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Published on: January 28, 2020
Epigenetic Biomarkers in Cardiovascular Diseases
Carolina Soler-Botija1,2, Carolina Gálvez-Montón1,2, Antoni Bayés-Genís1,2,3,4
1Heart Failure and Cardiac Regeneration (ICREC) Research Program, Health Science Research Institute Germans Trias i Pujol (IGTP), Badalona, Spain.
Insights
Epigenetic biomarkers show promise for diagnosing and predicting cardiovascular diseases. Further research is needed to confirm their reliability for clinical use and personalized treatments.
Area of Science:
- Biomedical Science
- Genetics
- Cardiology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality, impacting quality of life and healthcare costs.
- Epigenetic dysregulation is increasingly linked to CVD progression, offering new avenues for prevention and treatment.
- Advances in big data and methodology enable personalized epigenetic mapping for tailored diagnosis and therapy.
Purpose of the Study:
- To review current discoveries and controversies surrounding epigenetic biomarkers in cardiovascular diseases.
- To explore the potential of epigenetic biomarkers for improving diagnosis, prognosis, and therapy in CVD patients.
Main Methods:
- Literature review of recent advancements in epigenetic research related to cardiovascular diseases.
- Analysis of the role of epigenetic mechanisms, biomarkers, and pharmacoepigenetics in CVD.
- Discussion of the clinical applicability and challenges of epigenetic biomarkers.
Main Results:
- Epigenetic biomarkers are emerging as valuable tools for CVD diagnosis and prognosis due to their accessibility and feasible detection methods.
- Pharmacoepigenetics offers personalized drug response prediction and tailored therapy based on individual epigenetic profiles.
- Current evidence highlights the potential of epigenetics in understanding and managing cardiovascular diseases.
Conclusions:
- Epigenetic biomarkers hold significant promise for enhancing cardiovascular disease management.
- Large-scale, multicenter studies are essential to validate the clinical utility of specific epigenetic biomarkers.
- Further research into epigenetic mechanisms can lead to improved diagnostic, prognostic, and therapeutic strategies for cardiovascular patients.
Abstract:
Cardiovascular diseases are the number one cause of death worldwide and greatly impact quality of life and medical costs. Enormous effort has been made in research to obtain new tools for efficient and quick diagnosis and predicting the prognosis of these diseases. Discoveries of epigenetic mechanisms have related several pathologies, including cardiovascular diseases, to epigenetic dysregulation. This has implications on disease progression and is the basis for new preventive strategies. Advances in methodology and big data analysis have identified novel mechanisms and targets involved in numerous diseases, allowing more individualized epigenetic maps for personalized diagnosis and treatment. This paves the way for what is called pharmacoepigenetics, which predicts the drug response and develops a tailored therapy based on differences in the epigenetic basis of each patient. Similarly, epigenetic biomarkers have emerged as a promising instrument for the consistent diagnosis and prognosis of cardiovascular diseases. Their good accessibility and feasible methods of detection make them suitable for use in clinical practice. However, multicenter studies with a large sample population are required to determine with certainty which epigenetic biomarkers are reliable for clinical routine. Therefore, this review focuses on current discoveries regarding epigenetic biomarkers and its controversy aiming to improve the diagnosis, prognosis, and therapy in cardiovascular patients.
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