Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine

Epigenetic modifications play a fundamental role in the progression of coronary artery disease (CAD). This panoramic review aims to provide an overview of the current understanding of the epigenetic mechanisms involved in CAD pathogenesis and highlights the potential implications for personalized me...

Full description

Bibliographic Details
Main Authors: Marcello Bergonzini, Francesco Loreni, Antonio Lio, Marco Russo, Guglielmo Saitto, Antonio Cammardella, Francesco Irace, Corrado Tramontin, Massimo Chello, Mario Lusini, Antonio Nenna, Chiara Ferrisi, Federico Ranocchi, Francesco Musumeci
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/10/2864
_version_ 1827721649174085632
author Marcello Bergonzini
Francesco Loreni
Antonio Lio
Marco Russo
Guglielmo Saitto
Antonio Cammardella
Francesco Irace
Corrado Tramontin
Massimo Chello
Mario Lusini
Antonio Nenna
Chiara Ferrisi
Federico Ranocchi
Francesco Musumeci
author_facet Marcello Bergonzini
Francesco Loreni
Antonio Lio
Marco Russo
Guglielmo Saitto
Antonio Cammardella
Francesco Irace
Corrado Tramontin
Massimo Chello
Mario Lusini
Antonio Nenna
Chiara Ferrisi
Federico Ranocchi
Francesco Musumeci
author_sort Marcello Bergonzini
collection DOAJ
description Epigenetic modifications play a fundamental role in the progression of coronary artery disease (CAD). This panoramic review aims to provide an overview of the current understanding of the epigenetic mechanisms involved in CAD pathogenesis and highlights the potential implications for personalized medicine approaches. Epigenetics is the study of heritable changes that do not influence alterations in the DNA sequence of the genome. It has been shown that epigenetic processes, including DNA/histone methylation, acetylation, and phosphorylation, play an important role. Additionally, miRNAs, lncRNAs, and circRNAs are also involved in epigenetics, regulating gene expression patterns in response to various environmental factors and lifestyle choices. In the context of CAD, epigenetic alterations contribute to the dysregulation of genes involved in inflammation, oxidative stress, lipid metabolism, and vascular function. These epigenetic changes can occur during early developmental stages and persist throughout life, predisposing individuals to an increased risk of CAD. Furthermore, in recent years, the concept of personalized medicine has gained significant attention. Personalized medicine aims to tailor medical interventions based on an individual’s unique genetic, epigenetic, environmental, and lifestyle factors. In the context of CAD, understanding the interplay between genetic variants and epigenetic modifications holds promise for the development of more precise diagnostic tools, risk stratification models, and targeted therapies. This review summarizes the current knowledge of epigenetic mechanisms in CAD and discusses the fundamental principles of personalized medicine.
first_indexed 2024-03-10T21:25:02Z
format Article
id doaj.art-f6880bd1fb05461db06614dcd7150c76
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T21:25:02Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-f6880bd1fb05461db06614dcd7150c762023-11-19T15:48:13ZengMDPI AGBiomedicines2227-90592023-10-011110286410.3390/biomedicines11102864Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized MedicineMarcello Bergonzini0Francesco Loreni1Antonio Lio2Marco Russo3Guglielmo Saitto4Antonio Cammardella5Francesco Irace6Corrado Tramontin7Massimo Chello8Mario Lusini9Antonio Nenna10Chiara Ferrisi11Federico Ranocchi12Francesco Musumeci13Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyCardiac Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyCardiac Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, ItalyCardiac Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, ItalyCardiac Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, ItalyCardiac Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyDepartment of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, ItalyEpigenetic modifications play a fundamental role in the progression of coronary artery disease (CAD). This panoramic review aims to provide an overview of the current understanding of the epigenetic mechanisms involved in CAD pathogenesis and highlights the potential implications for personalized medicine approaches. Epigenetics is the study of heritable changes that do not influence alterations in the DNA sequence of the genome. It has been shown that epigenetic processes, including DNA/histone methylation, acetylation, and phosphorylation, play an important role. Additionally, miRNAs, lncRNAs, and circRNAs are also involved in epigenetics, regulating gene expression patterns in response to various environmental factors and lifestyle choices. In the context of CAD, epigenetic alterations contribute to the dysregulation of genes involved in inflammation, oxidative stress, lipid metabolism, and vascular function. These epigenetic changes can occur during early developmental stages and persist throughout life, predisposing individuals to an increased risk of CAD. Furthermore, in recent years, the concept of personalized medicine has gained significant attention. Personalized medicine aims to tailor medical interventions based on an individual’s unique genetic, epigenetic, environmental, and lifestyle factors. In the context of CAD, understanding the interplay between genetic variants and epigenetic modifications holds promise for the development of more precise diagnostic tools, risk stratification models, and targeted therapies. This review summarizes the current knowledge of epigenetic mechanisms in CAD and discusses the fundamental principles of personalized medicine.https://www.mdpi.com/2227-9059/11/10/2864cardiovascular diseasesclinical epigeneticsbiomarkersdrug targetsDNA methylationhistone modification
spellingShingle Marcello Bergonzini
Francesco Loreni
Antonio Lio
Marco Russo
Guglielmo Saitto
Antonio Cammardella
Francesco Irace
Corrado Tramontin
Massimo Chello
Mario Lusini
Antonio Nenna
Chiara Ferrisi
Federico Ranocchi
Francesco Musumeci
Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
Biomedicines
cardiovascular diseases
clinical epigenetics
biomarkers
drug targets
DNA methylation
histone modification
title Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
title_full Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
title_fullStr Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
title_full_unstemmed Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
title_short Panoramic on Epigenetics in Coronary Artery Disease and the Approach of Personalized Medicine
title_sort panoramic on epigenetics in coronary artery disease and the approach of personalized medicine
topic cardiovascular diseases
clinical epigenetics
biomarkers
drug targets
DNA methylation
histone modification
url https://www.mdpi.com/2227-9059/11/10/2864
work_keys_str_mv AT marcellobergonzini panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT francescoloreni panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT antoniolio panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT marcorusso panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT guglielmosaitto panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT antoniocammardella panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT francescoirace panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT corradotramontin panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT massimochello panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT mariolusini panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT antonionenna panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT chiaraferrisi panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT federicoranocchi panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine
AT francescomusumeci panoramiconepigeneticsincoronaryarterydiseaseandtheapproachofpersonalizedmedicine