Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?

In obesity, several epigenetic modifications, including histones remodeling, DNA methylation, and microRNAs, could accumulate and determine increased expression of inflammatory molecules, the adipokines, that in turn might induce or accelerate the onset and development of cardiovascular and metaboli...

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Autores principales: Rosaria Anna Fontanella, Lucia Scisciola, Maria Rosaria Rizzo, Surina Surina, Celestino Sardu, Raffaele Marfella, Giuseppe Paolisso, Michelangela Barbieri
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/d416983594244c76a62899f831103657
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spelling oai:doaj.org-article:d416983594244c76a62899f8311036572021-11-19T05:27:47ZAdiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?2297-055X10.3389/fcvm.2021.768026https://doaj.org/article/d416983594244c76a62899f8311036572021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.768026/fullhttps://doaj.org/toc/2297-055XIn obesity, several epigenetic modifications, including histones remodeling, DNA methylation, and microRNAs, could accumulate and determine increased expression of inflammatory molecules, the adipokines, that in turn might induce or accelerate the onset and development of cardiovascular and metabolic disorders. In order to better clarify the potential epigenetic mechanisms underlying the modulation of the inflammatory response by adipokines, the DNA methylation profile in peripheral leukocytes of the promoter region of IL-6 and NF-kB genes and plasma miRNA-21 levels were evaluated in 356 healthy subjects, using quantitative pyrosequencing-based analysis, and correlated with plasma adiponectin levels, body fat content and the primary pro-inflammatory markers. In addition, correlation analysis of DNA methylation profiles and miRNA-21 plasma levels with intima-media thickness (IMT), a surrogate marker for early atherosclerosis, left ventricular mass (LVM), left ventricular ejection fraction (LVEF), and cardiac performance index (MPI) was also performed to evaluate any potential clinical implication in terms of cardiovascular outcome. Results achieved confirmed the role of epigenetics in the obesity-related cardiovascular complications and firstly supported the potential role of plasma miRNA-21 and IL-6 and NF-kB DNA methylation changes in nucleated blood cells as potential biomarkers for predicting cardiovascular risk in obesity. Furthermore, our results, showing a role of adiponectin in preventing epigenetic modification induced by increased adipose tissue content in obese subjects, provide new evidence of an additional mechanism underlying the anti-inflammatory properties and the cardiovascular benefits of adiponectin. The exact mechanisms underlying the obesity-related epigenetic modifications found in the blood cells and whether similar epigenetic changes reflect adipose and myocardial tissue modifications need to be further investigated in future experiments.Rosaria Anna FontanellaLucia ScisciolaMaria Rosaria RizzoSurina SurinaCelestino SarduRaffaele MarfellaRaffaele MarfellaGiuseppe PaolissoGiuseppe PaolissoMichelangela BarbieriFrontiers Media S.A.articleadiponectinobesityinflammationepigenetic mechanismscardiovascular complicationsDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic adiponectin
obesity
inflammation
epigenetic mechanisms
cardiovascular complications
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle adiponectin
obesity
inflammation
epigenetic mechanisms
cardiovascular complications
Diseases of the circulatory (Cardiovascular) system
RC666-701
Rosaria Anna Fontanella
Lucia Scisciola
Maria Rosaria Rizzo
Surina Surina
Celestino Sardu
Raffaele Marfella
Raffaele Marfella
Giuseppe Paolisso
Giuseppe Paolisso
Michelangela Barbieri
Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
description In obesity, several epigenetic modifications, including histones remodeling, DNA methylation, and microRNAs, could accumulate and determine increased expression of inflammatory molecules, the adipokines, that in turn might induce or accelerate the onset and development of cardiovascular and metabolic disorders. In order to better clarify the potential epigenetic mechanisms underlying the modulation of the inflammatory response by adipokines, the DNA methylation profile in peripheral leukocytes of the promoter region of IL-6 and NF-kB genes and plasma miRNA-21 levels were evaluated in 356 healthy subjects, using quantitative pyrosequencing-based analysis, and correlated with plasma adiponectin levels, body fat content and the primary pro-inflammatory markers. In addition, correlation analysis of DNA methylation profiles and miRNA-21 plasma levels with intima-media thickness (IMT), a surrogate marker for early atherosclerosis, left ventricular mass (LVM), left ventricular ejection fraction (LVEF), and cardiac performance index (MPI) was also performed to evaluate any potential clinical implication in terms of cardiovascular outcome. Results achieved confirmed the role of epigenetics in the obesity-related cardiovascular complications and firstly supported the potential role of plasma miRNA-21 and IL-6 and NF-kB DNA methylation changes in nucleated blood cells as potential biomarkers for predicting cardiovascular risk in obesity. Furthermore, our results, showing a role of adiponectin in preventing epigenetic modification induced by increased adipose tissue content in obese subjects, provide new evidence of an additional mechanism underlying the anti-inflammatory properties and the cardiovascular benefits of adiponectin. The exact mechanisms underlying the obesity-related epigenetic modifications found in the blood cells and whether similar epigenetic changes reflect adipose and myocardial tissue modifications need to be further investigated in future experiments.
format article
author Rosaria Anna Fontanella
Lucia Scisciola
Maria Rosaria Rizzo
Surina Surina
Celestino Sardu
Raffaele Marfella
Raffaele Marfella
Giuseppe Paolisso
Giuseppe Paolisso
Michelangela Barbieri
author_facet Rosaria Anna Fontanella
Lucia Scisciola
Maria Rosaria Rizzo
Surina Surina
Celestino Sardu
Raffaele Marfella
Raffaele Marfella
Giuseppe Paolisso
Giuseppe Paolisso
Michelangela Barbieri
author_sort Rosaria Anna Fontanella
title Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
title_short Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
title_full Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
title_fullStr Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
title_full_unstemmed Adiponectin Related Vascular and Cardiac Benefits in Obesity: Is There a Role for an Epigenetically Regulated Mechanism?
title_sort adiponectin related vascular and cardiac benefits in obesity: is there a role for an epigenetically regulated mechanism?
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/d416983594244c76a62899f831103657
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