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Epigenetics of progression of chronic kidney disease: fact or fantasy?
Maria R Wing1, Ali Ramezani, Harindarpal S Gill
1Division of Renal Disease and Hypertension, The George Washington University, Washington, DC.
Abstract:
Epigenetic modifications are important in the normal functioning of the cell, from regulating dynamic expression of essential genes and associated proteins to repressing those that are unneeded. Epigenetic changes are essential for development and functioning of the kidney, and aberrant methylation, histone modifications, and expression of microRNA could lead to chronic kidney disease (CKD). Here, epigenetic modifications modulate transforming growth factor β signaling, inflammation, profibrotic genes, and the epithelial-to-mesenchymal transition, promoting renal fibrosis and progression of CKD. Identification of these epigenetic changes is important because they are potentially reversible and may serve as therapeutic targets in the future to prevent subsequent renal fibrosis and CKD. In this review we discuss the different types of epigenetic control, methods to study epigenetic modifications, and how epigenetics promotes progression of CKD.
Insights
Epigenetic modifications regulate kidney cell function and development. Aberrant epigenetic changes can cause chronic kidney disease (CKD) by promoting renal fibrosis, but these changes may be reversible therapeutic targets.
Area of Science:
- Molecular Biology
- Nephrology
- Epigenetics
Background:
- Epigenetic modifications are crucial for cellular function, regulating gene expression.
- Aberrant epigenetic changes, including DNA methylation and microRNA expression, are implicated in kidney disease development.
- Chronic kidney disease (CKD) involves complex molecular pathways influenced by epigenetic factors.
Purpose of the Study:
- To review the role of epigenetic modifications in the progression of chronic kidney disease (CKD).
- To discuss the mechanisms by which epigenetic changes contribute to renal fibrosis.
- To highlight the potential of epigenetic modifications as therapeutic targets for CKD.
Main Methods:
- Review of existing literature on epigenetics and kidney disease.
- Analysis of epigenetic mechanisms involved in cellular signaling pathways.
- Discussion of methods for studying epigenetic modifications in renal tissues.
Main Results:
- Epigenetic modifications modulate key pathways in CKD, including TGF-β signaling and inflammation.
- Aberrant epigenetic changes promote epithelial-to-mesenchymal transition and renal fibrosis.
- Identification of specific epigenetic alterations linked to CKD progression.
Conclusions:
- Epigenetic modifications play a significant role in the development and progression of CKD.
- Targeting reversible epigenetic changes offers a promising therapeutic strategy for preventing renal fibrosis and CKD.
- Further research into epigenetic mechanisms is essential for developing novel CKD treatments.
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