With the in-depth investigation of various diseases, angiogenesis has gained increasing attention. Among the contributing factors to angiogenesis research, endothelial epigenetics has emerged as an influential player. Endothelial epigenetic therapy exerts its regulatory effects on endothelial cells by controlling gene expression, RNA, and histone modification within these cells, which subsequently promotes or inhibits angiogenesis. As a result, this therapeutic approach offers potential strategies for disease treatment. The purpose of this review is to outline the pertinent mechanisms of endothelial cell epigenetics, encompassing glycolysis, lactation, amino acid metabolism, non-coding RNA, DNA methylation, histone modification, and their connections to specific diseases and clinical applications. We firmly believe that endothelial cell epigenetics has the potential to become an integral component of precision medicine therapy, unveiling novel therapeutic targets and providing new directions and opportunities for disease treatment.
Graphical Abstract
In recent years, with the deepening of people’s understanding of diseases, angiogenesis has been paid more and more attention. Endothelial cells, as the key cells in angiogenesis, play an important role in the field of angiogenesis research. Glycolysis, lactation, pentose phosphate pathway, amino acid metabolism, non-coding RNA, DNA methylation, histone modification, etc., all have an impact on endothelial cells and thus affect angiogenesis. Endothelial cell epigenetics is expected to become part of precision medicine treatments. Individual treatment plans can be implemented for patients, and precision medicine treatment strategies can be realized. Through epigenetic studies of endothelial cells, new drugs or therapeutic regimens can be developed for clinical application to reduce pain in patients and delay disease progression. Combined with other therapeutic strategies, it can control and guide the formation and reconstruction of blood vessels, and play different roles in different diseases such as diabetes, cardiovascular diseases, and tumors.