PMID- 35513492 OWN - NLM STAT- MEDLINE DCOM- 20220617 LR - 20221113 IS - 1759-5037 (Electronic) IS - 1759-5029 (Linking) VI - 18 IP - 7 DP - 2022 Jul TI - Epigenetics of type 2 diabetes mellitus and weight change - a tool for precision medicine? PG - 433-448 LID - 10.1038/s41574-022-00671-w [doi] AB - Pioneering studies performed over the past few decades demonstrate links between epigenetics and type 2 diabetes mellitus (T2DM), the metabolic disorder with the most rapidly increasing prevalence in the world. Importantly, these studies identified epigenetic modifications, including altered DNA methylation, in pancreatic islets, adipose tissue, skeletal muscle and the liver from individuals with T2DM. As non-genetic factors that affect the risk of T2DM, such as obesity, unhealthy diet, physical inactivity, ageing and the intrauterine environment, have been associated with epigenetic modifications in healthy individuals, epigenetics probably also contributes to T2DM development. In addition, genetic factors associated with T2DM and obesity affect the epigenome in human tissues. Notably, causal mediation analyses found DNA methylation to be a potential mediator of genetic associations with metabolic traits and disease. In the past few years, translational studies have identified blood-based epigenetic markers that might be further developed and used for precision medicine to help patients with T2DM receive optimal therapy and to identify patients at risk of complications. This Review focuses on epigenetic mechanisms in the development of T2DM and the regulation of body weight in humans, with a special focus on precision medicine. CI - (c) 2022. Springer Nature Limited. FAU - Ling, Charlotte AU - Ling C AD - Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Scania University Hospital, Malmo, Sweden. Charlotte.Ling@med.lu.se. FAU - Bacos, Karl AU - Bacos K AUID- ORCID: 0000-0002-2461-9073 AD - Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Scania University Hospital, Malmo, Sweden. FAU - Ronn, Tina AU - Ronn T AUID- ORCID: 0000-0001-7622-800X AD - Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Scania University Hospital, Malmo, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220505 PL - England TA - Nat Rev Endocrinol JT - Nature reviews. Endocrinology JID - 101500078 SB - IM MH - DNA Methylation/genetics MH - *Diabetes Mellitus, Type 2/genetics/metabolism/therapy MH - Epigenesis, Genetic/genetics MH - Epigenomics MH - Humans MH - Obesity/complications/genetics MH - Precision Medicine EDAT- 2022/05/06 06:00 MHDA- 2022/06/18 06:00 CRDT- 2022/05/05 23:21 PHST- 2022/03/29 00:00 [accepted] PHST- 2022/05/06 06:00 [pubmed] PHST- 2022/06/18 06:00 [medline] PHST- 2022/05/05 23:21 [entrez] AID - 10.1038/s41574-022-00671-w [pii] AID - 10.1038/s41574-022-00671-w [doi] PST - ppublish SO - Nat Rev Endocrinol. 2022 Jul;18(7):433-448. doi: 10.1038/s41574-022-00671-w. Epub 2022 May 5.