Cardiovascular Disease is the Leading Cause of Mortality in Developed Countries

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Cardiovascular disease (CVD) is the leading cause of mortality in developed countries. Pathological processes in the heart are associated with differential expression profile of genes know to be important for cardiac function. Current understanding of cardiac gene expression illustrates that transcriptional regulation is the major regulator, where transcription factors bind to regulatory enhancer/promoter sequences in order to activate gene expression. Nuclear factor κB (NFκB) is one of the main transcription factors that activates expression of genes whose products have a key role in the development of cardiovascular pathologies and inflammatory and/or viral diseases [20]. NF-kB is a redox-sensitive transcription factor found in most cell types with a common p50/65 heterodimer. Inactive NF-kB dimers bind to inhibitors of NF-kB proteins (IkBs) and remain in the cytosol. Stimuli, like reactive oxygen species (ROS) and other inflammatory factors, may play a role in the activation of NF-kB [20]. Excess activation of NF-κB has been implicated in human inflammatory diseases, like atherosclerosis. Due to the extensive involvement of NF-κB signaling in human pathologies, continuous efforts have been made to develop inhibitors for this pathway[21]. Reports suggest that processes of inflammation and angiogenesis are interlinked. Newly formed blood vessels participate in the continuous recruitment of inflammatory cells, resulting in the release a variety of cytokines and growth factors which promote angiogenesis. A series of positive feedback loops creates a vicious cycle that increases inflammation, transforming it into the chronic process. This concept of reciprocity also includes oxidative stress, which leads to chronic inflammation th...

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... DM [39].
SIRT1 is an NAD-dependent deacetylase involved in regulation of stress response pathways. SIRT1 modulates metabolism and hypoxic responses by deacetylating transcription factors and co-factors in pathways involved in cardiovascular diseases and metabolic diseases cancer, thus the regulation of SIRT1 has tremendous attention [40]. miR-34a expression in the heart and spleen are higher in older mice than those in younger mice. SIRT1 expression decreased with age. Data suggests that miR-34a regulators endothelial senescence. It also inhibits EPC mediated angiogenesis by induction of senescence [40] . MiR-34a also modulates FoxO1 a downstream target of SIRT1 enhancing senescence. MiR-34a targets SIRT1 and contributes to pluripotency of ESCs. Thus SIRT1 plays an important role in the cardiovascular system, and miR-34a in turn modulates SIRT1 expression [41].

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