Clinical uses of epigenetics in cardiology and cardiothoracic surgery: an update

James F Heinl1, Ghazal Aghagoli, Frank W Sellke1

  • 1Department of Cardiothoracic Surgery, The Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI 02903, USA.

Epigenomics
|June 13, 2023
PubMed

Insights

Epigenetics offers new ways to prevent, diagnose, and treat cardiovascular diseases. Recent advancements show its potential in cardiology and cardiothoracic surgery.

Area of Science:

  • Cardiovascular epigenetics research.
  • Exploration of epigenetic mechanisms in heart disease.

Background:

  • Cardiovascular diseases (CVDs) are a leading cause of mortality worldwide.
  • Epigenetics, the study of heritable gene expression changes without altering DNA sequence, is emerging as a key player in CVDs.

Discussion:

  • Epigenetic modifications like DNA methylation and histone modifications influence cardiac gene expression.
  • These changes can be influenced by environmental factors and lifestyle, impacting CVD development.

Key Insights:

  • Recent advances highlight epigenetics' role in CVD prevention and diagnosis.
  • Specific epigenetic markers are being investigated for early detection and risk stratification.
  • Therapeutic interventions targeting epigenetic pathways show promise in preclinical models.

Outlook:

  • Further research into epigenetic mechanisms will refine CVD diagnosis and treatment.
  • Personalized medicine approaches incorporating epigenetic profiles may improve patient outcomes.
  • The integration of epigenetics into clinical practice holds significant potential for cardiovascular health.

Related Concept Videos

Clinical Applications of Epidermal Stem Cells01:19

Clinical Applications of Epidermal Stem Cells

Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K
Epigenetic Regulation01:37

Epigenetic Regulation

Epigenetic changes alter the physical structure of the DNA without changing the genetic sequence and often regulate whether genes are turned on or off. This regulation ensures that each cell produces only proteins necessary for its function. For example, proteins that promote bone growth are not produced in muscle cells. Epigenetic mechanisms play an essential role in healthy development. Conversely, precisely regulated epigenetic mechanisms are disrupted in diseases like cancer.
X-chromosome...
3.1K
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
18