| Environmental Exposures and Gene Regulation in Disease Etiology Thea M. Edwards1,2 and John Peterson Myers2 1Department of Zoology, University of Florida, Gainesville, Florida, USA; 2Environmental Health Sciences, Charlottesville, Virginia, USA Abstract
Objective: Health or disease is shaped for all individuals by interactions between their genes and environment. Exactly how the environment changes gene expression and how this can lead to disease are being explored in a fruitful new approach to environmental health research, representative studies of which are reviewed here. Data sources: We searched Web of Science and references of relevant publications to understand the diversity of gene regulatory mechanisms affected by environmental exposures with disease implications. Data synthesis: Pharmaceuticals, pesticides, air pollutants, industrial chemicals, heavy metals, hormones, nutrition, and behavior can change gene expression through a broad array of gene regulatory mechanisms. Mechanisms include regulation of gene translocation, histone modifications, DNA methylation, DNA repair, transcription, RNA stability, alternative RNA splicing, protein degradation, gene copy number, and transposon activation. Furthermore, chemically induced changes in gene regulation are associated with serious and complex human diseases, including cancer, diabetes and obesity, infertility, respiratory diseases, allergies, and neurodegenerative disorders such as Parkinson and Alzheimer diseases. One of the best-studied areas of gene regulation is epigenetics, especially DNA methylation. Our examples of environmentally induced changes in DNA methylation are presented in the context of early development, when methylation patterns are initially laid down. This approach highlights the potential role for altered DNA methylation in fetal origins of adult disease and inheritance of acquired genetic change. Conclusions: The reviewed studies indicate that genetic predisposition for disease is best predicted in the context of environmental exposures. Second, the genetic mechanisms investigated in these studies offer new avenues for risk assessment research. Finally, we are likely to witness dramatic improvements in human health, and reductions in medical costs, if environmental pollution is decreased. Key words: chemicals, disease risk, DNA methylation, drug resistance, endocrine disruption, environment, fetal origins of adult disease, gene expression, gene regulation, susceptibility. Environ Health Perspect 115:1264–1270 (2007) . doi:10.1289/ehp.9951 available via http://dx.doi.org/ [Online 21 May 2007]
Address correspondence to T. Edwards, 521A Bartram Hall, PO Box 118525, Department of Zoology, University of Florida, Gainesville, FL 32611 USA. Telephone: (352) 392-1098. Fax: (352) 392-3704. E-mail: tedwards@zoo.ufl.edu We thank W. Hessler for her editorial suggestions. The John Merck Fund provided funding for this review. The authors declare they have no competing financial interests. Received 2 December 2006 ; accepted 21 May 2007.
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