Evidence map›Paper›PMID 32067910›Full record

ArticleRedox biology2020

DNA hypermethylation: A novel mechanism of CREG gene suppression and atherosclerogenic endothelial dysfunction.

Yanxia Liu, Xiaoxiang Tian, Shan Liu, Dan Liu, Yang Li, Meili Liu, Xiaolin Zhang, Chenghui Yan, Yaling Han

Open access · goldAbstract read
In one paragraph

Article in Redox biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Glucolipid Metabolic Disorders andInternational journal of endocrinology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Yanxia LiuDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Xiaoxiang TianDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Shan LiuDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Dan LiuDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Yang LiDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Meili LiuDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Xiaolin ZhangDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China.
Chenghui YanDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China. Electronic address: yanch1029@163.com.
Yaling HanDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, China. Electronic address: hanyaling@263.net.
Northern Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCellular repressor of E1A-stimulated genes (CREG), a vasculoprotective molecule, is significantly downregulated in atherosclerotic vessels through unclear mechanisms. While epigenetic regulation is involved in atherosclerosis development, it is not known if the CREG gene is epigenetically regulated. The aim of this study was to assess the potential role of CREG methylation in contributing to atherosclerosis. APPROACH AND

resultsOverexpression of DNA methyltransferase (DNMT)3B significantly inhibited CREG expression in human umbilical vein endothelial cells (HUVECs) and human coronary aortic endothelial cells (HCAECs).Conversely, inhibition of DNA methylation with 5-aza-2'-deoxycytidine (5-aza-dC) dose-dependently increased CREG expression. A CREG promoter analysis identified +168 to +255 bp as a key regulatory region and the CG site at +201/+202 bp as a key methylation site. The transcription factor GR-α could bind to the +201/+202 bp CG site promoting CREG transcription, a process significantly inhibited by DNMT3B overexpression. Treatment of cells with oxidized low-density lipoprotein (ox-LDL), a critical atherosclerogenic factor, significantly increased DNMT3B expression, increasing CREG promotor methylation, blocking GR-α binding, and inhibiting CREG expression. Consistently, CG sites in the CREG promoter fragment were hyper-methylated in human atherosclerotic arteries, and CREG expression was significantly reduced. A negative correlation between DNMT3B and CREG expression levels was observed in human atherosclerotic arteries. Finally, Ox-LDL-induced endothelium dysfunction was significantly attenuated by both 5-aza-dC and an anti-oxidative molecular N-acetylcysteine (NAC) administration through rescue the expression of CREG and activation of the p-eNOS/NO pathway.

conclusionsOur study provides the first direct evidence that DNMT3B-mediated CREG gene hypermethylation is a novel mechanism that contributes to endothelial dysfunction and atherosclerosis development. Blocking CREG methylation may represent a novel therapeutic approach to treat ox-LDL-induced atherosclerosis.

Indexed as

AtherosclerosisDNA MethylationDNAEpigenesis, GeneticHumansHuman Umbilical Vein Endothelial CellsLipoproteins, LDLRepressor ProteinsCREG1 protein, humanDNALipoproteins, LDLRepressor ProteinsAtherosclerosisCREGEndotheliumEpigeneticsNitric oxide

Identifiers

PMID32067910
PMCPMC7264464
OpenAlexW3004247077

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.