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Published on: February 3, 2023
Epitranscriptome in Ischemic Cardiovascular Disease: Potential Target for Therapies
Ana Quiles-Jiménez1,2, Tuva B Dahl1,3, Magnar Bjørås4,5
1Research Institute for Internal Medicine (A.Q.-J., T.B.D., B.H., I.G.), Oslo University Hospital, Rikshospitalet, Norway.
Insights
Epitranscriptomics, the study of RNA modifications, is emerging as a key factor in cardiovascular disease, particularly atherosclerosis. Understanding RNA editing and methylation could lead to new diagnostic and therapeutic strategies for heart disease.
Area of Science:
- Molecular Biology
- Cardiovascular Research
- Epitranscriptomics
Background:
- Cardiovascular disease (CVD) remains a leading global cause of mortality, with atherosclerosis as a primary underlying pathology.
- The molecular mechanisms driving atherosclerosis are not fully elucidated, hindering effective early diagnosis and treatment.
- Epitranscriptomics, the study of RNA modifications, is rapidly advancing in other fields but remains underexplored in cardiovascular contexts.
Purpose of the Study:
- To review current research on epitranscriptomic modifications in cardiovascular disease.
- To highlight the roles of specific modifications like A-to-I editing and N6-methyladenosine (m6A) in atherogenesis.
- To explore the therapeutic potential of targeting epitranscriptomic mechanisms for cardiovascular conditions.
Main Methods:
- Literature review of recent studies on epitranscriptomics and cardiovascular disease.
- Focus on A-to-I RNA editing and N6-methyladenosine (m6A) modifications.
- Analysis of regulatory proteins involved in these epitranscriptomic processes.
Main Results:
- Epitranscriptomic modifications regulate RNA metabolism and cellular functions crucial for atherogenesis, such as cell proliferation.
- Specific epitranscriptomic mechanisms, including A-to-I editing and m6A, are implicated in cardiovascular disease development.
- These modifications offer potential novel checkpoints for gene expression regulation during disease progression.
Conclusions:
- Epitranscriptomic modifications represent a promising area for understanding and combating cardiovascular disease.
- Targeting RNA editing and methylation pathways could yield innovative therapeutic strategies for atherosclerosis and related conditions.
- Further research into epitranscriptomics is essential for advancing cardiovascular medicine.
Abstract:
The global risk of cardiovascular disease, including ischemic disease such as stroke, remains high, and cardiovascular disease is the cause of one-third of all deaths worldwide. The main subjacent cause, atherosclerosis, is not fully understood. To improve early diagnosis and therapeutic strategies, it is crucial to unveil the key molecular mechanisms that lead to atherosclerosis development. The field of epitranscriptomics is blossoming and quickly advancing in fields like cancer research, nevertheless, poorly understood in the context of cardiovascular disease. Epitranscriptomic modifications are shown to regulate the metabolism and function of RNA molecules, which are important for cell functions such as cell proliferation, a key aspect in atherogenesis. As such, epitranscriptomic regulatory mechanisms can serve as novel checkpoints in gene expression during disease development. In this review, we describe examples of the latest research investigating epitranscriptomic modifications, in particular A-to-I editing and the covalent modification N6-methyladenosine and their regulatory proteins, in the context of cardiovascular disease. We additionally discuss the potential of these mechanisms as therapeutic targets and novel treatment options.
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