Roles of different methylation modifications in cardiovascular disease

Yuan Lin1,2,3,4, Jennifer Wang5, Xin Liu1,2,3

  • 1State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, and Department of Cardiology, the Second Affiliated Hospital, Harbin Medical University, Harbin, 150081, China.

Frontiers of Medicine
|December 26, 2025
PubMed

Insights

Epigenetic methylation modifications, including DNA, protein, and RNA N6-methyladenosine (m6A) changes, are crucial in cardiovascular disease development. Understanding these epigenetic mechanisms offers new therapeutic targets for heart conditions.

Area of Science:

  • Molecular Biology
  • Cardiology
  • Epigenetics

Background:

  • Cardiovascular diseases (CVDs) are leading causes of global mortality and disability.
  • Effective prevention and therapy require deep understanding of molecular mechanisms.
  • Epigenetic modifications, particularly methylation, are increasingly recognized in CVD pathogenesis.

Purpose of the Study:

  • To review the biological processes of DNA, protein, and RNA N6-methyladenosine (m6A) methylation.
  • To summarize the roles of these methylation modifications in major cardiovascular diseases.
  • To highlight the potential of epigenetic mechanisms as therapeutic and diagnostic targets for CVDs.

Main Methods:

  • Literature review of recent advancements in epigenetic research.
  • Focus on methylation modifications: DNA methylation, protein methylation, and m6A RNA modification.
  • Synthesis of findings related to CVDs including cardiac hypertrophy, heart failure, ischemic heart disease, and atherosclerosis.

Main Results:

  • Methylation modifications significantly impact gene expression relevant to cardiovascular health.
  • Specific roles of DNA, protein, and m6A methylation are identified in cardiac hypertrophy, heart failure, ischemic heart disease, and atherosclerosis.
  • Epigenetic alterations are implicated in the progression and pathogenesis of various cardiovascular conditions.

Conclusions:

  • Epigenetic methylation modifications are integral to cardiovascular disease development and progression.
  • Targeting these methylation mechanisms presents promising avenues for novel diagnostic and therapeutic strategies in cardiology.
  • Further research into epigenetic modulation is critical for advancing cardiovascular medicine.

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