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Published on: April 1, 2019
PPAR�� Gene and Atherosclerosis: Genetic Polymorphisms, Epigenetics and Therapeutic Implications
E Grbić1, A Peterlin2, T Kunej3
1University of Tuzla, Faculty of Medicine, Department of Physiology, Tuzla, Bosnia and Herzegovina.
Insights
Atherosclerosis in type 2 diabetes is linked to Peroxisome proliferator-activated receptor γ (PPARγ). This review explores PPARγ
Area of Science:
- Cardiovascular Science
- Endocrinology
- Molecular Biology
Background:
- Atherosclerosis is a primary cause of death, driven by plaque formation in arteries.
- Diabetes mellitus significantly exacerbates atherosclerosis and its macrovascular complications.
- Peroxisome proliferator-activated receptor γ (PPARγ) is crucial in regulating atherosclerotic processes.
Purpose of the Study:
- To review the pathophysiology of atherosclerosis in type 2 diabetes mellitus (T2DM).
- To examine the influence of PPARγ polymorphisms on atherosclerosis development.
- To explore epigenetic mechanisms (DNA methylation, histone modification, RNA-based) in atherosclerosis.
Main Methods:
- Review of existing literature on atherosclerosis, T2DM, PPARγ, and epigenetics.
- Analysis of the role of PPARγ in gene expression and atherosclerotic pathways.
- Discussion of epigenetic modifications including DNA methylation, histone acetylation, and RNA mechanisms.
Main Results:
- T2DM accelerates atherosclerosis through complex pathophysiological pathways.
- PPARγ plays a significant role in regulating genes involved in atherosclerosis.
- Epigenetic factors like DNA methylation, histone acetylation, and RNA modifications influence atherosclerosis onset and progression in T2DM.
Conclusions:
- Understanding the interplay between T2DM, PPARγ, and epigenetics is vital for atherosclerosis management.
- Epigenetic modifications represent potential therapeutic targets for preventing and treating diabetic atherosclerosis.
- Targeting epigenetic mechanisms offers novel therapeutic strategies against atherosclerosis in diabetic patients.
Abstract:
Atherosclerosis is the leading cause of mortality and morbidity in the developed world. It is characterized by the formation of a plaque in the walls of middle and large arteries leading to macrovascular complications. Several risk factors are included, with diabetes being one of the most important for the onset and development of atherosclerosis. Due to an increase in the prevalence of diabetes in the world, the incidence of diabetic complications (microvascular and macrovascular) is increasing. Peroxisome proliferator-activated receptor γ (PPARγ) plays a important role in atherosclerotic processes. Peroxisome proliferator activated receptor γ belongs to the superfamily of nuclear receptors, has a great presence in fat tissue, macrophages, and regulates gene expression and most of the processes that lead to the onset and development of atherosclerosis. In this review, we discuss the basic patho-physiological mechanisms of atherosclerosis in type 2 diabetes mellitus (T2DM). Furthermore, we discuss the impact of PPARγ polymorphisms, and the epigenetic mechanisms affecting the onset of atherosclerosis, i.e, DNA methylation and demethylation, histone acetylation and deacetylation, and RNA-based mechanisms. Moreover, we add therapeutic possibilities for acting on epigenetic mechanisms in order to prevent the onset and progression of atherosclerosis.
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