Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a complex disease triggered by the interaction between genetics and the environment, especially through the shared epitope (SE) and cell surface calreticulin (CSC) theory. However, the available evidence shows that genetic diversity and environmental exposure cannot expl...

Full description

Bibliographic Details
Main Authors: Shicheng Guo, Lingxia Xu, Cen Chang, Runrun Zhang, Yehua Jin, Dongyi He
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fgene.2020.00811/full
_version_ 1811225595631108096
author Shicheng Guo
Shicheng Guo
Lingxia Xu
Lingxia Xu
Cen Chang
Cen Chang
Runrun Zhang
Runrun Zhang
Yehua Jin
Yehua Jin
Dongyi He
Dongyi He
author_facet Shicheng Guo
Shicheng Guo
Lingxia Xu
Lingxia Xu
Cen Chang
Cen Chang
Runrun Zhang
Runrun Zhang
Yehua Jin
Yehua Jin
Dongyi He
Dongyi He
author_sort Shicheng Guo
collection DOAJ
description Rheumatoid arthritis (RA) is a complex disease triggered by the interaction between genetics and the environment, especially through the shared epitope (SE) and cell surface calreticulin (CSC) theory. However, the available evidence shows that genetic diversity and environmental exposure cannot explain all the clinical characteristics and heterogeneity of RA. In contrast, recent studies demonstrate that epigenetics play important roles in the pathogenesis of RA, especially DNA methylation and histone modification. DNA methylation and histone methylation are involved in innate and adaptive immune cell differentiation and migration, proliferation, apoptosis, and mesenchymal characteristics of fibroblast-like synoviocytes (FLS). Epigenetic-mediated regulation of immune-related genes and inflammation pathways explains the dynamic expression network of RA. In this review, we summarize the comprehensive evidence to show that methylation of DNA and histones is significantly involved in the pathogenesis of RA and could be applied as a promising biomarker in the disease progression and drug-response prediction. We also explain the advantages and challenges of the current epigenetics research in RA. In summary, epigenetic modules provide a possible interface through which genetic and environmental risk factors connect to contribute to the susceptibility and pathogenesis of RA. Additionally, epigenetic regulators provide promising drug targets to develop novel therapeutic drugs for RA. Finally, DNA methylation and histone modifications could be important features for providing a better RA subtype identification to accelerate personalized treatment and precision medicine.
first_indexed 2024-04-12T09:09:59Z
format Article
id doaj.art-034fdf7212724de28991e10276c93448
institution Directory Open Access Journal
issn 1664-8021
language English
last_indexed 2024-04-12T09:09:59Z
publishDate 2020-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Genetics
spelling doaj.art-034fdf7212724de28991e10276c934482022-12-22T03:38:59ZengFrontiers Media S.A.Frontiers in Genetics1664-80212020-08-011110.3389/fgene.2020.00811552498Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid ArthritisShicheng Guo0Shicheng Guo1Lingxia Xu2Lingxia Xu3Cen Chang4Cen Chang5Runrun Zhang6Runrun Zhang7Yehua Jin8Yehua Jin9Dongyi He10Dongyi He11Department of Medical Genetics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United StatesCenter for Precision Medicine Research, Marshfield Clinic Research Institute, Marshfield, WI, United StatesDepartment of Rheumatology, Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Arthritis Research in Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Rheumatology, Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Arthritis Research in Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Rheumatology, Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Arthritis Research in Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Rheumatology, Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Arthritis Research in Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Rheumatology, Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Arthritis Research in Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, ChinaRheumatoid arthritis (RA) is a complex disease triggered by the interaction between genetics and the environment, especially through the shared epitope (SE) and cell surface calreticulin (CSC) theory. However, the available evidence shows that genetic diversity and environmental exposure cannot explain all the clinical characteristics and heterogeneity of RA. In contrast, recent studies demonstrate that epigenetics play important roles in the pathogenesis of RA, especially DNA methylation and histone modification. DNA methylation and histone methylation are involved in innate and adaptive immune cell differentiation and migration, proliferation, apoptosis, and mesenchymal characteristics of fibroblast-like synoviocytes (FLS). Epigenetic-mediated regulation of immune-related genes and inflammation pathways explains the dynamic expression network of RA. In this review, we summarize the comprehensive evidence to show that methylation of DNA and histones is significantly involved in the pathogenesis of RA and could be applied as a promising biomarker in the disease progression and drug-response prediction. We also explain the advantages and challenges of the current epigenetics research in RA. In summary, epigenetic modules provide a possible interface through which genetic and environmental risk factors connect to contribute to the susceptibility and pathogenesis of RA. Additionally, epigenetic regulators provide promising drug targets to develop novel therapeutic drugs for RA. Finally, DNA methylation and histone modifications could be important features for providing a better RA subtype identification to accelerate personalized treatment and precision medicine.https://www.frontiersin.org/article/10.3389/fgene.2020.00811/fullepigeneticmethylationrheumatoid arthritispathogenesisregulation
spellingShingle Shicheng Guo
Shicheng Guo
Lingxia Xu
Lingxia Xu
Cen Chang
Cen Chang
Runrun Zhang
Runrun Zhang
Yehua Jin
Yehua Jin
Dongyi He
Dongyi He
Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
Frontiers in Genetics
epigenetic
methylation
rheumatoid arthritis
pathogenesis
regulation
title Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
title_full Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
title_fullStr Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
title_full_unstemmed Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
title_short Epigenetic Regulation Mediated by Methylation in the Pathogenesis and Precision Medicine of Rheumatoid Arthritis
title_sort epigenetic regulation mediated by methylation in the pathogenesis and precision medicine of rheumatoid arthritis
topic epigenetic
methylation
rheumatoid arthritis
pathogenesis
regulation
url https://www.frontiersin.org/article/10.3389/fgene.2020.00811/full
work_keys_str_mv AT shichengguo epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT shichengguo epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT lingxiaxu epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT lingxiaxu epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT cenchang epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT cenchang epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT runrunzhang epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT runrunzhang epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT yehuajin epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT yehuajin epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT dongyihe epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis
AT dongyihe epigeneticregulationmediatedbymethylationinthepathogenesisandprecisionmedicineofrheumatoidarthritis