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Review

Radiation-induced cardiovascular disease: an overlooked role for DNA methylation?

ORCID Icon, , , ORCID Icon &
Pages 59-80 | Received 03 Jul 2020, Accepted 04 Jan 2021, Published online: 31 Jan 2021

Figures & data

Figure 1. Radiation-induced CVD presentation.

Made with Microsoft Powerpoint using images from Server Medical Art (https://smart.servier.com/).
Figure 1. Radiation-induced CVD presentation.

Figure 2. The writers of DNA methylation. DNMTs transfer a methyl group from SAM to the 5th carbon of cytosine. (A) De novo methylation process in the developing embryo by the action of DNMT3a and DNMT3b. (B) Maintenance methylation process during DNA replication to maintain the methylation profile in the daughter cells by the action of DNMT1 present at the replication fork on hemimethylated DNA. DNMT: DNA methyltransferase, SAM: S – adenosyl methionine, SAH: S-adenosyl-L-homocysteine.

Made with Biorender (biorender.com).
Figure 2. The writers of DNA methylation. DNMTs transfer a methyl group from SAM to the 5th carbon of cytosine. (A) De novo methylation process in the developing embryo by the action of DNMT3a and DNMT3b. (B) Maintenance methylation process during DNA replication to maintain the methylation profile in the daughter cells by the action of DNMT1 present at the replication fork on hemimethylated DNA. DNMT: DNA methyltransferase, SAM: S – adenosyl methionine, SAH: S-adenosyl-L-homocysteine.

Table 1. Functional analysis of CVD differentially methylated genes in literature

Figure 3. Overview of the shared outcomes of the different studies involving radiation-induced global methylation.

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Figure 3. Overview of the shared outcomes of the different studies involving radiation-induced global methylation.

Figure 4. Possible mechanisms of radiation-induced DNA methylation alterations. incident ionizing radiation leads to the production of DSBs in affected cells. these DSBs as well as radiation-induced ROS can lead to NF-κB activation which in turn can lead to DNA hypermethylation and inhibition of gene expression. on the other hand, radiation-induced ROS can cause varying DNA methylation alterations by multiple mechanisms leading to either hypo- and hyper-methylation with differential regulation of gene expression. DSBs: double strand breaks, ROS: reactive oxygen species, 8-OHdG: 8-oxo-20-deoxyguanosine, 5-mC: 5-methyl cytosine, SAM: S-adenosyl methionine, DNMT: DNA methyltransferase.

Made with Biorender (biorender.com) and Microsoft Powerpoint.
Figure 4. Possible mechanisms of radiation-induced DNA methylation alterations. incident ionizing radiation leads to the production of DSBs in affected cells. these DSBs as well as radiation-induced ROS can lead to NF-κB activation which in turn can lead to DNA hypermethylation and inhibition of gene expression. on the other hand, radiation-induced ROS can cause varying DNA methylation alterations by multiple mechanisms leading to either hypo- and hyper-methylation with differential regulation of gene expression. DSBs: double strand breaks, ROS: reactive oxygen species, 8-OHdG: 8-oxo-20-deoxyguanosine, 5-mC: 5-methyl cytosine, SAM: S-adenosyl methionine, DNMT: DNA methyltransferase.
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