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Updated: Sep 30, 2025

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Published on: June 3, 2018
Epigenetic remodeling in heart failure with preserved ejection fraction
Samuele Ambrosini1, Era Gorica1,2, Shafeeq A Mohammed1
1Center for Molecular Cardiology, University of Zurich, Zurich, Switzerland.
Epigenetic modifications play a crucial role in heart failure with preserved ejection fraction (HFpEF). Targeting these epigenetic changes offers new therapeutic strategies for managing HFpEF.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Genetics
Background:
- Heart failure with preserved ejection fraction (HFpEF) is associated with poor prognosis.
- Novel molecular targets and therapeutic strategies for HFpEF are urgently needed.
- Epigenetic signals are increasingly recognized for their role in regulating transcriptional programs in HFpEF.
Purpose of the Study:
- To critically review the role of epigenetic processing in HFpEF.
- To explore the therapeutic modulation of epigenetic mechanisms in HFpEF.
- To highlight the potential of epigenetic insights for future HFpEF management.
Main Methods:
- Review of emerging evidence on epigenetic involvement in HFpEF.
- Analysis of chromatin dynamics and the development of epigenetic drugs.
- Discussion of computational epigenetics and deep machine learning applications.
Main Results:
- Epigenetic signatures acquired during life can disrupt molecular pathways in HFpEF.
- Understanding chromatin dynamics enables the development of drugs to modify transcriptional changes.
- Epigenetic information can be used to identify biomarkers and develop predictive models for HFpEF.
Conclusions:
- Epigenetic modifications are integral to HFpEF pathogenesis.
- Personalized epigenetic biomarkers and therapies hold promise for combating HFpEF.
- Investigating the individual epigenetic landscape is key to future HFpEF treatment strategies.
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