1. Epigenetic Regulation of Pulmonary Arterial Hypertension-Induced Vascular and Right Ventricular Remodeling: New Opportunities?
- Author
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Jordy M. M. Kocken and Paula A. da Costa Martins
- Subjects
0301 basic medicine ,Heart disease ,SMOOTH-MUSCLE-CELLS ,Ventricular Dysfunction, Right ,Disease ,Review ,030204 cardiovascular system & hematology ,Muscle hypertrophy ,Epigenesis, Genetic ,lcsh:Chemistry ,0302 clinical medicine ,Myocytes, Cardiac ,lcsh:QH301-705.5 ,DNA METHYLATION ,Spectroscopy ,Pulmonary Arterial Hypertension ,Ventricular Remodeling ,MOLECULAR-MECHANISMS ,LONG NONCODING RNA ,General Medicine ,Connective tissue disease ,Computer Science Applications ,medicine.anatomical_structure ,Cardiology ,non-coding RNAs ,MESSENGER-RNA ,hypertrophy ,Signal Transduction ,medicine.medical_specialty ,MITOCHONDRIAL DYSFUNCTION ,right ventricle remodeling ,Pulmonary Artery ,Catalysis ,Inorganic Chemistry ,03 medical and health sciences ,medicine.artery ,Internal medicine ,medicine ,Animals ,Humans ,CHROMATIN MODIFICATION ,Epigenetics ,Physical and Theoretical Chemistry ,NITRIC-OXIDE SYNTHASE ,Ventricular remodeling ,Molecular Biology ,CIRCULAR RNA ,epigenetics ,business.industry ,Organic Chemistry ,Endothelial Cells ,medicine.disease ,Disease Models, Animal ,030104 developmental biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,Ventricle ,Pulmonary artery ,Ventricular Function, Right ,HISTONE H3 PHOSPHORYLATION ,business - Abstract
Pulmonary artery hypertension (PAH) is a rare chronic disease with high impact on patients’ quality of life and currently no available cure. PAH is characterized by constant remodeling of the pulmonary artery by increased proliferation and migration of pulmonary arterial smooth muscle cells (PASMCs), fibroblasts (FBs) and endothelial cells (ECs). This remodeling eventually leads to increased pressure in the right ventricle (RV) and subsequent right ventricle hypertrophy (RVH) which, when left untreated, progresses into right ventricle failure (RVF). PAH can not only originate from heritable mutations, but also develop as a consequence of congenital heart disease, exposure to drugs or toxins, HIV, connective tissue disease or be idiopathic. While much attention was drawn into investigating and developing therapies related to the most well understood signaling pathways in PAH, in the last decade, a shift towards understanding the epigenetic mechanisms driving the disease occurred. In this review, we reflect on the different epigenetic regulatory factors that are associated with the pathology of RV remodeling, and on their relevance towards a better understanding of the disease and subsequently, the development of new and more efficient therapeutic strategies.
- Published
- 2020