What is epigenetics?

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From the Guidelines

Epigenetics is the study of how behaviors and environment can cause changes that affect the way genes work without altering the DNA sequence itself, and it encompasses the ensemble of mechanisms that modulate gene expression programs, including DNA methylation, histone modification, and noncoding RNA, which can turn genes on or off and control how much protein is produced from a gene. These changes can be passed down to future generations but don't involve mutations to the genetic code 1. Epigenetic mechanisms are crucial in understanding how environmental factors like diet, stress, exercise, and exposure to toxins can trigger epigenetic changes, which can affect gene expression and potentially impact health outcomes 1. For example, identical twins with the same DNA can develop different traits or disease risks due to epigenetic differences that accumulate over their lifetimes.

Key Epigenetic Mechanisms

  • DNA methylation: the addition of a methyl group to the 5th carbon of the pyrimidine ring of a cytosine (C) base juxtaposed to guanine (G) through a phosphate (p) bond (CpG), which can suppress gene transcription by blocking transcription factors from binding to promoter sequences 1
  • Histone modification: changes to the histone proteins that DNA wraps around, which can affect gene expression by altering chromatin structure 1
  • Noncoding RNA: RNA molecules that do not code for proteins but can regulate gene expression by interacting with DNA or other RNA molecules 1

Importance of Epigenetics

Understanding epigenetics helps explain why genetics alone doesn't determine health outcomes and provides insights into disease development, aging processes, and potential therapeutic targets 1. This field is important because it shows how our lifestyle choices can influence gene expression and potentially impact our children's health. The development of epigenetic clocks, which can track biological aging, has been a significant advancement in the field, and these clocks have been shown to be strongly correlated with chronological age and can accurately quantify an age-related phenotype or outcome 1.

Epigenetic Clocks

Epigenetic clocks are estimators built from epigenetic DNA methylation marks that are strongly correlated with chronological age or time, which can accurately quantify an age-related phenotype or outcome, or both 1. These clocks are generally built with a supervised machine learning method, such as a penalized regression, trained against chronological age to identify an informative and sparse predictive set of CpGs. The residual, or error from chronological age, is used as a marker for biological age of an individual.

Future Directions

Further research is needed to dissect the strengths and weaknesses of epigenetic clocks as a biomarker, in order to probe its biological significance, cellular mechanics, and epidemiological potential 1. This includes defining the current issues, suggesting what will aid unlocking future potential, and further exploring and defining any functionality, with the hopeful long-term benefit of increasing the “healthspan.”

From the Research

Definition of Epigenetics

  • Epigenetics is defined as heritable changes in gene expression that are not attributable to alterations in the sequence of DNA 2, 3, 4, 5, 6
  • These changes can occur without a change in DNA sequence and are critical components in the normal development and growth of cells 3, 4, 5, 6

Epigenetic Mechanisms

  • The predominant epigenetic mechanisms include DNA methylation, modifications to chromatin, loss of imprinting, and non-coding RNA 2
  • DNA methylation is involved in transcriptional silencing of genes, regulation of expression of imprinted genes, and silencing of genes located on the inactive X chromosome 6
  • Histone modification and RNA-associated silencing are also intricately related in initiating and sustaining epigenetic modifications 6

Effects of Epigenetics on Health

  • Epigenetic regulation of gene expression appears to have long-term effects and wide-ranging effects on health 2
  • Aberrant epigenetic patterns have been linked to a number of diseases, including cancer, genetic disorders, and autoimmune diseases 2, 3, 4, 5
  • Diet and environmental exposures may potentially alter the level and scope of epigenetic regulation, thus explaining correlations between lifestyle and risk of disease 2

Clinical Applications of Epigenetics

  • Epigenetic modifications of DNA in cancer and precancerous lesions offer hope and the promise of novel biomarkers for early cancer detection, prediction, prognosis, and response to treatment 2
  • Reversal of epigenetic changes represents a potential target of novel therapeutic strategies and medication design 2
  • Epigenetic approaches may be used to targeted treatment of genetic conditions, such as fragile X syndrome 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Epigenetics: principles and practice.

Digestive diseases (Basel, Switzerland), 2011

Research

Epigenetics and human disease: translating basic biology into clinical applications.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2006

Research

Epigenetics in head and neck cancer.

Methods in molecular biology (Clifton, N.J.), 2015

Research

Epigenetics, fragile X syndrome and transcriptional therapy.

American journal of medical genetics. Part A, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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