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Traditional Therapeutics and Potential Epidrugs for CVD: Why Not Both?
Lauren Rae Gladwell1, Chidinma Ahiarah1, Shireen Rasheed1
1Department of Pharmaceutical Sciences, Texas A&M Irma Lerma Rangel College of Pharmacy, 1114 TAMU, College Station, TX 77843, USA.
Insights
Cardiovascular disease (CVD) treatments are evolving beyond traditional methods. Epigenetic therapies offer a promising new approach to address the root causes of CVD by modifying gene expression, potentially improving patient outcomes.
Area of Science:
- Genetics and Molecular Biology
- Cardiology
- Pharmacology
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality, significantly impacting quality of life and productivity.
- Prevalent risk factors including obesity, type 2 diabetes mellitus, hypertension, and hyperlipidemia contribute to the high burden of CVD.
- Current traditional CVD interventions provide symptomatic relief but incur substantial economic costs and may require lifelong prescription.
Purpose of the Study:
- To review the various risk factors contributing to cardiovascular disease.
- To discuss the current perspectives and limitations of traditional cardiovascular medications.
- To focus on the potential of epigenetic therapeutics as alternative or complementary treatments for CVD.
Main Methods:
- This review synthesizes current literature on cardiovascular disease risk factors and traditional treatments.
- It explores the emerging field of epigenetics and its application to cardiovascular medicine.
- The review focuses on understanding how epigenetic modifications can be targeted for therapeutic benefit in CVD.
Main Results:
- Epigenetic interventions modulate gene expression by altering genome organization, not DNA sequence.
- Epigenetic changes are heritable, reversible, and influenced by environmental factors, offering dynamic therapeutic potential.
- Epigenetic approaches present a novel strategy to address the underlying pathophysiology of diverse cardiovascular conditions.
Conclusions:
- Epigenetic therapies offer a new frontier in cardiovascular medicine, potentially overcoming limitations of traditional treatments.
- By targeting the epigenetic level, these novel interventions may provide more comprehensive and sustainable management of CVD.
- Further research into epigenetic therapeutics could lead to improved treatment strategies, offering hope for a better quality of life for CVD patients.
Abstract:
Cardiovascular disease (CVD) is the leading cause of death worldwide. In addition to the high mortality rate, people suffering from CVD often endure difficulties with physical activities and productivity that significantly affect their quality of life. The high prevalence of debilitating risk factors such as obesity, type 2 diabetes mellitus, smoking, hypertension, and hyperlipidemia only predicts a bleak future. Current traditional CVD interventions offer temporary respite; however, they compound the severe economic strain of health-related expenditures. Furthermore, these therapeutics can be prescribed indefinitely. Recent advances in the field of epigenetics have generated new treatment options by confronting CVD at an epigenetic level. This involves modulating gene expression by altering the organization of our genome rather than altering the DNA sequence itself. Epigenetic changes are heritable, reversible, and influenced by environmental factors such as medications. As CVD is physiologically and pathologically diverse in nature, epigenetic interventions can offer a ray of hope to replace or be combined with traditional therapeutics to provide the prospect of addressing more than just the symptoms of CVD. This review discusses various risk factors contributing to CVD, perspectives of current traditional medications in practice, and a focus on potential epigenetic therapeutics to be used as alternatives.
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