The promise of epigenetics in personalized medicine
1Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI 48109-5632, USA. wwweber@umich.edu
Abstract:
Numerous preclinical and clinical trials, with older as well as some newer drugs, have demonstrated the targeting of aberrant epigenetic marks to be a viable means of preventing and treating certain human disorders, including myelodysplastic and leukemic syndromes and various hemoglobinopathies. These findings are encouraging, and although the risks associated with such therapy are largely unknown, precise maps of epigenetic marks are becoming increasingly available through advancements in sequencing protocols that combine chromatin immunoprecipitation and gene expression analyses. Indeed, progress in understanding gene regulation at promoter regions and chromatin organization in health and disease has been substantial. New insights into the proteins that are targeted by therapeutic agents that alter epigenetic programs may provide important inroads into personalized medicine.
Insights
Targeting aberrant epigenetic marks shows promise for treating myelodysplastic syndromes, leukemic syndromes, and hemoglobinopathies. Advances in sequencing and gene expression analysis are improving our understanding of epigenetic regulation for personalized medicine.
Area of Science:
- Epigenetics
- Genomics
- Molecular Medicine
Background:
- Aberrant epigenetic marks are implicated in various human disorders, including myelodysplastic syndromes, leukemic syndromes, and hemoglobinopathies.
- Targeting these epigenetic alterations represents a potential therapeutic strategy.
Purpose of the Study:
- To review the evidence supporting epigenetic mark targeting for disease prevention and treatment.
- To highlight advancements in epigenetic mapping and their implications for personalized medicine.
Main Methods:
- Preclinical and clinical trials utilizing existing and novel drugs targeting epigenetic modifications.
- Advancements in sequencing technologies, including chromatin immunoprecipitation and gene expression analyses, for precise epigenetic mapping.
Main Results:
- Demonstrated efficacy of targeting aberrant epigenetic marks in preclinical and clinical settings.
- Substantial progress in understanding gene regulation, promoter regions, and chromatin organization in health and disease.
Conclusions:
- Targeting epigenetic marks is a viable therapeutic approach for specific human disorders.
- Emerging insights into epigenetic drug targets pave the way for personalized medicine strategies.
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