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Review
. 2025 Nov;480(11):5613-5637.
doi: 10.1007/s11010-025-05353-5. Epub 2025 Jul 14.

Unlocking cardiac health: exploring the role of class I HDACs in cardiovascular diseases

Affiliations
Review

Unlocking cardiac health: exploring the role of class I HDACs in cardiovascular diseases

Padmini Pai et al. Mol Cell Biochem. 2025 Nov.

Abstract

Translation modifications, particularly those involving histone deacetylases (HDACs), are crucial for regulating gene expression and have significant implications for cardiovascular disease (CVD). The association between HDACs and CVD has garnered significant research interest due to the pivotal role of HDACs in gene expression regulation and cellular function. Aberrant HDAC activity has been implicated in various pathological processes underlying CVD, including inflammation, endothelial dysfunction, hypertrophy, fibrosis, and atherosclerosis. This review explores the molecular mechanisms by which different HDAC isoforms influence cardiovascular pathology, highlighting evidence from preclinical and clinical studies. Emerging data suggest that HDAC inhibitors could offer therapeutic potential by modulating these processes and improving cardiovascular health. However, the precise isoform-specific roles and therapeutic window for HDAC inhibition in CVD remain to be elucidated. Furthermore, research is essential to identify the crucial and complex relationship between HDACs and cardiovascular health, which could pave the way for novel, targeted interventions for the treatment of CVD.

Keywords: Cardiac hypertrophy; Cardiovasular disease; Class I HDACs; Histone Deacetylase; Inhibitors.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare no competing interests. Ethical approval: Not applicable. Consent of participation: Not applicable. Consent of publication: Not applicable.

Figures

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Fig. 1
Risk factors, diagnosis and treatments of cardiovascular diseases
Fig. 2
Fig. 2
The structures of HDACis used in preclinical cardiovascular disease models
Fig. 3
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HDAC association with proteins and genes regulates cardiac hypertrophy
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HDAC association with proteins and genes regulates myocardial infarction
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Fig. 5
HDAC association with proteins and genes regulates atherosclerosis
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Fig. 6
HDAC association with proteins and genes regulates cardiac fibrosis
Fig. 7
Fig. 7
HDAC association with proteins and genes regulates myocarditis

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