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Updated: Feb 1, 2026

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Published on: November 28, 2012
The involvement of epigenetics in vascular disease development
Leonardo Elia1, Gianluigi Condorelli2
1Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy; Humanitas Research Hospital, Rozzano, Milan, Italy.
Insights
Epigenetics, involving DNA methylation and histone modifications, offers new insights into cardiovascular diseases like atherosclerosis. Future treatments may target these epigenetic mechanisms for better cardiovascular health.
Area of Science:
- Cardiovascular Science
- Epigenetics
- Molecular Biology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality and morbidity.
- Despite advancements, CVD incidence is rising, necessitating a deeper understanding of disease mechanisms.
- Epigenetics, including DNA methylation and histone modifications, regulates gene expression and is crucial for cellular function.
Purpose of the Study:
- To review recent findings on the role of epigenetics in major vascular diseases.
- To focus on DNA methylation and histone modifications in atherosclerosis, restenosis, and aortic aneurysm.
- To highlight the potential of epigenetic mechanisms in cardiovascular pathophysiology and therapeutics.
Main Methods:
- Literature review of recent research on epigenetics and vascular diseases.
- Focus on studies investigating DNA methylation and histone modifications.
- Analysis of epigenetic regulation in atherosclerosis, restenosis, and aortic aneurysm.
Main Results:
- Epigenetic mechanisms, particularly DNA methylation and histone modification, play a fundamental role in cardiovascular physiopathology.
- These epigenetic changes are implicated in the development and progression of atherosclerosis, restenosis, and aortic aneurysm.
- Emerging evidence suggests that epigenetic modifications are amenable to pharmacological manipulation.
Conclusions:
- Epigenetics is crucial for understanding cardiovascular homeostasis and disease pathogenesis.
- Epigenetic-based diagnostic and therapeutic strategies hold promise for managing cardiovascular diseases.
- Targeting epigenetic modifications could offer novel approaches for treating vascular pathologies.
Abstract:
Cardiovascular diseases are a major cause of death and disability. Despite enormous progress in diagnosis, prevention, and treatment over the years, the incidence of this group of pathologies continues to increase worldwide. An important step in reversing this situation is filling in the gaps we have in our understanding of cardiovascular homeostasis and of the pathogenic processes leading to disease. On this point, the discovery of epigenetics - heritable chemical modifications of DNA bases and histone proteins, as well as non-coding RNA-based mechanisms regulating gene expression - has opened up new vistas. Here, we will review recent findings regarding the epigenetics of three main vascular diseases (atherosclerosis, restenosis, and aortic aneurysm), with a focus on DNA methylation and histone modification. The emerging fundamental nature of epigenetics for cardiovascular physiopathology and, importantly, the amenability to manipulation with pharmacological techniques are an indication that epigenetics-based prognostic and therapeutics procedures might be developed in the future.
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