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Published on: May 16, 2020
Epigenetics in dilated cardiomyopathy
Junyi Yu1,2, Chunyu Zeng2, Yibin Wang1
1Departments of Anesthesiology, Physiology and Medicine, David Geffen School of Medicine, University of California at Los Angeles, California, USA.
Insights
Epigenetic alterations, including DNA methylation and noncoding RNAs, contribute to dilated cardiomyopathy (DCM). Understanding these epigenetic changes offers new diagnostic and therapeutic strategies for DCM.
Area of Science:
- Cardiology
- Genetics
- Epigenetics
Background:
- Dilated cardiomyopathy (DCM) is a leading cause of heart failure, characterized by ventricular enlargement and impaired systolic function.
- While genetic mutations are known causes, epigenetic alterations are increasingly recognized as significant contributors to DCM development.
Purpose of the Study:
- To review recent advancements in the field of epigenetics concerning dilated cardiomyopathy.
- To highlight the roles of DNA methylation, histone modification, chromatin remodeling, and noncoding RNAs in DCM.
- To discuss the diagnostic and therapeutic implications of epigenetic regulation in DCM.
Main Methods:
- Focus on four major epigenetic modifications: DNA methylation, histone modification, chromatin remodeling, and noncoding RNAs.
- Identification of key molecular players involved in DCM-related epigenetic reprogramming.
- Review of current literature on epigenetic mechanisms in DCM.
Main Results:
- Epigenetic modifications play a crucial role in the pathogenesis of DCM.
- Specific epigenetic alterations and their associated molecular players are identified in DCM.
- Emerging evidence suggests potential for epigenetic biomarkers and therapeutic targets in DCM.
Conclusions:
- Epigenetic studies in DCM are rapidly expanding, offering novel mechanistic insights.
- Epigenetic reprogramming presents promising new avenues for the effective treatment of dilated cardiomyopathy.
- Further research into epigenetic regulation could lead to improved diagnostics and therapies for DCM.
Purpose Of Review:
Characterized by enlarged ventricle and loss of systolic function, dilated cardiomyopathy (DCM) has the highest morbidity among all the cardiomyopathies. Although it is well established that DCM is typically caused by mutations in a large number of genes, there is an emerging appreciation for the contribution of epigenetic alteration in the development of DCM.
Recent Findings:
We present some of the recent progress in the field of epigenetics in DCM by focusing on the four major epigenetic modifications, that is, DNA methylation, histone modification, chromatin remodeling as well as the noncoding RNAs. The major players involved in these DCM-related epigenetic reprogramming will be highlighted. Finally, the diagnostic and the therapeutic implications for DCM based on new knowledge of epigenetic regulation will also be discussed.
Summary:
As a rapidly expanding field, epigenetic studies in DCM have the promise to yield both novel mechanistic insights as well as potential new avenues for more effective treatment of the disease.
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