Two major issues are involved in clinical atherosclerosis treatment. First, there are no significant clinical markers for early diagnosis of atherosclerosis. Second, the plaque will not regress once it initiates even if the risk factors are removed. In this paper, the research shows that the hypermethylation level of the microRNA 145 (miR-145) promoter is related to a DNMT1 and TET2 dynamic imbalance. The reduction of miR-145 causes NLRP3 (nucleotide-binding oligomerization domain-like receptor protein 3) inflammasome activation through CD137/NFATc1 signaling. These findings could be a potential target for plaque regression in the future.
Keywords: 5-aza, 5-aza-2ʹ-deoxycytidine; 5-hmC, 5-hydroxymethylcytosine; ApoE, apolipoprotein E; BSP, bisulfite genomic sequencing; CVD, cardiovascular disease; ChIP, chromatin immunoprecipitation; DNA, deoxyribonucleic acid; DNMT, deoxyribonucleic acid methyltransferase; IL, interleukin; MSP, methylation-specific polymerase chain reaction; NFATc1, nuclear factor of activated T cells 1; RNA, ribonucleic acid; SMA, smooth muscle actin; TET, ten-eleven translocation; TNF, tumor necrosis factor; TNFRSF9; UTR, untranslated region; VSMC; VSMC, vascular smooth muscle cell; WT, wild type; atherosclerosis; cDNA, complementary deoxyribonucleic acid; inflammasome; mRNA, messenger ribonucleic acid; methylation; miR-145, microRNA 145; miRNA.