Evidence mapPaperPMID 41860052Full record

ReviewInternational journal of molecular medicine2026

Epigenetic regulation in a high-sugar environment (Review).

Huili Zhou, Xinhe Lv, Yu Liang, Dehai Yu, Wanning Wang

Abstract readReview
In one paragraph

Review in International journal of molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Huili ZhouDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.
Xinhe LvDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.
Yu LiangDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.
Dehai Yu *Department of Core Facility, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.
Wanning Wang *Department of Nephrology, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of diabetes and its complications has become a major global health challenge, with its pathological process closely linked to the phenomenon of 'metabolic memory' induced by persistent hyperglycemia. Epigenetic regulation is recognized as the core molecular mechanism underpinning this process. The present review systematically elucidated how the hyperglycemic microenvironment profoundly regulates cellular functions and drives the onset and progression of diabetes and its vascular complications by reprogramming three major epigenetic pathways: DNA methylation, histone modifications and non‑coding RNA expression. The present review elaborated in detail how high glucose induces alterations in the DNA methylation status of specific genes (such as PDX1 and CXCR4) within key target cells including pancreatic β‑cells, hepatocytes, muscle cells and adipocytes; how it modulates multiple histone modifications, including emerging histone lactylation (such as H3K18la), thereby directly activating pathogenic gene transcription; and how it disrupts non‑coding) RNA networks (such as long non‑coding RNA MALAT1 and microRNA 21) to mediate inflammation, oxidative stress and fibrosis by interfering with signaling pathways such as PI3K/Akt and TGF‑β. Furthermore, the present review specifically emphasized the cellular and tissue specificity of high‑glucose‑induced epigenetic regulation, thereby elucidating its unique mode of action in specific complications such as diabetic nephropathy and cardiovascular disease. Finally, the present review considered the substantial potential of targeting key epigenetic enzymes (such as DNA methyltransferases, histone deacetylases) or using epigenetic markers as biomarkers and novel therapeutic strategies. This provides a conceptual framework and directions for ultimately 'eradicating' metabolic memory and achieving precise prevention and treatment of diabetes and its complications.

Indexed as

Epigenesis, GeneticGlucoseHyperglycemiaAnimalsDiabetes MellitusDNA MethylationHistonesHumansGlucoseHistonesdiabetic complicationsDNA methylationepigeneticshistone modificationshyperglycemianon‑coding RNA

Identifiers

PMID41860052
PMCPMC13034894

What Socratic holds

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LicenceCC BY-NC-ND
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 Socratic graph.