Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases

Abstract Transcriptional regulation plays a pivotal role in coordinating the complex morphogenetic and molecular events involved in heart development and function. In the early stages of cardiovascular diseases (CVDs), the Mediator complex (MED) performs a variety of essential functions. While initi...

Full description

Saved in:
Bibliographic Details
Main Authors: Concetta Schiano, Claudio Napoli
Format: Article
Language:English
Published: BMC 2025-06-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-025-02720-2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839648139831672832
author Concetta Schiano
Claudio Napoli
author_facet Concetta Schiano
Claudio Napoli
author_sort Concetta Schiano
collection DOAJ
description Abstract Transcriptional regulation plays a pivotal role in coordinating the complex morphogenetic and molecular events involved in heart development and function. In the early stages of cardiovascular diseases (CVDs), the Mediator complex (MED) performs a variety of essential functions. While initial studies focused on correlating MED components with specific CVDs, more recent research has shifted toward a deeper exploration of the MED's role in the early pathogenesis of these diseases. This review highlights the latest findings published between January 2018 and February 2025, with a particular focus on the protein subunits MED1, MED12, MED13, MED13L, MED15, and MED23, and their implications in various cardiovascular pathologies. The MED complex is a crucial regulator of gene transcription, bridging transcription factors and RNA polymerase II. In “-omic” sciences, studying MED functions is essential to understanding molecular interactions that regulate gene expression. Within precision medicine, the MED complex is a key node in gene expression networks. Its study within the -omic framework can provide valuable insights into how molecular interactions shape cellular processes in both health and disease, ultimately enhancing the diagnosis, understanding, and treatment of CVDs through personalized medicine. Graphical abstract
format Article
id doaj-art-d819c84dbdba45e8a8c8f1a59fbb6f48
institution Matheson Library
issn 2047-783X
language English
publishDate 2025-06-01
publisher BMC
record_format Article
series European Journal of Medical Research
spelling doaj-art-d819c84dbdba45e8a8c8f1a59fbb6f482025-06-29T11:08:34ZengBMCEuropean Journal of Medical Research2047-783X2025-06-0130111510.1186/s40001-025-02720-2Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseasesConcetta Schiano0Claudio Napoli1Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania Luigi VanvitelliDepartment of Advanced Medical and Surgical Sciences (DAMSS), University of Campania Luigi VanvitelliAbstract Transcriptional regulation plays a pivotal role in coordinating the complex morphogenetic and molecular events involved in heart development and function. In the early stages of cardiovascular diseases (CVDs), the Mediator complex (MED) performs a variety of essential functions. While initial studies focused on correlating MED components with specific CVDs, more recent research has shifted toward a deeper exploration of the MED's role in the early pathogenesis of these diseases. This review highlights the latest findings published between January 2018 and February 2025, with a particular focus on the protein subunits MED1, MED12, MED13, MED13L, MED15, and MED23, and their implications in various cardiovascular pathologies. The MED complex is a crucial regulator of gene transcription, bridging transcription factors and RNA polymerase II. In “-omic” sciences, studying MED functions is essential to understanding molecular interactions that regulate gene expression. Within precision medicine, the MED complex is a key node in gene expression networks. Its study within the -omic framework can provide valuable insights into how molecular interactions shape cellular processes in both health and disease, ultimately enhancing the diagnosis, understanding, and treatment of CVDs through personalized medicine. Graphical abstracthttps://doi.org/10.1186/s40001-025-02720-2Cardiovascular diseasesEpigeneticsMediator complexPrecision medicineTranscriptional regulation
spellingShingle Concetta Schiano
Claudio Napoli
Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
European Journal of Medical Research
Cardiovascular diseases
Epigenetics
Mediator complex
Precision medicine
Transcriptional regulation
title Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
title_full Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
title_fullStr Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
title_full_unstemmed Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
title_short Mediator complex: update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
title_sort mediator complex update of key insights into transcriptional regulation of ancestral framework and its role in cardiovascular diseases
topic Cardiovascular diseases
Epigenetics
Mediator complex
Precision medicine
Transcriptional regulation
url https://doi.org/10.1186/s40001-025-02720-2
work_keys_str_mv AT concettaschiano mediatorcomplexupdateofkeyinsightsintotranscriptionalregulationofancestralframeworkanditsroleincardiovasculardiseases
AT claudionapoli mediatorcomplexupdateofkeyinsightsintotranscriptionalregulationofancestralframeworkanditsroleincardiovasculardiseases