Evidence map›Paper›PMID 31346255›Full record

SynthesisJournal of human hypertension2019

The role of DNA methylation and histone modifications in blood pressure: a systematic review.

Valentina Gonzalez-Jaramillo, Eliana Portilla-Fernandez, Marija Glisic, Trudy Voortman, Wichor Bramer, Rajiv Chowdhury, Anton J M Roks, A H Jan Danser, Taulant Muka, Jana Nano and 1 more

Erratum issuedOpen access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of human hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Accelerated epigenetic age in hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
  2. Trial
  3. Review
  4. Blood-based multivariate methylation risk score for cognitive impairment and dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  5. Epigenetics as a target to mitigate excess stroke risk in people of African ancestry: A scoping review.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Cysteine as a Multifaceted Player in Kidney, theMolecules (Basel, Switzerland) · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genetic and epigenetic analyses of panic disorder in the post-GWAS era.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 4 countries.

Valentina Gonzalez-JaramilloDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands. valentina.gonzalez@ispm.unibe.ch.ORCID http://orcid.org/0000-0002-2470-7022
Eliana Portilla-FernandezDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
Marija GlisicDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
Trudy VoortmanDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID http://orcid.org/0000-0003-2830-6813
Wichor BramerLeibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
Rajiv ChowdhuryMedical Library, Erasmus University Medical Center, Rotterdam, Netherlands.
Anton J M RoksDivision of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam, Netherlands.
A H Jan DanserDivision of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam, Netherlands.
Taulant MukaDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
Jana NanoDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
Oscar H FrancoDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands.
Erasmus MC · NLUniversity of Bern · CHLeibniz Institute for Prevention Research and Epidemiology - BIPS · DEUniversity of Cambridge · GB

Funding

British Heart Foundation RG/13/13/30194British Heart Foundation RG/18/13/33946
6 · The paper itself

Abstract

Epigenetic mechanisms might play a role in the pathophysiology of hypertension, a major risk factor for cardiovascular disease and renal failure. We aimed to systematically review studies investigating the association between epigenetic marks (global, candidate-gene or genome-wide methylation of DNA, and histone modifications) and blood pressure or hypertension. Five bibliographic databases were searched until the 7th of December 2018. Of 2984 identified references, 26 articles based on 25 unique studies met our inclusion criteria, which involved a total of 28,382 participants. The five studies that assessed global DNA methylation generally found lower methylation levels with higher systolic blood pressure, diastolic blood pressure, and/or presence of hypertension. Eighteen candidate-gene studies reported, in total, 16 differentially methylated genes, including renin-angiotensin-system-related genes (ACE promoter and AGTR1) and genes involved in sodium homeostasis and extracellular fluid volume maintenance system (NET promoter, SCNN1A, and ADD1). Between the three identified epigenome-wide association studies (EWAS), lower methylation levels of SULF1, EHMT2, and SKOR2 were found in hypertensive patients as compared with normotensive subjects, and lower methylation levels of PHGDH, SLC7A11, and TSPAN2 were associated with higher systolic and diastolic blood pressure. In summary, the most convincing evidence has been reported from candidate-gene studies, which show reproducible epigenetic changes in the interconnected renin-angiotensin and inflammatory systems. Our study highlights gaps in the literature on the role of histone modifications in blood pressure and the need to conduct high-quality studies, in particular, hypothesis-generating studies that may help to elucidate new molecular mechanisms.

Indexed as

Chromatin Assembly and DisassemblyDNA MethylationEpigenesis, GeneticBlood PressureFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHistonesHumansHypertensionMalePhenotypeRisk FactorsHistones

Identifiers

PMID31346255
OpenAlexW2963400125

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.