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Published on: March 28, 2025
Epigenetic Mechanisms in Monocytes/Macrophages Regulate Inflammation in Cardiometabolic and Vascular Disease
Frank M Davis1, Katherine A Gallagher1
1From the Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor.
Insights
Epigenetic modifications regulate immune cell function, impacting cardiometabolic and vascular diseases. Understanding these changes in monocytes/macrophages is crucial for developing new treatments for conditions like atherosclerosis and diabetes.
Area of Science:
- Immunology
- Epigenetics
- Cardiovascular Science
Background:
- Cardiometabolic and vascular diseases are leading causes of death, driven by chronic inflammation.
- Monocytes and macrophages are central to inflammatory processes underlying cardiovascular disease.
- Epigenetic modifications, including DNA methylation and histone processing, are increasingly recognized as regulators of immune cell function.
Purpose of the Study:
- To review the current understanding of monocyte/macrophage polarization.
- To highlight the role of epigenetic modifications in regulating monocyte/macrophage phenotype.
- To discuss the implications in obesity, diabetes mellitus, atherosclerosis, and abdominal aortic aneurysms.
Main Methods:
- Literature review of studies on epigenetics and monocyte/macrophage function.
- Analysis of epigenetic enzyme roles in immune cell signaling.
- Synthesis of findings related to cardiometabolic and vascular diseases.
Main Results:
- Epigenetic enzymes dynamically regulate monocyte/macrophage signaling pathways.
- These modifications alter immune cell phenotypes in response to environmental cues.
- Epigenetic regulation is implicated in the pathogenesis of major cardiometabolic and vascular conditions.
Conclusions:
- Epigenetic modifications are critical regulators of monocyte/macrophage phenotype.
- Targeting epigenetic mechanisms may offer novel therapeutic strategies for cardiovascular diseases.
- Further research into epigenetic regulation is essential for understanding and treating cardiometabolic diseases.
Abstract:
Cardiometabolic and vascular disease, with their associated secondary complications, are the leading cause of morbidity and mortality in Western society. Chronic inflammation is a common theme that underlies initiation and progression of cardiovascular disease. In this regard, monocytes/macrophages are key players in the development of a chronic inflammatory state. Over the past decade, epigenetic modifications, such as DNA methylation and posttranslational histone processing, have emerged as important regulators of immune cell phenotypes. Accumulating studies reveal the importance of epigenetic enzymes in the dynamic regulation of key signaling pathways that alter monocyte/macrophage phenotypes in response to environmental stimuli. In this review, we highlight the current paradigms of monocyte/macrophage polarization and the emerging role of epigenetic modification in the regulation of monocyte/macrophage phenotype in obesity, diabetes mellitus, atherosclerosis, and abdominal aortic aneurysms.
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