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Epigenetic flexibility in metabolic regulation: disease cause and prevention
Abstract
Metabolic diseases, including type 2 diabetes mellitus (T2DM), are increasing worldwide at an alarming rate. Epigenetic DNA modifications such as DNA methylation and histone modifications are thought to play an important role in the development of and predisposition to metabolic diseases. This review highlights the key functions of DNA methylation and histone modifications and elucidates the underlying mechanisms of in utero programming and epigenetic inheritance, which could account for the global increase in obesity and T2DM. The impact of exercise and nutrition on the tissue-specific epigenetic profile is discussed, because these lifestyle factors may modify epigenetic programming and predisposition to obesity and T2DM.
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“Short-term, high-intensity exercise decreases muscle promoter methylation of genes involved in mitochondrial function such as PGC1α, TFAM, MEF2A, and PDK4, whereas in patients with T2DM, these regions usually have higher methylation levels (137).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [137]
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“A recent review by Kirchner et al (106) about epigenetic flexibility in metabolic regulation emphasizes the need for a better understanding of lifestyle factors—such as exercise training or lack thereof—that may modify epigenetic programming and a predisposition to conditions such as exercise resistance (Figure 1).”
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“Consistently, sedentary lifestyle and lack of physical activity may modify epigenetic programming and predisposition to obesity and T2DM, as recently reviewed [94].”
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Grilo, L. F., Tocantins, C., Diniz, M. S., Gomes, R. M., Oliveira, P. J., Matafome, P. N., & Pereira, S. P. (2021) · European Journal of Clinical Investigation · doi:10.1111/eci.13625 · Cited by 67
Gu, T., Gu, H. F., Hilding, A., Sjöholm, L. K., Östenson, C.-G., Ekström, T. J., & Brismar, K. (2013) · Clinical Epigenetics · doi:10.1186/1868-7083-5-21 · Cited by 58
“Therefore, epigenetic studies may provide further information to give a better understanding of the pathogenesis of type 2 diabetes [4-6].”
BackgroundSeman, N. A., Mohamud, W. N. W., Östenson, C., Brismar, K., & Gu, H. F. (2015) · Clinical Epigenetics · doi:10.1186/s13148-015-0049-5 · Cited by 53
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Ning, C., Jiao, Y., Wang, J., Li, W., Zhou, J., Lee, Y., Ma, D., Leung, C., Zhu, R., & Wang, H. (2022) · Food Science and Human Wellness · doi:10.1016/j.fshw.2022.04.004 · Cited by 58
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“A genome‐wide association studies (GWASs) identified genes which accounted for just 10% of the heritable risk for T2DM, whilst the remaining “missing” heritability could be contributed by rare variants, gene‐environment interactions, gene‐gene interactions and epigenetic factors.(8) Altered DNAm as well as decreased e…”
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Raciti, G. A., Longo, M., Parrillo, L., Ciccarelli, M., Mirra, P., Ungaro, P., Formisano, P., Miele, C., & Bèguinot, F. (2015) · Acta Diabetologica · doi:10.1007/s00592-015-0741-0 · Cited by 52
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Epigenetic Regulation of PDX-1 in Type 2 Diabetes Mellitus
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Personalized Medicine and Type 2 Diabetes: Lesson from Epigenetics
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“Although epigenetics can be transgenerational [57], the associated modifications can be dynamically regulated by lifestyle [58].”
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“Lifestyle factors such as exercise and nutrition could influence epigenetic metabolic programming of muscle cells and predisposition to obesity and T2DM, as recently discussed (29).”
BackgroundEpigenetic inheritance of metabolic state
Palu, R. A. S., & Thummel, C. S. (2014) · Current Opinion in Genetics & Development · doi:10.1016/j.gde.2014.03.008 · Cited by 44
“Because these chromatin marks tend to be more dynamic than DNA methylation, their levels have not been examined as closely [25].”
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“Further, alteration in H3K4Me2/3 status in the adipocyte cells has been reported in T2D patients (11).”
BackgroundInfluentialMaternal diabetes, programming of beta-cell disorders and intergenerational risk of type 2 diabetes
Chavey, A., Kioon, M. D. A., Bailbé, D., Movassat, J., & Portha, B. (2014) · Diabetes & Metabolism · doi:10.1016/j.diabet.2014.02.003 · Cited by 43
“However, recent research has provided vidence that epigenetic mechanisms are flexible, allowing rapid daptation to a changing environment such as altered nutrition, nd may contribute to the development and transgenerational nheritance of obesity and T2D [69].”
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Elevated CpG island methylation of GCK gene predicts the risk of type 2 diabetes in Chinese males
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“Moreover, dysfunctional nutrition-dependent gene expression is thought to underlie many human diseases such as diabetes, obesity, Crohn’s disease and possibly even cancer [4–8].”
BackgroundOlioso, D., Dauriz, M., Bacchi, E., Negri, C., Santi, L., Bonora, E., & Moghetti, P. (2018) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2018-01820 · Cited by 39
“The effect of environmental factors on metabolic regulation has recently gained molecular rationale by insights brought by epigenetics (6, 7).”
Epigenetics and Helicobacter pylori
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“Variations in DNA methylation have been associated with the pathogenesis of metabolic diseases, including type 2 diabetes (T2D).(2,3) Gestational diabetes mellitus (GDM), abnormal glucose metabolism first diagnosed during pregnancy, is a complex disorder that shares risk factors and pathophysiological characteristics…”
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Davison, G. W., Irwin, R. E., & Walsh, C. P. (2021) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2020.12.025 · Cited by 35
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“Skeletal muscle insulin resistance may arise in part from a dysfunctional metabolic program, either of an epigenetic or genetic origin (6).”
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“These findings may form the basis for further investigations to unravel the molecular effects of gastric bypass surgery, as epigenetic modifications are proposed to play an important role in the development of metabolic diseases, including type 2 diabetes and obesity [15].”
BackgroundKasch, J., Kanzleiter, I., Saussenthaler, S., Schürmann, A., Keijer, J., van Schothorst, E. M., Klaus, S., & Schumann, S. (2018) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2018.03.015 · Cited by 30
Ciccarelli, M., Vastolo, V., Albano, L., Lecce, M., Cabaro, S., Liotti, A., Longo, M., Oriente, F., Russo, G. L., Macchia, P. E., et al. (2015) · Diabetologia · doi:10.1007/s00125-015-3774-6 · Cited by 30
“understanding of the molecular events involved in the remarkable impact of the environment on type 2 diabetes risk [12, 13]”
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“Epigenetic mechanisms like histone modifications and chromatin structure have been suggested to play an important role in the development of and predisposition for metabolic syndrome [12], but data supporting this is currently scarce.”
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BackgroundResultA decrease in hepatic microRNA-9 expression impairs gluconeogenesis by targeting FOXO1 in obese mice
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“Recent research has shown that epigenetic DNA modifications contribute to the development of type 2 diabetes [22, 23].”
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“intercellular/extracellular energetic status, nutrientresponsive metabolites, such as ATP, acetyl-CoA, UDP-N-acetylglucosamine (UDP-GlcNAc), and SAM, mediate crosstalk between metabolism, cellular signaling, and epigenetic control of transcriptional programs [40–48].”
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“DNA methylation and histone modification have become alternative approaches that have aided the understanding of β -cell dysfunction in the pathogenesis (11) and the high growth rate of T2D (12).”
Longitudinal genome-wide DNA methylation changes in response to kidney failure replacement therapy
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“Among PTMs, lysine acetylation of histone 3 and 4 (H3Kac, H4Kac) are the most studied [64], and changes in H3Kac content have already been reported to be triggered by DM in the Slc2a4 promoter, accompanying a reduction in muscle Slc2a4/GLUT4 expression [51,65].”
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“Epigenetic alterations and both heritable and non-heritable changes in gene expression not affecting underlying DNA sequences, have also been offered as a possible explanation for missing heritability in this complex metabolic disorder [79, 84, 85].”
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Barilla, S., Treuter, E., & Venteclef, N. (2021) · Obesity · doi:10.1002/oby.23248 · Cited by 20
“DNA methylation can potentially be the result of the interaction between genetics and the environment, which can influence metabolic homeostasis and predispose one to metabolic disease (84).”
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Deng, Y., Song, L., Nie, X., Shou, W., & Li, X. (2018) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2018.05.009 · Cited by 18
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Esefeld, K., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Thurm, U., Gehr, B., Brinkmann, C. K., & Halle, M. (2020) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/a-1284-6097 · Cited by 17
Embryonic programming of heart disease in response to obesity during pregnancy
Ahmed, A., & Delgado-Olguı́n, P. (2019) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2019.01.028 · Cited by 15
Lü, X., Hu, S., Liao, Y., Zheng, J., Zeng, T., Zhong, X., Liu, G., Gou, L., & Chen, L. (2020) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00090.2020 · Cited by 14
Terra, M. M., Fontoura, T. S., Nogueira, A. O., Lopes, J. F., Mathias, P. C. D. F., Andreazzi, A. E., Guerra, M. D. O., & Peters, V. M. (2019) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174419000503 · Cited by 13
Guarasci, F., D’Aquila, P., Montesanto, A., Corsonello, A., Bellizzi, D., & Passarino, G. (2019) · Current Pharmaceutical Design · doi:10.2174/1381612825666191112095655 · Cited by 14
Davis, R., Murgia, C., Dordevic, A. L., Bonham, M. P., & Huggins, C. E. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.01.011 · Cited by 13
Lysine-Specific Demethylase 1 in Energy Metabolism: A Novel Target for Obesity
Wang, D., Kuang, Y., Zhang, G., Xiao, K., & Liu, Y. (2022) · Journal of Nutrition · doi:10.1093/jn/nxac080 · Cited by 12
Kemmer, F., Halle, M., Stümvoll, M., Thurm, U., & Zimmer, P. (2011) · Diabetologie und Stoffwechsel · doi:10.1055/s-0031-1283771 · Cited by 12
Current epigenetic aspects the clinical kidney researcher should embrace
Witasp, A., Craenenbroeck, A. H. V., Shiels, P. G., Ekström, T. J., Stenvinkel, P., & Nordfors, L. (2017) · Clinical Science · doi:10.1042/cs20160596 · Cited by 13
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“Identifying epigenetic biomarkers in individuals with a genetic predisposition to obesity could be considered to avoid further exacerbation due to geneenvironment interactions [27].”
BackgroundKernel machine methods for integrative analysis of genome‐wide methylation and genotyping studies
Zhao, N., Zhan, X., Huang, Y., Almli, L. M., Smith, A. K., Epstein, M. P., Conneely, K. N., & Wu, M. C. (2017) · Genetic Epidemiology · doi:10.1002/gepi.22100 · Cited by 11
“The etiology for most common human diseases is believed to be multifactorial, with risk factors including heritable genetic variants as well as environmental, behavioral factors and possible interactions between them (Luzzatto and Pandolfi, 2015; Kirchner et al., 2013).”
BackgroundHigh-Throughput Analysis of Global DNA Methylation Using Methyl-Sensitive Digestion
Shiratori, H., Feinweber, C., Knothe, C., Lötsch, J., Thomas, D., Geißlinger, G., Parnham, M. J., & Resch, E. (2016) · PLoS ONE · doi:10.1371/journal.pone.0163184 · Cited by 11
Sen, D., Maniyadath, B., Chowdhury, S., Kaur, A., Khatri, S., Chakraborty, A., Mehendale, N., Nadagouda, S., Sandra, U. S., Kamat, S. S., et al. (2023) · iScience · doi:10.1016/j.isci.2023.107128 · Cited by 9
Integration of epigenomics and metabolomics: From biomarkers discovery to personalized medicine
Baghel, R., Maan, K., Haritwal, T., & Rana, P. (2021) · Elsevier eBooks · doi:10.1016/b978-0-323-85652-2.00002-6 · Cited by 10
Metaboloepigenetics: The Emerging Network in Stem Cell Homeostasis Regulation
Avitabile, D., Magenta, A., Lauri, A., Gambini, E., Spaltro, G., & Vinci, M. C. (2016) · Current Stem Cell Research & Therapy · doi:10.2174/1574888x11666151203223839 · Cited by 10
Epigenetic regulation and heart failure
Cao, D. J. (2014) · Expert Review of Cardiovascular Therapy · doi:10.1586/14779072.2014.942285 · Cited by 10
“The offspring of these parents were predisposed to develop obesity and Type 2 diabetes [108].”
BackgroundChildhood obesity: a (re) programming disease?
Paes, S. T., Gonçalves, C. F., Terra, M. M., Fontoura, T. S., Guerra, M. D. O., Peters, V. M., Mathias, P. C. D. F., & Andreazzi, A. E. (2015) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174415007837 · Cited by 9
“Consequently, this can either enhance or silence the expression of genes affecting body weight control and appetite.(24,29) It is necessary to develop and encourage preventive measures and attenuation of the incidence of obesity in the early periods of life, as the early adoption of positive metabolic stimuli could ev…”
BackgroundInfluentialVascular Smooth Muscle as a Target for Novel Therapeutics
Porter, K. E., & Riches‐Suman, K. (2015) · Current Diabetes Reports · doi:10.1007/s11892-015-0647-9 · Cited by 8
Esefeld, K., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Thurm, U., Gehr, B., Brinkmann, C. K., & Halle, M. (2021) · Diabetologie und Stoffwechsel · doi:10.1055/a-1515-8792 · Cited by 8
Oelkrug, R., Herrmann, B., Geißler, C., Harder, L., Koch, C. E., Lehnert, H., Oster, H., Kirchner, H., & Mittag, J. (2017) · Molecular Metabolism · doi:10.1016/j.molmet.2017.06.016 · Cited by 7
S-Nitrosoglutathione Reverts Dietary Sucrose-Induced Insulin Resistance
Sousa‐Lima, I., Fernandes, A. B., Patarrão, R. S., Kim, Y., & Macedo, M. P. (2020) · Antioxidants · doi:10.3390/antiox9090870 · Cited by 8
“The development of T2D is now agreed to be a consequence of both lifestyle and genetic background [2,3].”
BackgroundInsulin-like growth factor binding protein 1 DNA methylation in type 2 diabetes
Hafez, S. M., Abou‐Youssef, H. S., Awad, M. A. M., Kamel, S. A., Youssef, R. N., Elshiekh, S. M., Raslan, H. M., & Hasan, N. S. (2021) · Egyptian Journal of Medical Human Genetics · doi:10.1186/s43042-021-00153-0 · Cited by 8
“Due to the limited information provided on epigenetic factors associated with T2D until now, further epigenetic studies have been required, to help in better understand T2D pathogenesis [4].”
BackgroundDeriving at candidate genes of metabolic stress from pancreas of WNIN/GR-Ob mutant rats
Singh, H., Nappanveettil, G., Bhonde, R. R., & Venkatesan, V. (2013) · Islets · doi:10.4161/isl.25520 · Cited by 6
Esefeld, K., Heinicke, V., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Brinkmann, C. K., & Halle, M. (2020) · Ernährung & Medizin · doi:10.1055/a-1126-9975 · Cited by 5
Esefeld, K., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Thurm, U., Gehr, B., Halle, M., & Brinkmann, C. K. (2023) · Experimental and Clinical Endocrinology & Diabetes · doi:10.1055/a-1946-3768 · Cited by 7
Lu, X., Lou, Y., Zhou, K., Jiang, S., & Shi, J. (2022) · Nucleosides Nucleotides & Nucleic Acids · doi:10.1080/15257770.2022.2057534 · Cited by 5
“In other words, metabolic diseases maybe related with the DNA character.[30] So, the binding interaction of FBST with DNA has great significance for further understanding the pharmacological and toxicological functions of FBST.”
Transcriptome profiling of liver of non-genetic low birth weight and long term health consequences
Bedate, A. M., López‐Cardona, A. P., Laguna‐Barraza, R., Calle, A., López‐Vidriero, I., Pintado, B., & Gutiérrez‐Adán, A. (2014) · BMC Genomics · doi:10.1186/1471-2164-15-327 · Cited by 4
“The mechanisms whereby an event that occurs early in life may have long term effects on the phenotype of an organism many years later are only now starting to emerge [14-17].”
BackgroundSleep disorders interactions with obesity and type 2 diabetes
Brodovskaya, T. O., Grishina, I. F., Babykina, G., Николаенко, О. В., Kovin, E. A., Bazhenova, O. V., Beresneva, V. E., & Buharova, S. Y. (2019) · Obesity and metabolism · doi:10.14341/omet9963 · Cited by 5
Esefeld, K., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Thurm, U., Gehr, B., Brinkmann, C. K., & Halle, M. (2020) · Diabetologie und Stoffwechsel · doi:10.1055/a-1193-3901 · Cited by 4
Hasan, N. S., Dine, H. G. E., Kamel, S. A., Hamed, M., Youssef, R. N., Hassan, E. M., Abdelrahman, A. H., Musa, N. I., Ali, A., & Awadallah, E. A. (2023) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2023.110677 · Cited by 3
Esefeld, K., Heinicke, V., Kreß, S., Behrens, M., Zimmer, P., Stümvoll, M., Brinkmann, C. K., & Halle, M. (2020) · Der Diabetologe · doi:10.1007/s11428-020-00610-1 · Cited by 3
Early introduction of exercise prevents insulin resistance in postnatal overfed rats
Fischer, S. V., Appel, M. H., Naliwaiko, K., Pagliosa, D. D., Araújo, D. N., Capote, A. E., Oliveira, B. A. C., & Fernandes, L. C. (2022) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x2022e11987 · Cited by 2
Metadata
- Authors
- Kirchner, H., Osler, M. E., Krook, A., & Zierath, J. R.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Zierath, Juleen R.
- Venue
- Trends in Cell Biology
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 23
- Issue
- 5
- Pages
- 203-209
- ISSN
- 0962-8924 (ISSN-L)
- OpenAlex
- W2082220761
- Cited by
- 143
- References
- 69
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 9 · 2022: 9 · 2021: 12 · 2020: 10 · 2019: 12 · 2018: 12 · 2017: 8 · 2016: 15 · 2015: 19 · 2014: 19 · 2013: 7
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Cell Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Syndromes and Imprinting
- Keywords
- epigenetics, DNA methylation, histone modifications, metabolic disorders, type 2 diabetes, obesity, in utero programming, epigenetic inheritance, physical activity, nutrition, disease prevention
- MeSH terms
- Diabetes Mellitus, Type 2, Environment, Female, Fetal Growth Retardation, Histones, Humans, Life Style, Obesity, Pregnancy, Exercise, DNA Methylation, Genetic Predisposition to Disease, Maternal Nutritional Physiological Phenomena, Epigenesis, Genetic, Fetal Development
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