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Published on: May 17, 2024
Epigenetic DNA Methylation and Protein Homocysteinylation: Key Players in Hypertensive Renovascular Damage
Lu Ren1, Sathnur Pushpakumar1, Hebah Almarshood1
1Department of Physiology, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Insights
Epigenetics, including DNA methylation and noncoding RNAs, offers new insights into hypertension and kidney damage. Modulating these epigenetic factors presents a promising therapeutic strategy for renovascular diseases.
Area of Science:
- Nephrology
- Cardiovascular Research
- Epigenetics
Background:
- Hypertension is a major health threat linked to kidney damage, but its mechanisms are not fully understood.
- Hypertensive renal damage involves nephron dysfunction and glomerular changes, leading to reduced kidney function.
- Genetic factors alone do not fully explain hypertension and its associated organ damage.
Purpose of the Study:
- To review the role of epigenetic mechanisms in hypertension and renovascular damage.
- To explore how epigenetic modifications contribute to the pathogenesis of kidney disease.
- To identify potential therapeutic targets for treating hypertension-related renal dysfunction.
Main Methods:
- Literature review of epigenetic hallmarks associated with hypertension.
- Analysis of the role of DNA methylation, histone modifications, noncoding RNAs, and protein N-homocysteinylation.
- Examination of the interplay between biologically active gases (NO, CO, H2S) and epigenetic regulation in the renovascular system.
Main Results:
- Epigenetic modifications like DNA methylation, histone acetylation/deacetylation, noncoding RNAs, and N-homocysteinylation are implicated in hypertension.
- Biologically active gases (NO, CO, H2S) play a role in vascular remodeling and homeostasis, interacting with epigenetic pathways.
- Epigenetic modifications, particularly N-homocysteinylation, directly contribute to hypertensive kidney damage.
Conclusions:
- Epigenetic modulation offers a potential therapeutic avenue for intervening in renovascular damage caused by hypertension.
- Targeting epigenetic mechanisms could lead to novel treatments for renal disease and dysfunction in hypertensive patients.
- Understanding these epigenetic pathways is crucial for developing effective strategies against hypertension and its renal complications.
Abstract:
Hypertension has been a threat to the health of people, the mechanism of which, however, remains poorly understood. It is clinically related to loss of nephron function, glomerular sclerosis, or necrosis, resulting in renal functional declines. The mechanisms underlying hypertension's development and progression to organ damage, including hypertensive renal damage, remain to be fully elucidated. As a developing approach, epigenetics has been postulated to elucidate the phenomena that otherwise cannot be explained by genetic studies. The main epigenetic hallmarks, such as DNA methylation, histone acetylation, deacetylation, noncoding RNAs, and protein N-homocysteinylation have been linked with hypertension. In addition to contributing to endothelial dysfunction and oxidative stress, biologically active gases, including NO, CO, and H2S, are crucial regulators contributing to vascular remodeling since their complex interplay conducts homeostatic functions in the renovascular system. Importantly, epigenetic modifications also directly contribute to the pathogenesis of kidney damage via protein N-homocysteinylation. Hence, epigenetic modulation to intervene in renovascular damage is a potential therapeutic approach to treat renal disease and dysfunction. This review illustrates some of the epigenetic hallmarks and their mediators, which have the ability to diminish the injury triggered by hypertension and renal disease. In the end, we provide potential therapeutic possibilities to treat renovascular diseases in hypertension.
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