胸前大动脉动脉瘤,解剖和双侧大动脉损伤中的表观遗传生物标志物:综合性审查
Dimitrios E Magouliotis1, Serge Sicouri1, Noah Sicouri2
1Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA.
Biomolecules
|April 30, 2025
概括
像DNA甲基化和miRNA调节这样的表观遗传机制是胸前大动脉疾病 (TAD) 的关键驱动因素. 针对这些可逆变化的治疗为TAD提供了有前途的治疗和诊断策略.
科学领域:
- 心血管生物学 心血管生物学
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
- 翻译医学是一种翻译医学.
背景情况:
- 胸前大动脉疾病 (TAD) 包括危及生命的疾病,如胸前大动脉动脉瘤 (TAA) 和急性A型大动脉解剖 (ATAAD).
- 虽然遗传学是已知的贡献者,但表观遗传机制越来越被认为是TAD病变发生的关键调节者.
- 了解这些表观遗传因素对于开发新的治疗和诊断方法至关重要.
研究的目的:
- 综合审查表观遗传修饰在TAD病变发生中的作用.
- 探索DNA甲基化,基因组修饰和微RNA (miRNA) 调节在血管重塑,细胞外矩阵降解和内皮功能障碍中.
- 突出表观遗传生物标志物和TAD管理的治疗方法的转化潜力.
主要方法:
- 对胸前大动脉疾病中的表观遗传机制现有文献的综述.
- 对研究TAA和ATAAD中DNA甲基化,基因素修饰和miRNA失调的研究进行分析.
- 对表观遗传调节疗法的临床前数据的检查.
主要成果:
- 异常的DNA甲基化会影响TAA和ATAAD中与血管完整性和炎症相关的基因.
- 基斯修改影响光滑肌肉细胞表型切换,影响动脉瘤的进展.
- 失调的miRNA表达有助于内皮功能障碍和细胞外矩阵重塑,表明生物标志物的潜力.
结论:
- 表观遗传修饰在TAD病变发生过程中至关重要,由于其可逆性,它们提供了有前途的治疗标.
- 表观遗传生物标志物在TAD中具有早期检测,风险分层和精密医学的翻译潜力.
- 需要进一步的研究来将表观遗传发现纳入临床实践,以改善TAD管理.
相关概念视频
Aortic Regurgitation I: Introduction
1.6K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
1.2K
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
961
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
961
Aneurysm I: Introduction
658
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
658
Aneurysm II: Clinical Manifestations and Diagnostic Studies
592
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
592


