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Can Epigenetics Help Solve the Puzzle Between Concomitant Cardiovascular Injury and Severity of Coronavirus Disease
Cássia L Braga1, Mariana Acquarone2,3, Victor da C Arona2
1Laboratório de Investigação Pulmonar, Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Insights
Coronavirus disease 2019 (COVID-19) in patients with cardiovascular disease (CVD) is deadly. Understanding SARS-CoV-2
Area of Science:
- Cardiology
- Virology
- Pharmacology
- Epigenetics
Background:
- Patients with cardiovascular disease (CVD) face the highest mortality risk from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
- SARS-CoV-2 infection disrupts host epigenetics, impacting cardiovascular system (CVS) function and structure.
- Managing COVID-19 in CVD patients presents challenges for cardiology and pharmacology.
Purpose of the Study:
- To explore the link between SARS-CoV-2 infection and epigenetic alterations affecting the cardiovascular system.
- To identify potential therapeutic targets for COVID-19-related cardiovascular damage.
- To review signaling pathways involved in COVID-19 pathophysiology and their epigenetic implications.
Main Methods:
- Review of current literature on COVID-19 pathophysiology, epigenetics, and cardiovascular implications.
- Analysis of signaling pathways affected by SARS-CoV-2.
- Discussion of epigenetic modifiers (epidrugs) as potential therapeutic agents.
Main Results:
- SARS-CoV-2 infection significantly impacts cardiovascular physiology through epigenetic modifications.
- Epigenetic dysregulation is a key factor in COVID-19-induced cardiovascular injury.
- Targeting epigenetic marks shows promise for novel antiviral therapies.
Conclusions:
- Understanding virus-induced epigenetic changes is crucial for managing COVID-19 in CVD patients.
- Epigenetic strategies may reduce SARS-CoV-2 aggressiveness and mitigate cardiovascular damage.
- Further research into epidrugs could lead to effective treatments for COVID-19-related cardiovascular complications.
Abstract:
The ongoing coronavirus disease 2019 (COVID-19) pandemic caused by SARS-CoV-2 has significant implications in patients with concomitant cardiovascular disease (CVD) because they are the population at the greatest risk of death. The treatment of such patients and complications may represent a new challenge for the fields of cardiology and pharmacology. Thus, understanding the involvement of this viral infection in CVD might help to reduce the aggressiveness of SARS-CoV-2 in causing multiorgan infection and damage. SARS-CoV-2 disturbs the host epigenome and several epigenetic processes involved in the pathophysiology of COVID-19 that can directly affect the function and structure of the cardiovascular system (CVS). Hence, it would be relevant to identify epigenetic alterations that directly impact CVS physiology after SARS-CoV-2 infection. This could contribute to the view of this virus-induced CVS injury and direct forthcoming tackles for COVID-19 treatment to reduce mortality in patients with CVD. Targeting epigenetic marks could offer strong evidence for the development of novel antiviral therapies, especially in the context of COVID-19-related CVS damage. In this review, we address some of the main signaling pathways that are currently known as being involved in COVID-19 pathophysiology and the importance of this glint on epigenetics and some of its modifiers (epidrugs) to control the unregulated epitope activity in the context of SARS-CoV-2 infection, COVID-19, and underlying CVD.
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