Epigenetic Regulation in Cardiovascular Diseases: Mechanisms and Therapeutic Targets

Wangzheqi Zhang1, Chenyang Mu2, Rui Zhao3

  • 1School of Anesthesiology Naval Medical University Shanghai China.

Medcomm
|June 8, 2026
PubMed

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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