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Heart failure: the pivotal role of histone deacetylases
Ruth Hewitson1, James Dargan, David Collis
1Cancer Sciences, Faculty of Medicine, Southampton General Hospital, University of Southampton, Southampton SO16 6YD, UK.
Insights
Heart failure is a major health issue with high mortality. Targeting histone deacetylases, which modify chromatin, may offer new strategies to combat cardiac hypertrophy and prevent heart failure progression.
Area of Science:
- Cardiovascular Biology
- Epigenetics
- Molecular Medicine
Background:
- Heart failure presents a significant health burden with high mortality rates.
- Cardiac hypertrophy, characterized by increased cardiomyocyte size, contributes to heart failure progression and increases morbidity.
- Histone deacetylases (HDACs) are chromatin modifiers implicated in cardiac pathologies associated with hypertrophy.
Purpose of the Study:
- To explore the role of histone deacetylases in cardiac hypertrophy.
- To identify histone deacetylases as potential therapeutic targets for heart failure.
Main Methods:
- Review of literature on histone deacetylase function and cardiac pathology.
- Classification of histone deacetylases into four classes based on structure and function.
- Analysis of the pro-hypertrophic (Class I) and anti-hypertrophic (Class IIa) roles of specific HDACs.
Main Results:
- Histone deacetylases are crucial chromatin modifiers involved in cardiac hypertrophy.
- Class I HDACs are pro-hypertrophic, interacting with heat shock proteins.
- Class IIa HDACs are anti-hypertrophic, inhibiting transcription factors like myocyte enhancer factor 2.
Conclusions:
- Histone deacetylases represent a promising therapeutic target for managing cardiac hypertrophy.
- Targeting specific histone deacetylase classes may offer novel strategies to combat heart failure progression.
Abstract:
Heart failure, a state in which cardiac output is unable to meet the metabolic demands of the tissues, poses a significant health burden; following an initial hospital admission with heart failure, five-year mortality is close to 50%. Cardiac hypertrophy, characterised by increased cardiomyocyte size and protein synthesis, has deleterious effects when prolonged and contributes to heart failure. Cardiac hypertrophy itself increases risk of morbidity and mortality. Histone deacetylases are chromatin modifiers which deacetylate the N-terminal tails of histones and have been implicated in common cardiac pathologies associated with hypertrophy. There are 18 histone deacetylases separated into four classes. Class I histone deacetylases interact with heat shock proteins and are pro-hypertrophic, class IIa histone deacetylases repress hypertrophy by inhibiting the activity of transcription factors such as myocyte enhancer factor 2. Histone deacetylases present an exciting new target in combating cardiac hypertrophy and progression to heart failure.
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