Abstract
Type 2 diabetes (T2DM) is a chronic disease with a rapidly increasing global burden. An early event in the disease is deregulation of glycaemic control resulting in periods of hyperglycaemia. Large-scale clinical studies have shown that complications resulting from this hyperglycaemia can be manifest long after glycaemic control has been restored (UKPDS, Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) UK Prospective Diabetes Study (UKPDS) Group. Lancet 352:837–852, 1998; Chalmers J, Cooper ME, UKPDS and the legacy effect. N Engl J Med 359:1618–1620, 2008), a phenomenon known as the “legacy effect” (Holman RR et al., 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med 359:1577–1589, 2008). Such continued development of cardiovascular complications, which result from prior exposure to hyperglycaemia, has led to the proposal of a “metabolic memory” (Cooper ME, Metabolic memory: implications for diabetic vascular complications. Pediatr Diabetes 10:343–346, 2009). Such a hypothesis suggests that a transient exposure to hyperglycaemia results in persistent changes in gene expression that are not reversed merely by restoring glycaemic control. Support for early, persistent changes came from the Diabetes Control and Complications Trial (DCCT) which revealed that early glycaemic control in diabetic patients led to sustained benefits and better outcomes (Cooper ME, Metabolic memory: implications for diabetic vascular complications. Pediatr Diabetes 10:343–346, 2009), and it has recently been proposed that minimising early exposure to hyperglycaemia is paramount (Aizawa T, Funase Y, Intervention at the very early stage of type 2 diabetes. Diabetologia 54:703–704; author reply 707–708, 2011). Currently, the most attractive potential mechanism responsible for the “legacy effect” is epigenetic, manifested by changes in DNA methylation and/or posttranslational modifications on histones. Over the last decade, numerous studies have identified correlations of specific epigenetic marks with type 2 diabetes, and more recently the mechanisms by which these changes lead to persistent alterations in gene expression levels have been interrogated.
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Abbreviations
- CBP:
-
CREB-binding protein
- COMPASS:
-
Complex proteins associated with Set1
- CREB:
-
cAMP response element binding protein
- DCCT:
-
Diabetes Control and Complications Trial
- DNMT:
-
DNA methyltransferase
- H3K4me1:
-
Monomethylated Histone H3 lysine 4
- H3K4me2:
-
Dimethylated histone H3 lysine 4
- H3K4me3:
-
Trimethyl histone H3 lysine 4
- H3K9me2:
-
Dimethyl histone H3 lysine 9
- HDAC:
-
Histone deacetylase
- HAT:
-
Histone acetyltransferase
- HMT:
-
Histone methyltransferase
- HUVECS:
-
Human umbilical vein endothelial cells
- IL:
-
Interleukin
- JMJD2:
-
Jumonji domain 2
- LSD1:
-
Lysine-specific demethylase 1
- NFAT:
-
Nuclear factor of activated T cell
- PGC-1α:
-
Peroxisome proliferator-activated receptor gamma coactivator-1 alpha
- SAM:
-
S-adenosylmethionine
- shRNA:
-
Short hairpin RNA
- T2DM:
-
Type 2 diabetes mellitus
- TGF:
-
Transforming growth factor
- TNF:
-
Tumour necrosis factor
- VEGF:
-
Vascular endothelial growth factor
- VSMC:
-
Vascular smooth muscle cell
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Wood, I.C. (2013). Chromatin Switching and Gene Dynamics Associated with Type 2 Diabetes. In: Jirtle, R., Tyson, F. (eds) Environmental Epigenomics in Health and Disease. Epigenetics and Human Health. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36827-1_10
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