PMID- 38028966 OWN - NLM STAT- MEDLINE DCOM- 20231201 LR - 20240130 IS - 1947-6108 (Electronic) IS - 1947-6094 (Print) IS - 1947-6108 (Linking) VI - 19 IP - 5 DP - 2023 TI - Epigenetic Regulation of Angiogenesis in Peripheral Artery Disease. PG - 47-57 LID - 10.14797/mdcvj.1294 [doi] AB - Peripheral arterial disease (PAD) represents a global health concern with a rising prevalence attributed to factors such as obesity, diabetes, aging, and smoking. Among patients with PAD, chronic limb-threatening ischemia (CLTI) is the most severe manifestation, associated with substantial morbidity and mortality. While revascularization remains the primary therapy for CLTI, not all patients are candidates for such interventions, highlighting the need for alternative approaches. Impaired angiogenesis, the growth of new blood vessels, is a central feature of PAD, and despite decades of research, effective clinical treatments remain elusive. Epigenetics, the study of heritable changes in gene expression, has gained prominence in understanding PAD pathogenesis. Here, we explore the role of epigenetic regulation in angiogenesis within the context of PAD, with a focus on long non-coding RNAs and fibroblast-endothelial cell transdifferentiation. Additionally, we discuss the interplay between metabolic control and epigenetic regulation, providing insights into potential novel therapeutic avenues for improving PAD treatments. This review aims to offer a concise update on the application of epigenetics in angiogenesis and PAD research, inspiring further investigations in this promising field. CI - Copyright: (c) 2023 The Author(s). FAU - Malhi, Naseeb Kaur AU - Malhi NK AUID- ORCID: 0000-0002-8981-2974 AD - Beckman Research Institute City of Hope, Duarte, California, US. FAU - Southerland, Kevin W AU - Southerland KW AUID- ORCID: 0000-0002-0306-2130 AD - Duke University Medical Center, Durham, North Carolina, US. FAU - Lai, Li AU - Lai L AUID- ORCID: 0000-0002-5731-2705 AD - Houston Methodist Research Institute, Houston, Texas, US. FAU - Chen, Zhen Bouman AU - Chen ZB AUID- ORCID: 0000-0002-3291-1090 AD - Beckman Research Institute City of Hope, Duarte, California, US. LA - eng GR - R01 HL145170/HL/NHLBI NIH HHS/United States GR - R56 HL169204/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review DEP - 20231116 PL - United States TA - Methodist Debakey Cardiovasc J JT - Methodist DeBakey cardiovascular journal JID - 101508600 SB - IM MH - Humans MH - *Epigenesis, Genetic MH - *Peripheral Arterial Disease/genetics MH - Ischemia/genetics PMC - PMC10655766 OTO - NOTNLM OT - angiogenesis OT - epigenetics OT - fibroblast-endothelial transdifferentiation OT - hindlimb ischemia (HLI) OT - long non-coding RNAs (lncRNAs) OT - peripheral arterial disease (PAD) COIS- The authors have no competing interests to declare. EDAT- 2023/11/29 18:42 MHDA- 2023/12/01 06:43 PMCR- 2023/11/16 CRDT- 2023/11/29 17:19 PHST- 2023/09/18 00:00 [received] PHST- 2023/09/19 00:00 [accepted] PHST- 2023/12/01 06:43 [medline] PHST- 2023/11/29 18:42 [pubmed] PHST- 2023/11/29 17:19 [entrez] PHST- 2023/11/16 00:00 [pmc-release] AID - 10.14797/mdcvj.1294 [doi] PST - epublish SO - Methodist Debakey Cardiovasc J. 2023 Nov 16;19(5):47-57. doi: 10.14797/mdcvj.1294. eCollection 2023.