Editorial on the Research Topic
Metabolic Regulation in the Development of Cardiovascular DiseasesMetabolic syndromes increase the risk of cardiovascular diseases (CVDs) (North and Sinclair, 2012), and metabolic reprogramming can either reverse or rescue the molecular events that lead to CVDs (Chen et al., 2020a). However, the metabolic mechanisms underlying CVDs are not fully understood. We have prepared a special Research Topic. This Research Topic entitled "Metabolic Regulation in the Development of Cardiovascular Diseases" received 11 original articles, 7 review articles, and 2 opinion articles. This special issue highlights recent research findings to clarify the relationship between metabolism and CVD.Metabolic dysregulation and metabolic syndromes are independent risk factors for CVDs (Zhou et al., 2018). Genetic mutations in metabolic enzymes, as well as transcription factors, can cause CVDs (Austin et al., 2019). In this issue, Zhang et al. identify the occurrence of mutations in transcription factor EB (TFEB), which controls lysosomal biogenesis and metabolism (Settembre et al., 2013), as a potential risk factor for acute myocardial infarction. This study detected novel variants of the metabolic regulator, TFEB, that might contribute to the development of acute myocardial infarction. Furthermore, pregnancy-related CVDs, such as arterial dissection, are also affected by metabolic conditions (Wang et al., 2021). Deng et al. emphasized the importance of glycemic control in pregnant women, which could improve the understanding, prevention, and treatment of pregnancy-related arterial dissection.Genetic mutations, or dysregulation of metabolic enzymes and their regulators, directly alter cell metabolism, intracellular metabolites, and physiological functions of vascular cells such as endothelial cells (ECs) (Tang et al., 2014). Endothelial metabolic homeostasis and reprogramming can regulate endothelial functions, including angiogenesis, inflammation, and barrier maintenance (Tang et al., 2014;Subramanian et al., 2021). Peng et al. provided an overview of the metabolic pathways in ECs under normal and pathological conditions. Their review highlighted the metabolic reprogramming of endothelium as a potential therapeutic approach for controlling CVDs.Glucose metabolism in ECs is critical for cardiovascular homeostasis and diseases (Dumas et al., 2021). Glucose catabolism is regulated by enzymes such as 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3 (PFKFB3), whose dysfunction drives endothelial injury and vascular inflammation (Bartrons et al., 2018). The role of PFKFB3 in non-EC vascular cells remains unclear. In this regard, Poels et al. show that PFKFB3 expression in monocytes is positively correlated with the occurrence of coronary arteries with unstable plaque phenotypes. Inhibition of PFKFB3 reduced the number of late plaques in vulnerable phenotypes Publisher's Note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated orga...