PMID- 35227297 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20220318 IS - 1868-7083 (Electronic) IS - 1868-7075 (Print) IS - 1868-7075 (Linking) VI - 14 IP - 1 DP - 2022 Feb 28 TI - Atheroprotective mechanism by which folic acid regulates monocyte subsets and function through DNA methylation. PG - 32 LID - 10.1186/s13148-022-01248-0 [doi] LID - 32 AB - BACKGROUND: Recent studies have suggested that folic acid can restore abnormal DNA methylation and monocyte subset shifts caused by hyperhomocysteinemia (HHcy) and hyperlipidemia (HL). However, the exact mechanism of action is still not fully understood. In this study, we further investigated the reversal effect and underlying mechanism of folic acid on the shift in monocyte subsets induced by aberrant lipids and Hcy metabolism via DNA methylation in vitro and in vivo. RESULTS: Our results showed that intermediate monocytes were significantly increased but had the lowest global 5-methylcytosine (5-mC) levels in coronary artery disease (CAD) patients, which might lead to a decrease in the global 5-mC levels of peripheral blood leukocytes (PBLs). We also discovered that ARID5B might mediate the increased proportion of intermediate monocytes, as this factor was related to the proportion of monocyte subsets and the expression of CCR2. The expression of ARID5B was inversely associated with the hypermethylated cg25953130 CpG site, which was induced by HL and HHcy. ARID5B could also regulate monocyte CCR2, MCP-1, and TNF-alpha expression, adhesion and migration, macrophage polarization, and monocyte/macrophage apoptosis, which might explain the regulatory effect of ARID5B on monocyte subset shifting. Folic acid reversed HL- and HHcy-mediated aberrant global and cg25953130 DNA methylation, reduced the proportion of intermediate monocytes, and inhibited the formation of atherosclerotic plaques. CONCLUSION: Folic acid plays a protective role against atherosclerosis through the regulation of DNA methylation, ARID5B expression, and monocyte subsets. CI - (c) 2022. The Author(s). FAU - Xiang, Yang AU - Xiang Y AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Liang, Bin AU - Liang B AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Zhang, Xiaokang AU - Zhang X AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Qiu, Xueping AU - Qiu X AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Deng, Qianyun AU - Deng Q AD - Laboratory Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. FAU - Yu, Li AU - Yu L AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Yu, Hong AU - Yu H AD - Hubei Provincial Key Laboratory of Developmentally Originated Disease, Wuhan University School of Basic Medical Sciences, Wuhan, 430071, Hubei, China. FAU - Lu, Zhibing AU - Lu Z AD - Institute of Myocardial Injury and Repair, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. FAU - Zheng, Fang AU - Zheng F AUID- ORCID: 0000-0002-2024-2424 AD - Center for Gene Diagnosis, and Department of Clinical Laboratory Medicine, Zhongnan Hospital of Wuhan University, Donghu Road 169, Wuhan, 430071, China. zhengfang@whu.edu.cn. LA - eng GR - 81871722/National Natural Science Foundation of China/ GR - 82072373/National Natural Science Foundation of China/ GR - 82002235/National Natural Science Foundation of China/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220228 PL - Germany TA - Clin Epigenetics JT - Clinical epigenetics JID - 101516977 RN - 935E97BOY8 (Folic Acid) SB - IM MH - *Atherosclerosis/genetics/metabolism MH - DNA Methylation MH - Folic Acid/metabolism/pharmacology MH - Humans MH - Monocytes/metabolism MH - *Plaque, Atherosclerotic/genetics PMC - PMC8887029 OTO - NOTNLM OT - ARID5B OT - Coronary artery disease OT - DNA methylation OT - Folic acid OT - Monocyte subsets COIS- The authors declare that they have no competing interests. EDAT- 2022/03/02 06:00 MHDA- 2022/03/04 06:00 PMCR- 2022/02/28 CRDT- 2022/03/01 05:42 PHST- 2021/10/26 00:00 [received] PHST- 2022/02/14 00:00 [accepted] PHST- 2022/03/01 05:42 [entrez] PHST- 2022/03/02 06:00 [pubmed] PHST- 2022/03/04 06:00 [medline] PHST- 2022/02/28 00:00 [pmc-release] AID - 10.1186/s13148-022-01248-0 [pii] AID - 1248 [pii] AID - 10.1186/s13148-022-01248-0 [doi] PST - epublish SO - Clin Epigenetics. 2022 Feb 28;14(1):32. doi: 10.1186/s13148-022-01248-0.