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Updated: Jun 9, 2026

Epigenetic Regulation of Cardiac Differentiation of Embryonic Stem Cells and Tissues
Published on: June 3, 2016
Epigenetic Regulation in Cardiovascular Diseases: Mechanisms and Therapeutic Targets
Wangzheqi Zhang1, Chenyang Mu2, Rui Zhao3
1School of Anesthesiology Naval Medical University Shanghai China.
Abstract:
Cardiovascular diseases (CVDs) arise as the product of multiple factors, including genetic predisposition and environmental exposure, but the molecular and cellular interplays underlying such a pathogenetic process leading to sustained pathological conditions remain largely unknown. A growing body of evidence indicates that epigenetic mechanisms, including DNA methylation, histone modifications, chromatin remodeling, noncoding RNAs, and RNA modifications, are important for cardiovascular development, adaptation, and disease. However, findings from these studies are fragmented across different genomic contexts or disease-focused scenarios, lacking systematic integration for a global view connecting epigenetic dynamics to cardiovascular phenotypes and their clinical implications. An overall picture of epigenetic modulation in CVDs is therefore provided. Common epigenetic mechanisms are described in a cell type and disease stage-specific context, and the roles of environmental and lifestyle factors in remodeling the cardiovascular epigenome are illustrated. Novel epigenetic biomarkers and therapeutic interventions are also assessed. Emphasis is placed on epigenomic plasticity, enhancer focused control, and network-level reprogramming as key concepts that drive disease remodeling. By unifying mechanistic understanding with translational evidence, this review frames CVD as a disorder of stabilized regulatory states and defines avenues for precision epigenomic manipulation.
Insights
Epigenetic mechanisms significantly influence cardiovascular diseases (CVDs). Understanding these epigenetic changes offers new avenues for developing targeted therapies and biomarkers for CVDs.
Area of Science:
- Cardiovascular biology
- Epigenetics
- Genomics
Background:
- Cardiovascular diseases (CVDs) result from complex genetic and environmental factors.
- The molecular underpinnings of CVD pathogenesis, particularly epigenetic contributions, are not fully understood.
- Existing research on epigenetics in CVDs is fragmented, lacking a unified perspective.
Purpose of the Study:
- To provide a comprehensive overview of epigenetic modulation in cardiovascular diseases.
- To connect epigenetic dynamics to cardiovascular phenotypes and clinical implications.
- To explore novel epigenetic biomarkers and therapeutic strategies for CVDs.
Main Methods:
- Systematic review and integration of fragmented findings on epigenetic mechanisms in CVDs.
- Analysis of cell type and disease stage-specific epigenetic alterations.
- Illustration of environmental and lifestyle factor impacts on the cardiovascular epigenome.
Main Results:
- Epigenetic mechanisms like DNA methylation and noncoding RNAs play crucial roles in cardiovascular development and disease.
- Environmental and lifestyle factors dynamically remodel the cardiovascular epigenome.
- Epigenomic plasticity, enhancer control, and network reprogramming are key drivers of CVD remodeling.
Conclusions:
- Cardiovascular diseases can be viewed as disorders of stabilized regulatory states.
- A unified understanding of epigenetics in CVDs facilitates the development of precision epigenomic manipulation strategies.
- This review highlights potential novel epigenetic biomarkers and therapeutic interventions for CVDs.
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