1. Does your DNA define you? Overview of epigenetics and its role in disease

2. Epigenetics epi (Greek): on, above, in addition to The study of heritable changes in gene expression without a change in DNA sequence

3. Image taken from Felsenfeld and Groudine (2003) Controlling the double helix Nature 421, 448-453

4. Turn genes on or off 0 F: turn genes on Turn genes on Turn genes off R: Turn genes off

6. Environment Chemical Radiation Alcohol SmokingPollutionDiet

7. Epigenetics and disease Epigenetics provides the missing link on how the environment can change the cell without causing mutation to cause disease Studies have shown that modifications can be passed down from generation to generation and can be associated with causing or predisposing disease in offspring

9. Epigenetic therapy? The epigenome is dynamic with the modifications reversible. Because of this, it is possible to modify the gene expression of cells using drugs so abnormal patterns become normalised E.g. 5-azacytidine: DNA methylation inhibitor that reactivates genes that have been silenced. E.g. SAHA: HDAC inhibitor that blocks acetyl group removal from histones to activate gene expression.

10. Turn genes off Turn genes on SAHA Turn genes on 5- azacytidine R: Turn genes off