IJMMS_2024v14n4

1 Introduction 4
2 Introduction to Epigenetics 5
2.1 Basic concepts of epigenetics 5
2.2 Role of epigenetics in gene regulation 5
2.3 Epigenetics and human disease 5
3 Genetic and Molecular Basis of Sickle Cell Anemi 5
3.1 Molecular pathogenesis of SCA 5
3.2 Pathophysiology of SCA 6
3.3 Current genetic understanding 7
4 Epigenetic Modulation of Fetal Hemoglobin (HbF) 7
4.1 Role of HbF in ameliorating SCA symptoms 7
4.2 Epigenetic regulation of HbF expression 8
4.3 Therapeutic strategies targeting HbF 8
5 Histone Modifications and Sickle Cell Anemia 8
5.1 Histone acetylation and deacetylation 8
5.2 Histone methylation 8
5.3 Therapeutic targeting of histone modifiers 9
6 DNA Methylation Patterns in Sickle Cell Anemia 9
6.1 Overview of DNA methylation 9
6.2 Aberrant methylation in SCA 9
6.3 DNA methylation as a therapeutic target 9
7 Role of Non-Coding RNAs in Epigenetic Regulation 9
7.1 Introduction to non-coding RNAs 9
7.2 miRNAs in sickle cell anemia (SCA) 10
7.3 Therapeutic potential of non-coding RNAs 10
8 Current and Emerging Epigenetic Therapies for Si 10
8.1 Histone deacetylase inhibitors (HDACis) 10
8.2 DNA methyltransferase inhibitors 10
8.3 Gene editing and epigenome editing technologie 10
9 Challenges and Future Directions 11
9.1 Complexity of epigenetic regulation in SCA 11
9.2 Translational research gaps 11
9.3 Potential for personalized epigenetic therapie 11
10 Concluding Remarks 11
1 Introduction 28

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