two decades. Epigenetics is a field investigating heritable alterations in gene expression without DNA sequence changes, such as DNA methylation, histone modifications, and non-coding RNAs. Increasing evidence has indicated that the development of CAD is significantly influenced by epigenetic changes. Meanwhile, the impact of epigenetics in CAD is now transitioning from pathophysiology to therapeutics. Focusing on the key epigenetic enzymes and their target genes will help to facilitate the diagnosis and treatment of CAD. This review synthesizes novel epigenetic insights into CAD, addressing the pathological processes, key molecular mechanisms, and potential biomarkers. Furthermore, we discuss emerging therapeutic strategies targeting epigenetic pathways. By focusing on pivotal enzymes and their associated genes, this work aims to advance CAD diagnostics and interventions.
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institution Kabale University
issn 2296-889X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Molecular Biosciences
spelling doaj-art-2028b5cf72a04e9db0720a6c808b51b32025-01-31T05:10:22ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2025-01-011210.3389/fmolb.2025.15483551548355Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapiesRui Gao0Rui Gao1Rui Gao2Meilin Liu3Meilin Liu4Meilin Liu5Haoyi Yang6Haoyi Yang7Haoyi Yang8Yuhan Shen9Yuhan Shen10Yuhan Shen11Ni Xia12Ni Xia13Ni Xia14Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Provincial Engineering Research Center of Immunological Diagnosis and Therapy for Cardiovascular Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Provincial Engineering Research Center of Immunological Diagnosis and Therapy for Cardiovascular Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Provincial Engineering Research Center of Immunological Diagnosis and Therapy for Cardiovascular Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Provincial Engineering Research Center of Immunological Diagnosis and Therapy for Cardiovascular Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Provincial Engineering Research Center of Immunological Diagnosis and Therapy for Cardiovascular Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaAtherosclerosis, the primary cause of coronary artery disease (CAD), remains a leading global cause of mortality. It is characterized by the accumulation of cholesterol-rich plaques and inflammation, which narrow the coronary arteries and increase the risk of rupture. To elucidate this complex biological process and improve therapeutic strategies, CAD has been extensively explored from an epigenetic perspective over the past two decades. Epigenetics is a field investigating heritable alterations in gene expression without DNA sequence changes, such as DNA methylation, histone modifications, and non-coding RNAs. Increasing evidence has indicated that the development of CAD is significantly influenced by epigenetic changes. Meanwhile, the impact of epigenetics in CAD is now transitioning from pathophysiology to therapeutics. Focusing on the key epigenetic enzymes and their target genes will help to facilitate the diagnosis and treatment of CAD. This review synthesizes novel epigenetic insights into CAD, addressing the pathological processes, key molecular mechanisms, and potential biomarkers. Furthermore, we discuss emerging therapeutic strategies targeting epigenetic pathways. By focusing on pivotal enzymes and their associated genes, this work aims to advance CAD diagnostics and interventions.https://www.frontiersin.org/articles/10.3389/fmolb.2025.1548355/fullepigeneticscoronary artery diseaseatherosclerosisDNA methylationhistone modificationsnon-coding RNAs
spellingShingle Rui Gao
Rui Gao
Rui Gao
Meilin Liu
Meilin Liu
Meilin Liu
Haoyi Yang
Haoyi Yang
Haoyi Yang
Yuhan Shen
Yuhan Shen
Yuhan Shen
Ni Xia
Ni Xia
Ni Xia
Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
Frontiers in Molecular Biosciences
epigenetics
coronary artery disease
atherosclerosis
DNA methylation
histone modifications
non-coding RNAs
title Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
title_full Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
title_fullStr Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
title_full_unstemmed Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
title_short Epigenetic regulation in coronary artery disease: from mechanisms to emerging therapies
title_sort epigenetic regulation in coronary artery disease from mechanisms to emerging therapies
topic epigenetics
coronary artery disease
atherosclerosis
DNA methylation
histone modifications
non-coding RNAs
url https://www.frontiersin.org/articles/10.3389/fmolb.2025.1548355/full
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