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Periconceptional and prenatal nutrition shapes the fetal epigenomic landscape. 围孕期和产前营养塑造胎儿表观基因组景观。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-12-28 DOI: 10.1080/17501911.2025.2605942
Mariana Parenti, Alison G Paquette

Nutrition during pregnancy can influence fetal development and health across the lifespan. Prenatal nutrition is mechanistically linked to the epigenetic landscape because nutrients supply methyl groups and regulate microRNAs and proteins involved in epigenetic modifications. This review focuses on the epigenomic landscape in both the umbilical cord blood, as a window into fetal development, and in the placenta, as the master regulator of fetal nutrition. We highlight associations between the epigenome and nutrients found in prenatal multiple micronutrient supplements, including one carbon metabolism nutrients, antioxidant vitamins, vitamin D, trace minerals, and omega-3 polyunsaturated fatty acids. We discuss challenges in this field including reliance on observational studies, non-linear relationships, cell type-specific effects, and sex-specific effects. We also highlight emerging approaches to explore the role of nutritional epigenomics in development including critical windows of exposure and novel epigenetic and epitranscriptomic features by applying new technological advancements. A better understanding of how nutrients affect the epigenomic landscape in early life can inform further mechanistic studies and improve clinical guidance surrounding nutrient and intake during pregnancy, ultimately leading to improved maternal and fetal outcomes and health throughout the lifespan.

怀孕期间的营养会影响胎儿的发育和整个生命周期的健康。产前营养与表观遗传景观有机械联系,因为营养物质提供甲基并调节参与表观遗传修饰的microrna和蛋白质。这篇综述的重点是脐带血的表观基因组景观,作为胎儿发育的窗口,在胎盘中,作为胎儿营养的主要调节器。我们强调了表观基因组与产前多种微量营养素补充剂中发现的营养素之间的关联,包括一碳代谢营养素、抗氧化维生素、维生素D、微量矿物质和omega-3多不饱和脂肪酸。我们讨论了该领域的挑战,包括对观察性研究的依赖、非线性关系、细胞类型特异性效应和性别特异性效应。我们还强调了通过应用新技术进步来探索营养表观基因组学在发育中的作用的新兴方法,包括暴露的关键窗口和新的表观遗传学和表转录组学特征。更好地了解营养物质如何影响生命早期的表观基因组景观,可以为进一步的机制研究提供信息,并改善孕期营养和摄入的临床指导,最终改善母婴结局和整个生命周期的健康。
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引用次数: 0
Defect of MLH1 expression sensitized esophageal squamous cell carcinoma cells to Polθ inhibitor. MLH1表达缺陷导致食管鳞癌细胞对Polθ抑制剂敏感。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1080/17501911.2025.2579975
Bo Zhou, Meiying Zhang, Cheng Zhu, Aiai Gao, Xiaomo Su, Mingzhou Guo

Background: A large scale detection of MLH1 methylation is lacking in esophageal cancer. MLH1 is a well-known mismatch repair gene. The mechanism of MLH1 in DNA double strand break (DSB) repair remains unclear.

Methods: Esophageal cancer cell lines and 1018 cases of primary cancer samples were employed. Methylation specific PCR, Western Blot, and CRISPR/Cas9 knockout technique were utilized.

Results: Methylation of MLH1 was detected in 3.93%. MLH1 methylation was significantly associated with tumor differentiation, male gender, smoking, and tumor size (all p < 0.05). The median overall survival (OS) was 24.7 months (95% CI 13.4-36.0) and 51.5 months (95% CI 40.4-62.5) in MLH1 methylated and unmethylated groups, respectively. OS was shorter in MLH1 methylated compared to unmethylated group patients (p < 0.01). Multivariate factor analysis indicated that MLH1 methylation is an independent poor prognosis marker (p < 0.05). MLH1 promotes ataxia telangiectasia mutated (ATM), ataxia telangiectasia and RAD3-related (ATR), and non-homologous end-joining repair (NHEJ), while inhibiting microhomology-mediated end joining (MMEJ) repair signaling pathways. Deletion of MLH1 sensitized esophageal cancer cells to novobiocin.

Conclusions: MLH1 plays important roles in DSB repair and deletion of MLH1 sensitizes ESCC cells to Polθ inhibitor.

背景:食管癌中缺乏MLH1甲基化的大规模检测。MLH1是一个众所周知的错配修复基因。MLH1在DNA双链断裂(DSB)修复中的作用机制尚不清楚。方法:采用食管癌细胞系和1018例原发癌标本。采用甲基化特异性PCR、Western Blot和CRISPR/Cas9基因敲除技术。结果:MLH1甲基化检出率为3.93%。结论:MLH1在DSB修复中起重要作用,MLH1的缺失使ESCC细胞对Polθ抑制剂敏感。
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引用次数: 0
MeCP2 at the crossroads of hypoxia, oxidative stress, and gene regulation in Rett syndrome. MeCP2在Rett综合征缺氧、氧化应激和基因调控的十字路口。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-10-02 DOI: 10.1080/17501911.2025.2568303
Jessica L Huang, Osman Sharifi, Dag H Yasui, Janine M LaSalle

Rett syndrome (RTT) is a severe neurodevelopmental disorder primarily affecting females, caused by mutations in the X-linked gene MECP2. This gene encodes methyl CpG binding protein 2 (MeCP2), a multifunctional epigenetic regulator critical for neuronal gene regulation. In addition to well-characterized neurological symptoms, such as seizures and motor abnormalities, RTT patients frequently present with irregular breathing patterns that induce intermittent hypoxia, suggesting that MeCP2 contributes to respiratory regulation as well as the brain's cellular and molecular response to hypoxia. Mechanistically, MeCP2 appears to influence hypoxia-induced expression of the neuroprotective peptide brain-derived neurotrophic factor (BDNF), as impaired BDNF regulation in MeCP2-deficient neurons contributes to hypoxia vulnerability. RTT patients also display increased oxidative stress, marked by elevated lipid peroxidation, DNA damage, and reduced antioxidant production. Dysfunctional mitochondria in MeCP2-deficient astrocytes and neurons further propagate oxidative damage and non-cell-autonomous effects of MeCP2 loss. Moreover, recent transcriptomic studies revealed widespread transcriptional dysregulation in RTT, including pathways associated with mitochondrial function and oxidative stress. We review and discuss an expanded role for MeCP2 as a critical integrator of hypoxia sensing, oxidative stress regulation, and transcriptional adaptation in the developing brain, offering new insights into treatments targeting the complex pathophysiology of RTT.

Rett综合征(RTT)是一种主要影响女性的严重神经发育障碍,由x连锁基因MECP2突变引起。该基因编码甲基CpG结合蛋白2 (MeCP2),这是一种对神经元基因调控至关重要的多功能表观遗传调控因子。除了具有明显特征的神经系统症状,如癫痫发作和运动异常,RTT患者经常出现不规则的呼吸模式,导致间歇性缺氧,这表明MeCP2有助于呼吸调节以及大脑对缺氧的细胞和分子反应。机制上,MeCP2似乎影响缺氧诱导的神经保护肽脑源性神经营养因子(BDNF)的表达,因为MeCP2缺陷神经元中BDNF调节受损有助于缺氧易感性。RTT患者还表现出氧化应激增加,表现为脂质过氧化升高、DNA损伤和抗氧化剂产生减少。MeCP2缺失的星形胶质细胞和神经元中功能失调的线粒体进一步传播MeCP2缺失的氧化损伤和非细胞自主效应。此外,最近的转录组学研究表明,RTT中广泛存在转录失调,包括与线粒体功能和氧化应激相关的途径。我们回顾并讨论了MeCP2在大脑发育过程中作为缺氧感知、氧化应激调节和转录适应的关键整合体的扩展作用,为针对RTT复杂病理生理的治疗提供了新的见解。
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引用次数: 0
A father's legacy: the sperm epigenome, preimplantation development, and paternal environment. 父亲的遗产:精子表观基因组、着床前发育和父亲环境。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1080/17501911.2025.2569301
Leonard C Steg, Isabelle M Mansuy

Paternal exposure to the environment can influence offspring phenotypes via a process known as intergenerational epigenetic inheritance. Such form of inheritance involves the sperm epigenome that is subjected to modifications by paternal exposure, which are carried from the father to the next generation. After fertilization, paternally inherited changes can manifest in the embryo and result in modified phenotypes later in life. To be long-lasting, these changes must either persist, escape the epigenetic reprogramming occurring after fertilization or be reinstated by guiding mechanisms during early development. This review discusses how the sperm epigenome instructs transcription and early embryonic development, and how environmental exposure can reshape this epigenetic information to influence developmental and transcriptional programs in the embryo. It addresses the patterns of penetrance in intergenerational epigenetic inheritance and considers how the sperm and embryonic epigenome can contribute to the variability of inherited phenotypes.

父亲暴露在环境中可以通过一种称为代际表观遗传的过程影响后代的表型。这种形式的遗传涉及精子表观基因组,它受到父亲暴露的修改,从父亲遗传给下一代。受精后,父系遗传的变化可以在胚胎中表现出来,并在以后的生活中导致表型的改变。要想持久,这些变化要么必须持续存在,避免受精后发生的表观遗传重编程,要么在早期发育过程中通过指导机制恢复。这篇综述讨论了精子表观基因组如何指导转录和早期胚胎发育,以及环境暴露如何重塑这些表观遗传信息以影响胚胎的发育和转录程序。它解决了外显率模式在代际表观遗传,并考虑如何精子和胚胎表观基因组可以有助于遗传表型的变异性。
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引用次数: 0
Epigenetic dysregulation of high-grade gliomas: from heterogeneity to brain network modulation. 高级别胶质瘤的表观遗传失调:从异质性到脑网络调节。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1080/17501911.2025.2583895
Kiyohito Murai, Nozomi Kobayashi, Wataru Tarumi, Yasukazu Nakahata, Kenta Masui

High-grade gliomas (HGGs), including glioblastoma and diffuse midline glioma, highlight one of the most aggressive brain tumors in adults and children with dismal prognosis despite intensive treatment regimens. Recently, epigenetic dysregulation has emerged as a fundamental hallmark of HGG biology, and the epigenetic alterations contribute not only to the molecular classification of HGGs but also to their malignant functional biology. Another notable feature of epigenetic dysregulation in HGGs is its influence on intratumoral heterogeneity, via possible modification of the neuron-glioma network in the brain. In this review, we aim to compile recent advances in our understanding of epigenetic dysregulation in HGGs, focusing on key mechanisms such as DNA methylation, histone modifications, chromatin remodeling and non-coding RNAs. Furthermore, we will update our knowledge on the unexpected biology of glioma interaction with neuronal components from a standpoint of epigenetic heterogeneity. By discussing the epigenetic landscape of HGGs, we aim to provide a framework for future research and therapeutic innovation in the management of these devastating tumors.

高级别胶质瘤(HGGs),包括胶质母细胞瘤和弥漫性中线胶质瘤,是成人和儿童中最具侵袭性的脑肿瘤之一,尽管强化治疗方案预后不佳。近年来,表观遗传失调已成为HGG生物学的一个基本特征,表观遗传改变不仅有助于HGG的分子分类,而且有助于其恶性功能生物学。hgg表观遗传失调的另一个显著特征是它通过可能改变大脑中的神经胶质瘤网络而影响肿瘤内异质性。在这篇综述中,我们旨在汇编我们对hgg表观遗传失调的理解的最新进展,重点是DNA甲基化,组蛋白修饰,染色质重塑和非编码rna等关键机制。此外,我们将从表观遗传异质性的角度更新我们对神经胶质瘤与神经元成分相互作用的意想不到的生物学知识。通过讨论HGGs的表观遗传学景观,我们旨在为这些破坏性肿瘤的管理提供未来研究和治疗创新的框架。
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引用次数: 0
SLUR(M)-py: a SLURM powered Pythonic pipeline for parallel processing of 3D (Epi)genomic profiles. SLUR(M)-py:一个SLURM驱动的python流水线,用于并行处理3D (Epi)基因组图谱。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1080/17501911.2025.2568368
Cullen Roth, Vrinda Venu, Sasha Bacot, Shawn R Starkenburg, Christina R Steadman

Epigenomics has become multi-faceted, with researchers exploring chromatin structure, nucleosome states, and epigenetic modifications, producing large, complex multi-omic datasets. Given this shift, there is a demand for bioinformatics that leverage high-performance computing (HPC) and parallelization to quickly process data. As such, we developed SLUR(M)-py, a pythonic computational platform that leverages the Simple Linux Utility for Resource Management system (SLURM) to process sequencing data. SLUR(M)-py is multi-omic and automates calls to SLURM for processing paired-end sequences from chromatin characterization experiments, including whole-genome, ChIP-seq, ATAC-seq, and Hi-C, thereby eliminating the need for multiple analytics pipelines. To demonstrate SLUR(M)-py's utility, we employ ATAC-seq and Hi-C data from viral infection experiments and the ENCODE project, and illustrate its processing speed and completeness, which outpaces current HPC pipelines. We explore the effect of dropping duplicate sequenced reads in ATAC-seq, demonstrate how SLUR(M)-py can be used for quality control, and how to detect artifacts in Hi-C from viral infection experiments. Finally, we show how features in SLUR(M)-py, like inter-chromosomal analysis, can be used to explore the dynamics of chromosomal contacts in mammalian cells. This multi-omic, system-agnostic platform eases the computational burden for researchers and quickly produces accurate and reliable data analytics for the epigenomics community.

随着研究人员探索染色质结构、核小体状态和表观遗传修饰,表观基因组学已经变得多面性,产生了大型、复杂的多基因组数据集。鉴于这种转变,生物信息学需要利用高性能计算(HPC)和并行化来快速处理数据。因此,我们开发了SLUR(M)-py,这是一个python计算平台,利用简单Linux资源管理系统(SLURM)来处理测序数据。SLUR(M)-py是多组学的,可以自动调用SLURM来处理来自染色质表征实验的配对端序列,包括全基因组、ChIP-seq、ATAC-seq和Hi-C,从而消除了对多个分析管道的需求。为了证明SLUR(M)-py的实用性,我们使用了来自病毒感染实验和ENCODE项目的ATAC-seq和Hi-C数据,并说明了其处理速度和完整性,超过了当前的HPC管道。我们探讨了在ATAC-seq中删除重复序列的影响,展示了SLUR(M)-py如何用于质量控制,以及如何从病毒感染实验中检测Hi-C中的伪像。最后,我们展示了SLUR(M)-py中的特征,如染色体间分析,如何用于探索哺乳动物细胞中染色体接触的动力学。这个多组学、系统无关的平台减轻了研究人员的计算负担,并为表观基因组学社区快速生成准确可靠的数据分析。
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引用次数: 0
Targeting TET enzymes in ovarian cancer: epigenetic regulation, chemoresistance, and therapeutic opportunities. 卵巢癌靶向TET酶:表观遗传调控、化疗耐药和治疗机会。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-11-30 DOI: 10.1080/17501911.2025.2595912
Padival Shruptha, Jagadeesha Poyya, Thanvanthri Gururajan Vasudevan, Kapaettu Satyamoorthy

The intrinsic and acquired resistance of ovarian cancer to conventional platinum/taxane chemotherapy is approximately 80-85%, with a high recurrence rate, making it one of the most lethal gynecological cancers. Epigenetic dysregulation, a key factor in tumor growth and chemoresistance, includes abnormal DNA methylation and 5-hydroxymethylcytosine (5hmC) loss. The ten-eleven translocation (TET) family of dioxygenases (TET1/TET2/TET3) mediates DNA demethylation, causing oxidation of 5-methylcytosine to 5hmC, potentially altering gene expression due to cancer cell plasticity and impacting treatment responses. This review discusses the multiple effects of TETs in ovarian cancer, highlighting the regulation of epithelial mesenchymal transition (EMT), cancer stem cells (CSCs), and the Wnt/β-catenin and TGF-β signaling pathways by TET enzymes. TET1 plays a dual role, promoting chemoresistance via CSC enrichment and suppressing tumors by replenishing Wnt antagonists. TET2, primarily a tumor suppressor, reduces 5hmC; TET2 loss is associated with poor therapeutic results. Elevated expression of TET3, which controls EMT and miRNA expression, is linked to a worse prognosis. In addition, we reviewed the potential resensitization of resistant tumors to multiple modalities of treatment by reactivating/modulating TET activity and function via cofactors and epigenetic treatment. Regulation of the TET-5hmc axis appears promising to overcome chemoresistance and improve therapeutic outcomes.

卵巢癌对常规铂类/紫杉烷类化疗的固有耐药和获得性耐药率约为80-85%,复发率高,是最致命的妇科癌症之一。表观遗传失调是肿瘤生长和化疗耐药的关键因素,包括DNA甲基化异常和5-羟甲基胞嘧啶(5hmC)丢失。10 - 11易位(TET)双加氧酶家族(TET1/TET2/TET3)介导DNA去甲基化,导致5-甲基胞嘧啶氧化为5hmC,可能由于癌细胞可塑性而改变基因表达并影响治疗反应。本文综述了TET在卵巢癌中的多重作用,重点讨论了TET对上皮间充质转化(EMT)、癌症干细胞(CSCs)以及Wnt/β-catenin和TGF-β信号通路的调控。TET1具有双重作用,通过CSC富集促进化疗耐药,通过补充Wnt拮抗剂抑制肿瘤。TET2主要是一种肿瘤抑制因子,可降低5hmC;TET2丢失与治疗效果差有关。控制EMT和miRNA表达的TET3表达升高与较差的预后有关。此外,我们回顾了通过辅助因子和表观遗传治疗,通过重新激活/调节TET活性和功能,耐药肿瘤对多种治疗方式的潜在再敏化。调节TET-5hmc轴似乎有望克服化疗耐药并改善治疗结果。
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引用次数: 0
From population science to the clinic? Limits of epigenetic clocks as personal biomarkers. 从人口科学到临床?表观遗传时钟作为个人生物标志物的局限性。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-12-16 DOI: 10.1080/17501911.2025.2603880
Abner T Apsley, Laura Etzel, Qiaofeng Ye, Idan Shalev

Epigenetic clocks are machine-learning algorithms which use DNA methylation patterns to predict aging-related phenotypes, such as chronological age, composite indicators of health, time-to-death, and the pace of biological aging. These clocks have been instrumental at the population level in revealing how disease risk emerges from behavioral, environmental, and psychosocial factors, and how certain anti-aging interventions may alter those trajectories. Given the success of epigenetic clocks at the population level, it is reasonable to assume they might also hold value as individual-level biomarkers. We contend, however, that fundamental technical and biological properties of these algorithms prohibit their current use at the individual level. Technical concerns include methods of clock construction, sample collection and processing, data preprocessing, and computational implementations. Biological considerations include the nature of DNA methylation and its dynamics, variation across developmental periods, tissue specificity, and sensitivity to environmental/sociodemographic contexts. We show that clocks fail to meet common standards for clinical utility compared with established biomarkers, and that applying epigenetic clocks in individual-level decision making can be uninformative and potentially harmful. Finally, we argue that even if all technical and biological hurdles can be overcome, epigenetic clocks, as we currently understand them, should not be used to make individual-level decisions.

表观遗传时钟是一种机器学习算法,它使用DNA甲基化模式来预测与衰老相关的表型,如实足年龄、健康综合指标、死亡时间和生物衰老的速度。这些时钟在揭示疾病风险如何从行为、环境和社会心理因素中产生以及某些抗衰老干预措施如何改变这些轨迹方面在人口水平上发挥了重要作用。鉴于表观遗传时钟在种群水平上的成功,我们有理由认为它们也可能作为个体水平的生物标志物具有价值。然而,我们认为,这些算法的基本技术和生物学特性禁止它们目前在个人层面上的使用。技术问题包括时钟构造、样本收集和处理、数据预处理和计算实现的方法。生物学方面的考虑包括DNA甲基化的性质及其动态、发育时期的变化、组织特异性以及对环境/社会人口背景的敏感性。我们表明,与已建立的生物标志物相比,表观遗传时钟无法满足临床应用的共同标准,并且在个人层面的决策中应用表观遗传时钟可能缺乏信息并且可能有害。最后,我们认为,即使所有的技术和生物障碍都可以克服,表观遗传时钟,正如我们目前所理解的,不应该被用来做出个人层面的决定。
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引用次数: 0
The epigenetic mechanisms of ketamine in the treatment of depression: a systematic review. 氯胺酮治疗抑郁症的表观遗传机制:系统综述。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1080/17501911.2025.2583892
Ivana Leccisotti, Maria Claudia Moretti, Mario Altamura, Antonello Bellomo, Rossana Laurello, Michele Carapellese, Giancarlo Sborgia, Vittorio Dibello, Gabriel Robert, Francesco Panza, Madia Lozupone

Aim: Ketamine antidepressant effects go beyond immediate receptor action, involving lasting transcriptional and epigenomic changes that support its rapid, long-lasting benefits. The present systematic review synthesized existing preclinical and clinical evidence on the epigenetic mechanisms of ketamine in the treatment of depression.

Methods: A comprehensive search of three electronic databases was conducted through April 2025. Of 264 records screened, 18 studies met inclusion criteria most of which were preclinical. The study protocol was registered with PROSPERO (CRD420251063429).

Results: Most preclinical studies (n = 7) consistently showed that ketamine may modulate histone acetylation and methylation, boosting transcription of neuroplasticity-related genes. Six studies implicated non-coding RNAs - particularly microRNAs - in sustaining antidepressant effects. Five studies reported that ketamine reversed promoter hypermethylation in genes linked to synaptic signaling and stress, including brain-derived neurotrophic factor, restoring their expression. These effects were strongest in brain areas key to emotional regulation, like the hippocampus, medial prefrontal cortex, and nucleus accumbens. Indirect epigenetic mechanisms have been implicated in the regulation of circadian clock and inflammatory genes.

Conclusions: Ketamine may exert multilayered epigenetic modulation, leading to the reactivation of key neuroplasticity pathways. Although preclinical findings were strong, limited human data highlighted the need for translational studies to determine the clinical relevance of these mechanisms.

目的:氯胺酮抗抑郁作用超越了直接受体作用,涉及持久的转录和表观基因组变化,支持其快速,持久的益处。本系统综述综合了氯胺酮治疗抑郁症的表观遗传机制的临床前和临床证据。方法:截至2025年4月,对3个电子数据库进行全面检索。在筛选的264项记录中,18项研究符合纳入标准,其中大多数是临床前研究。研究方案已在PROSPERO注册(CRD420251063429)。结果:大多数临床前研究(n = 7)一致表明氯胺酮可能调节组蛋白乙酰化和甲基化,促进神经可塑性相关基因的转录。六项研究表明非编码rna——尤其是微小rna——在维持抗抑郁作用中起作用。五项研究报告氯胺酮逆转了与突触信号和应激相关基因的启动子超甲基化,包括脑源性神经营养因子,恢复了它们的表达。这些影响在大脑中控制情绪的关键区域最为明显,比如海马体、内侧前额叶皮层和伏隔核。间接的表观遗传机制涉及生物钟和炎症基因的调节。结论:氯胺酮可能发挥多层表观遗传调控作用,导致关键神经可塑性通路的再激活。尽管临床前研究结果是强有力的,但有限的人体数据强调了需要进行转化研究以确定这些机制的临床相关性。
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引用次数: 0
Advancing epigenetic signatures as functional biomarkers in rare diseases. 推进表观遗传特征作为罕见疾病的功能性生物标志物。
IF 2.6 4区 医学 Q2 GENETICS & HEREDITY Pub Date : 2025-12-01 Epub Date: 2025-11-05 DOI: 10.1080/17501911.2025.2583891
Andrea Ciolfi, Marco Ferilli, Camilla Cappelletti, Marco Tartaglia

Alterations of the DNA methylation (DNAm) status of the genome underlie an increasing number of rare diseases. Recently, DNAm has also emerged as a highly informative biomarker for diagnosing rare disorders, which can be associated with distinctive genome-wide DNAm patterns (i.e., episignatures). Indeed, episignature testing has proven to represent an effective orthogonal omics technology, providing independent functional evidence to support or prioritize specific diagnostic hypotheses for hundreds of rare diseases, and reclassify variants of uncertain significance (VUS) emerging from genomic sequencing. Furthermore, the stability and plasticity inherent in DNAm make it a promising tool for personalized medicine, including patient stratification and therapeutic monitoring. This review outlines current technologies and analytical methodologies for genome-wide DNAm profiling and explores potential avenues of research, emphasizing artificial intelligence and multiomics integration to effectively manage patients with rare and complex phenotypes. We critically assess the current limitations and future directions of genome-wide DNAm profiling to expand the implementation of DNAm signatures as functional biomarkers, highlighting their importance as supplementary tools to genomic sequencing in clinical and research settings.

基因组DNA甲基化(DNAm)状态的改变是越来越多罕见疾病的基础。最近,DNAm也成为诊断罕见疾病的高信息性生物标志物,这可能与独特的全基因组DNAm模式(即表观特征)有关。事实上,表观特征检测已被证明是一种有效的正交组学技术,为支持或优先考虑数百种罕见疾病的特定诊断假设提供了独立的功能证据,并对基因组测序中出现的不确定意义变异(VUS)进行了重新分类。此外,DNAm固有的稳定性和可塑性使其成为个性化医疗的有前途的工具,包括患者分层和治疗监测。本文概述了目前全基因组dna分析的技术和分析方法,并探讨了潜在的研究途径,强调人工智能和多组学的整合,以有效地管理罕见和复杂表型的患者。我们批判性地评估了全基因组DNAm分析的当前局限性和未来方向,以扩大DNAm特征作为功能性生物标志物的实施,强调它们作为临床和研究环境中基因组测序的补充工具的重要性。
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引用次数: 0
期刊
Epigenomics
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