EPIGENETICS OF ARTERIAL HYPERTENSION
M.V.Khaitovych1, A.P. Burlaka2, V.S.Potaskalova1
- Bogomolets National Medical University, Kyiv;
- Kavetsky Institute of Experimental Pathology, Oncology and
Radiobiology of National Academy of Sciences of Ukraine,
Kyiv
DOI: https://doi.org/10.15407/fz63.02.095
Abstract
The literature review summarizes modern data which deals
with the role of epigenetic influences (DNA methylation,
posttranslational modification of histones, RNA interference)
in case of mechanism of primary arterial hypertension
(AH) development. It has been pointed out the contribution
of oxidative stress (OS) in disturbance of transcriptional and
posttranscriptional regulation in case of AH; the role of hyperhomocysteinemia
in formation of vascular stiffness. It has
been described the mechanisms of regulation of cytoprotective
role of autophagy. Underlying the epigenetic influences, the
following approaches are perspective: 1) prophylactic and
treatment AH with administration of resveratrol (activates
SIRT1 and decreases OS, increases activity of endothelial
NO-synthase); folates (prevent hypomethylation of DNA);
probiotics (action on microRNA); melatonin (decreases
demethylation of endothelial NO-synthase promotor); 2)
prevention of disease progression - use of inhibitors of DNA
methylation and autophagy modulators (reduce fibrosis and
hypertrophy of myocardium).
Keywords:
epigenetics; arterial hypertension.
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