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Principles of DNA methylation and their implications for biology and medicine
Abstract
DNA methylation represents an annotation system for marking the genetic text, thus providing instruction as to how and when to read the information and control transcription. Unlike sequence information, which is inherited, methylation patterns are established in a programmed process that continues throughout development, thus setting up stable gene expression profiles. This DNA methylation paradigm is a key player in medicine. Some changes in methylation closely correlate with age providing a marker for biological ageing, and these same sites could also play a part in cancer. The genome continues to undergo programmed variation in methylation after birth in response to environmental inputs, serving as a memory device that could affect ageing and predisposition to various metabolic, autoimmune, and neurological diseases. Taking advantage of tissue-specific differences, methylation can be used to detect cell death and thereby monitor many common diseases with a simple cell-free circulating-DNA blood test.
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Alterations of methylation patterns are associated with disease development and allow to distinguish healthy from diseased states, including cancer.
“Importantly, alterations of methylation patterns are associated with disease development and allow to distinguish healthy from diseased states, including cancer [8, 12, 31].”
Methylation of CpG sites is an essential component of cell type-specific gene regulation and a fundamental mark of cell identity.
“Therefore, methylation of CpG sites is an essential component of cell type-specific gene regulation, a fundamental mark of cell identity [12, 16, 41]”
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Metadata
- Authors
- Dor, Y., & Cedar, H.
- Affiliations
- Hebrew University of Jerusalem (IL)
- Corresponding author
- Cedar, Howard
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 392
- Issue
- 10149
- Pages
- 777-786
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2886223143
- Cited by
- 640
- References
- 19
- Citations by year
- 2026: 54 · 2025: 79 · 2024: 76 · 2023: 82 · 2022: 111 · 2021: 102 · 2020: 75 · 2019: 53 · 2018: 7
- FWCI
- 5.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Rosetrees Trust (M31-F2)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Syndromes and Imprinting
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Keywords
- DNA methylation, epigenetics, gene expression regulation, biological aging, cancer, disease susceptibility, cell-free DNA, liquid biopsy, cell death detection, tissue-specific methylation
- MeSH terms
- Cell-Free Nucleic Acids, Aging, Diagnosis, Humans, Neoplasms, Biomarkers, DNA Methylation, Epigenesis, Genetic, Gene-Environment Interaction
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