Targeting epigenetic checkpoints in autoimmune diseases: Nutritional and lifestyle interventions
Abstract
Autoimmune diseases are complex disorders arising from interactions among genetic susceptibility, epigenetic regulation, and environmental exposures. Accumulating evidence indicates that DNA methylation, histone modifications, and non-coding RNAs (ncRNAs) may mediate some of the effects of environmental factors on immune function and inflammatory responses. This narrative review examines how nutritional and lifestyle-related factors may influence epigenetic pathways relevant to autoimmune diseases. Evidence from in vitro studies, preclinical models, observational research, and emerging clinical investigations is synthesized, with particular emphasis on methyl-donor nutrients, selected bioactive compounds such as curcumin, vitamin D, physical activity, sleep and circadian regulation, and chronic psychological stress. Current findings suggest that these factors may modulate immune-related epigenetic processes; however, their clinical relevance remains constrained by differences in bioavailability, tissue specificity, individual biological variability, study design, and long-term adherence. Further longitudinal and intervention studies are therefore required to establish causality and clinical effectiveness. Overall, integrating nutritional and lifestyle factors with epigenetic and clinical profiling may support the future development of personalized adjunctive strategies for autoimmune disease management.
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References
- Alegría-Torres, J. A., Baccarelli, A., & Bollati, V. (2011). Epigenetics and lifestyle. Epigenomics, 3(3), 267–277. https://doi.org/10.2217/epi.11.22
- Armas Díaz, Y., Ferreiro Cotorruelo, M. S., & Battino, M. (2023). The role of dietary polyphenols in the control of chronic noncommunicable diseases. Food Safety and Health, 1(1). https://doi.org/10.1002/fsh3.12013
- Arvind, A., Sreelekshmi, S., & Dubey, N. (2025). Genetic, epigenetic, and hormonal regulation of stress phenotypes in major depressive disorder: From maladaptation to resilience. Cellular and Molecular Neurobiology, 45(1), 29. https://doi.org/10.1007/s10571-025-01549-x
- Augustine, T., Al-Aghbar, M. A., Al-Kowari, M., Espino-Guarch, M., & Van Panhuys, N. (2022). Asthma and the missing heritability problem: Necessity for multiomics approaches in determining accurate risk profiles. Frontiers in Immunology, 13, 822324. https://doi.org/10.3389/fimmu.2022.822324
- Awuah, W. A., Huang, H., Kalmanovich, J., Mehta, A., Mikhailova, T., Ng, J. C., Abdul-Rahman, T., Adebusoye, F. T., Tan, J. K., Kamanousa, K., Ferreira, T., Roy, S., Kundu, M., Yarlagadda, R., Mukerjee, N., Alexiou, A., & Papadakis, M. (2023). Circadian rhythm in systemic autoimmune conditions: Potential of chrono-immunology in clinical practice: A narrative review. Medicine, 102(32), e34614. https://doi.org/10.1097/MD.0000000000034614
- Bagni, G., Biancalana, E., Chiara, E., Costanzo, I., Malandrino, D., Lastraioli, E., Palmerini, M., Silvestri, E., Urban, M. L., & Emmi, G. (2025). Epigenetics in autoimmune diseases: Unraveling the hidden regulators of immune dysregulation. Autoimmunity Reviews, 24(6), 103784. https://doi.org/10.1016/j.autrev.2025.103784
- Balakin, E., Yurku, K., Ivanov, M., Izotov, A., Nakhod, V., & Pustovoyt, V. (2025). Regulation of stress-induced immunosuppression in the context of neuroendocrine, cytokine, and cellular processes. Biology, 14(1), 76. https://doi.org/10.3390/biology14010076
- Banker, M., Jansen, E. C., Goodrich, J. M., English, L., Dolinoy, D. C., Song, P. X. K., Mitchell, J. A., Téllez-Rojo, M. M., Cantoral, A., & Peterson, K. E. (2024). Associations between sleep and physical activity behavior clusters and epigenetic age acceleration in Mexican adolescents. Medicine and Science in Sports and Exercise, 56(11), 2173–2183. https://doi.org/10.1249/MSS.0000000000003498
- Bannister, A. J., & Kouzarides, T. (2011). Regulation of chromatin by histone modifications. Cell Research, 21(3), 381–395. https://doi.org/10.1038/cr.2011.22
- Barrès, R., Yan, J., Egan, B., Treebak, J. T., Rasmussen, M., Fritz, T., Caidahl, K., Krook, A., O’Gorman, D. J., & Zierath, J. R. (2012). Acute exercise remodels promoter methylation in human skeletal muscle. Cell Metabolism, 15(3), 405–411. https://doi.org/10.1016/j.cmet.2012.01.001
- Bechara, R., Vagner, S., & Mariette, X. (2023). Post-transcriptional checkpoints in autoimmunity. Nature Reviews Rheumatology, 19(8), 486–502. https://doi.org/10.1038/s41584-023-00980-y
- Bernasocchi, T., & Mostoslavsky, R. (2024). Subcellular one carbon metabolism in cancer, aging and epigenetics. Frontiers in Epigenetics and Epigenomics, 2. https://doi.org/10.3389/freae.2024.1451971
- Borel, P., Caillaud, D., & Cano, N. J. (2013). Vitamin D bioavailability: state of the art. Critical Reviews in Food Science and Nutrition, 55(9), 1193–1205. https://doi.org/10.1080/10408398.2012.688897
- Boyanapalli, S. S. S., & Kong, A. N. T. (2015). “Curcumin, the King of Spices”: Epigenetic regulatory mechanisms in the prevention of cancer, neurological, and inflammatory diseases. Current Pharmacology Reports, 1(2), 129–139. https://doi.org/10.1007/s40495-015-0018-x
- Carlberg, C., & Velleuer, E. (2024). Vitamin D and aging: Central role of immunocompetence. Nutrients, 16(3), 398. https://doi.org/10.3390/nu16030398
- Cedernaes, J., Schönke, M., Westholm, J. O., Mi, J., Chibalin, A., Voisin, S., Osler, M., Vogel, H., Hörnaeus, K., Dickson, S. L., Lind, S. B., Bergquist, J., Schiöth, H. B., Zierath, J. R., & Benedict, C. (2018). Acute sleep loss results in tissue-specific alterations in genome-wide DNA methylation state and metabolic fuel utilization in humans. Science Advances, 4(8), eaar8590. https://doi.org/10.1126/sciadv.aar8590
- Chaudhary, R., Prasad, A., Agarwal, V., Rehman, M., Kumar, A., Kaushik, A. S., Srivastava, S., Srivastava, S., & Mishra, V. (2023). Chronic stress predisposes to the aggravation of inflammation in autoimmune diseases with focus on rheumatoid arthritis and psoriasis. International Immunopharmacology, 125(Part A), 111046. https://doi.org/10.1016/j.intimp.2023.111046
- Chauss, D., Freiwald, T., McGregor, R., Yan, B., Wang, L., Nova-Lamperti, E., Kumar, D., Zhang, Z., Teague, H., West, E. E., Vannella, K. M., Ramos-Benitez, M. J., Bibby, J., Kelly, A., Malik, A., Freeman, A. F., Schwartz, D. M., Portilla, D., Chertow, D. S., … Afzali, B. (2021). Autocrine vitamin D signaling switches off pro-inflammatory programs of TH1 cells. Nature Immunology, 23(1), 62–74. https://doi.org/10.1038/s41590-021-01080-3
- Cho, J. H., & Gregersen, P. K. (2011). Genomics and the multifactorial nature of human autoimmune disease. New England Journal of Medicine, 365(17), 1612–1623. https://doi.org/10.1056/nejmra1100030
- Choi, S., & Friso, S. (2023). Modulation of DNA methylation by one-carbon metabolism: a milestone for healthy aging. Nutrition Research and Practice, 17(4), 597. https://doi.org/10.4162/nrp.2023.17.4.597
- Ciechomska, M., & O’Reilly, S. (2016). Epigenetic modulation as a therapeutic prospect for treatment of autoimmune rheumatic diseases. Mediators of Inflammation, 2016, 1–11. https://doi.org/10.1155/2016/9607946
- Conrad, N., Misra, S., Verbakel, J. Y., Verbeke, G., Molenberghs, G., Taylor, P. N., Mason, J., Sattar, N., McMurray, J. J. V., McInnes, I. B., Khunti, K., & Rahimi, K. (2023). Incidence, prevalence, and co-occurrence of autoimmune disorders over time and by age, sex, and socioeconomic status: A population-based cohort study of 22 million individuals in the UK. The Lancet, 401(10391), 1878–1890. https://doi.org/10.1016/S0140-6736(23)00457-9
- Costenbader, K. H., Gay, S., Alarcón-Riquelme, M. E., Iaccarino, L., & Doria, A. (2011). Genes, epigenetic regulation and environmental factors: Which is the most relevant in developing autoimmune diseases? Autoimmunity Reviews, 11(8), 604–609. https://doi.org/10.1016/j.autrev.2011.10.022
- Di Liberto, D., Scazzone, C., La Rocca, G., Cipriani, P., Lo Pizzo, M., Ruscitti, P., Agnello, L., Ciaccio, M., Dieli, F., Giacomelli, R., Triolo, G., Ciccia, F., Sireci, G., & Guggino, G. (2019). Vitamin D increases the production of IL-10 by regulatory T cells in patients with systemic sclerosis. Clinical and Experimental Rheumatology, 37 Suppl 119(4), 76–81. https://pubmed.ncbi.nlm.nih.gov/31587692/
- Dhanapal, A. C. T. A., & Vimaleswaran, K. S. (2022). Vitamin D supplementation and immune-related markers: An update from nutrigenetic and nutrigenomic studies. British Journal of Nutrition, 128(8), 1459–1469. https://doi.org/10.1017/S0007114522002392
- Ducker, G. S., & Rabinowitz, J. D. (2016). One-carbon metabolism in health and disease. Cell Metabolism, 25(1), 27–42. https://doi.org/10.1016/j.cmet.2016.08.009
- Ekmekci̇, H. S., & Muftarevi̇Ç, S. (2023). Epigenetic effects of social stress and epigenetic inheritance. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, 15(1), 132–145. https://doi.org/10.18863/pgy.1059315
- Esteller, M. (2011). Non-coding RNAs in human disease. Nature Reviews Genetics, 12(12), 861–874. https://doi.org/10.1038/nrg3074
- Fagiani, F., Di Marino, D., Romagnoli, A., Travelli, C., Voltan, D., Di Cesare Mannelli, L., Racchi, M., Govoni, S., & Lanni, C. (2022). Molecular regulations of circadian rhythm and implications for physiology and diseases. Signal Transduction and Targeted Therapy, 7(1), 41. https://doi.org/10.1038/s41392-022-00899-y
- Farh, K. K., Marson, A., Zhu, J., Kleinewietfeld, M., Housley, W. J., Beik, S., Shoresh, N., Whitton, H., Ryan, R. J. H., Shishkin, A. A., Hatan, M., Carrasco-Alfonso, M. J., Mayer, D., Luckey, C. J., Patsopoulos, N. A., De Jager, P. L., Kuchroo, V. K., Epstein, C. B., Daly, M. J., … Bernstein, B. E. (2014). Genetic and epigenetic fine mapping of causal autoimmune disease variants. Nature, 518(7539), 337–343. https://doi.org/10.1038/nature13835
- Fernandez, G. J., Ramírez-Mejía, J. M., & Urcuqui-Inchima, S. (2022). Vitamin D boosts immune response of macrophages through a regulatory network of microRNAs and mRNAs. The Journal of Nutritional Biochemistry, 109, 109105. https://doi.org/10.1016/j.jnutbio.2022.109105
- Ferrer, J., & Dimitrova, N. (2024). Transcription regulation by long non-coding RNAs: Mechanisms and disease relevance. Nature Reviews Molecular Cell Biology, 25(5), 396–415. https://doi.org/10.1038/s41580-023-00694-9
- Ferioli, M., Zauli, G., Maiorano, P., Milani, D., Mirandola, P., & Neri, L. M. (2019). Role of physical exercise in the regulation of epigenetic mechanisms in inflammation, cancer, neurodegenerative diseases, and aging process. Journal of Cellular Physiology, 234(9), 14852–14864. https://doi.org/10.1002/jcp.28304
- Fetahu, I. S., Höbaus, J., & Kállay, E. (2014). Vitamin D and the epigenome. Frontiers in Physiology, 5, 164. https://doi.org/10.3389/fphys.2014.00164
- Ghisays, F., Brace, C. S., Yackly, S. M., Kwon, H. J., Mills, K. F., Kashentseva, E., Dmitriev, I. P., Curiel, D. T., Imai, S., & Ellenberger, T. (2015). The The N-terminal domain of SIRT1 is a positive regulator of endogenous SIRT1-dependent deacetylation and transcriptional outputs. Cell Reports, 10(10), 1665–1673. https://doi.org/10.1016/j.celrep.2015.02.036
- Guha, S., Jagadeesan, Y., Pandey, M. M., Mittal, A., & Chitkara, D. (2024). Targeting the epigenome with advanced delivery strategies for epigenetic modulators. Bioengineering & Translational Medicine, 10(1), e10710. https://doi.org/10.1002/btm2.10710
- Guo, W., Meydani, S. N., & Wu, D. (2026). Bioactive phytochemicals in experimental models of multiple sclerosis: Mechanisms, efficacy, and translational potential. Nutrients, 18(2), 278. https://doi.org/10.3390/nu18020278
- Hardy, R. S., Raza, K., & Cooper, M. S. (2012). Endogenous glucocorticoids in inflammation: contributions of systemic and local responses. Swiss Medical Weekly, 142(3132), w13650. https://doi.org/10.4414/smw.2012.13650
- Hombach, S., & Kretz, M. (2016). Non-coding RNAs: Classification, biology and functioning. Advances in Experimental Medicine and Biology, 937, 3–17. https://doi.org/10.1007/978-3-319-42059-2_1
- Hussain, S. A., Sarker, M. I., Liu, Y., & Jin, T. Z. (2026). DNA methylation and its role in personalized nutrition: mechanisms, clinical insights, and future perspectives. International Journal of Molecular Sciences, 27(2), 566. https://doi.org/10.3390/ijms27020566
- Irwin, M. R., Wang, M., Ribeiro, D., Cho, H. J., Olmstead, R., Breen, E. C., Martinez-Maza, O., & Cole, S. (2008). Sleep loss activates cellular inflammatory signaling. Biological Psychiatry, 64(6), 538–540. https://doi.org/10.1016/j.biopsych.2008.05.004
- Irwin, M. R. (2022). Sleep disruption induces activation of inflammation and heightens risk for infectious disease: Role of impairments in thermoregulation and elevated ambient temperature. Temperature, 10(2), 198–234. https://doi.org/10.1080/23328940.2022.2109932
- Issa, J. (2014). Aging and epigenetic drift: a vicious cycle. Journal of Clinical Investigation, 124(1), 24–29. https://doi.org/10.1172/jci69735
- Jafleh, E. A., Alnaqbi, F. A., Almaeeni, H. A., Faqeeh, S., Alzaabi, M. A., & Zaman, K. A. (2024). The role of wearable devices in chronic disease monitoring and patient care: A comprehensive review. Cureus, 16(9), e68921. https://doi.org/10.7759/cureus.68921
- Jalouli, M., Rahman, M. A., Biswas, P., Rahman, H., Harrath, A. H., Lee, I., Kang, S., Choi, J., Park, M. N., & Kim, B. (2025). Targeting natural antioxidant polyphenols to protect neuroinflammation and neurodegenerative diseases: a comprehensive review. Frontiers in Pharmacology, 16, 1492517. https://doi.org/10.3389/fphar.2025.1492517
- Jiao, H., Wang, X., Zhang, D., Zhou, S., & Gao, F. (2025). Curcumin and neuroplasticity: epigenetic mechanisms underlying cognitive enhancement in aging and neurodegenerative disorders. Frontiers in Aging Neuroscience, 17, 1592280. https://doi.org/10.3389/fnagi.2025.1592280
- Jimeno, B., Hau, M., Gómez-Díaz, E., & Verhulst, S. (2019). Developmental conditions modulate DNA methylation at the glucocorticoid receptor gene with cascading effects on expression and corticosterone levels in zebra finches. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-52203-8
- Jonkers, I. H., & Wijmenga, C. (2017). Context-specific effects of genetic variants associated with autoimmune disease. Human Molecular Genetics, 26(R2), R185–R192. https://doi.org/10.1093/hmg/ddx254
- Kamal, K. M., Ghazali, A. R., Mutalib, N. S. A., Abu, N., Chua, E. W., & Masre, S. F. (2024). The role of DNA methylation and DNA methyltransferases (DNMTs) as potential biomarker and therapeutic target in non-small cell lung cancer (NSCLC). Heliyon, 10(19), e38663. https://doi.org/10.1016/j.heliyon.2024.e38663
- Kaufman, J., DeLorenzo, C., Choudhury, S., & Parsey, R. V. (2016). The 5-HT1A receptor in Major Depressive Disorder. European Neuropsychopharmacology, 26(3), 397–410. https://doi.org/10.1016/j.euroneuro.2015.12.039
- Kciuk, M., Alam, M., Ali, N., Rashid, S., Głowacka, P., Sundaraj, R., Celik, I., Yahya, E. B., Dubey, A., Zerroug, E., & Kontek, R. (2023). Epigallocatechin-3-Gallate therapeutic potential in cancer: mechanism of action and clinical implications. Molecules, 28(13), 5246. https://doi.org/10.3390/molecules28135246
- Khedr, A. M. B., Shaker, O. G., Hassan, A., Hussein, M., Kamal, Y. S., & Azouz, T. A. (2022). MicroRNA-22 level in patients with multiple sclerosis and its relationship with vitamin D and vitamin D receptor levels. Neuroimmunomodulation, 29(2), 128–134. https://doi.org/10.1159/000519012
- Kim, J. Y., & Kim, J. W. (2026). Toxicoepigenomics: Epigenetic disruption by environmental exposures and implications for biomarker development. Journal of Hazardous Materials, 502, 141070. https://doi.org/10.1016/j.jhazmat.2026.141070
- Kino, T., Nicolaides, N. C., Charmandari, E., & Chrousos, G. P. (2024, May 19). Primary generalized glucocorticoid resistance syndrome. Endotext - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK278930/
- Korolenya, V. A., Filipenko, M. L., & Smetanina, M. A. (2025). Epigenome-wide search for distinctive methylation biomarkers of endothelial and leukocyte DNA. Epigenomes, 9(4), 53. https://doi.org/10.3390/epigenomes9040053
- Kotewitsch, M., Heimer, M., Schmitz, B., & Mooren, F. C. (2024). Non-coding RNAs in exercise immunology: A systematic review. Journal of Sport and Health Science, 13(3), 311–338. https://doi.org/10.1016/j.jshs.2023.11.001
- Kumar, D., Sahoo, S. S., Chauss, D., Dimitrion, P., Chatterjee, P., Rotzschke, O., Cook, H. T., & Afzali, B. (2023). Non-coding RNAs in immunoregulation and autoimmunity: Technological advances and critical limitations. Journal of Autoimmunity, 134, 102982. https://doi.org/10.1016/j.jaut.2022.102982
- Kumar, V., Kesharwani, R., Patel, D. K., Verma, A., Mehanna, M. G., Mohammad, A., Bawadood, A. S., Al-Abbasi, F. A., & Anwar, F. (2025). Epigenetic impact of curcumin and thymoquinone on cancer therapeutics. Current Medicinal Chemistry, 32(11). https://doi.org/10.2174/0109298673288542240327112351
- Laurindo, L. F., De Carvalho, G. M., De Oliveira Zanuso, B., Figueira, M. E., Direito, R., De Alvares Goulart, R., Buglio, D. S., & Barbalho, S. M. (2023). Curcumin-based nanomedicines in the treatment of inflammatory and immunomodulated diseases: An evidence-based comprehensive review. Pharmaceutics, 15(1), 229. https://doi.org/10.3390/pharmaceutics15010229
- Leone, P., Susca, N., & Racanelli, V. (2026). Editorial: Autoimmune diseases: from molecular mechanisms to therapy development. Frontiers in Immunology, 16, 1768955. https://doi.org/10.3389/fimmu.2025.1768955
- Liang, J., Jahraus, B., Balta, E., Ziegler, J. D., Hübner, K., Blank, N., Niesler, B., Wabnitz, G. H., & Samstag, Y. (2018). Sulforaphane inhibits inflammatory responses of primary human T-Cells by increasing ROS and depleting glutathione. Frontiers in Immunology, 9, 2584. https://doi.org/10.3389/fimmu.2018.02584
- Liu, S., Zahorchak, A. F., Dobrowolski, S. F., Metes, D. M., Thomson, A. W., & Abdelsamed, H. A. (2024). Epigenetic signature of human vitamin D3 and IL-10 conditioned regulatory DCs. Scientific Reports, 14(1), 28748. https://doi.org/10.1038/s41598-024-79299-x
- Luo, B., Xiang, D., Ji, X., Chen, X., Li, R., Zhang, S., Meng, Y., Nieman, D. C., & Chen, P. (2024). The anti-inflammatory effects of exercise on autoimmune diseases: A 20-year systematic review. Journal of Sport and Health Science, 13(3), 353–367. https://doi.org/10.1016/j.jshs.2024.02.002
- Machado, O. A. S., Diniz, V. L. S., Passos, M. E. P., de Oliveira, H. H., Santos-Oliveira, L. C., Alecrim, A. L., Bertola Lobato, T., Manoel, R., Correa, I., Silva, E. B., de Oliveira Poma, S., Mendes de Almeida, M., Pithon-Curi, T. C., Diniz, S., Levada-Pires, A. C., Curi, R., Masi, L. N., Hirabara, S. M., & Gorjão, R. (2021). Physical exercise increases global and gene-specific (Interleukin-17 and interferon-γ) DNA methylation in lymphocytes from aged women. Experimental Physiology, 106(9), 1878–1885. https://doi.org/10.1113/EP089673
- Mahmoud, A. M., & Ali, M. M. (2019). Methyl donor micronutrients that modify DNA methylation and cancer outcome. Nutrients, 11(3), 608. https://doi.org/10.3390/nu11030608
- Manna, I., De Benedittis, S., & Porro, D. (2024). A comprehensive examination of the role of epigenetic factors in multiple sclerosis. International Journal of Molecular Sciences, 25(16), 8921. https://doi.org/10.3390/ijms25168921
- Manolio, T. A., Collins, F. S., Cox, N. J., Goldstein, D. B., Hindorff, L. A., Hunter, D. J., McCarthy, M. I., Ramos, E. M., Cardon, L. R., Chakravarti, A., Cho, J. H., Guttmacher, A. E., Kong, A., Kruglyak, L., Mardis, E., Rotimi, C. N., Slatkin, M., Valle, D., Whittemore, A. S., … Visscher, P. M. (2009). Finding the missing heritability of complex diseases. Nature, 461(7265), 747–753. https://doi.org/10.1038/nature08494
- Marangoni, K., Dorneles, G., Da Silva, D. M., Pinto, L. P., Rossoni, C., & Fernandes, S. A. (2023). Diet as an epigenetic factor in inflammatory bowel disease. World Journal of Gastroenterology, 29(41), 5618–5629. https://doi.org/10.3748/wjg.v29.i41.5618
- Masri, S., & Sassone-Corsi, P. (2014). Sirtuins and the circadian clock: Bridging chromatin and metabolism. Science Signaling, 7(342), re6. https://doi.org/10.1126/scisignal.2005685
- Mazur, A., Frączek, P., & Tabarkiewicz, J. (2022). Vitamin D as a nutri-epigenetic factor in autoimmunity—A review of current research and reports on vitamin D deficiency in autoimmune diseases. Nutrients, 14(20), 4286. https://doi.org/10.3390/nu14204286
- Meda, F., Folci, M., Baccarelli, A., & Selmi, C. (2011). The epigenetics of autoimmunity. Cellular and Molecular Immunology, 8(3), 226–236. https://doi.org/10.1038/cmi.2010.78
- Mentch, S. J., & Locasale, J. W. (2016). One-carbon metabolism and epigenetics: Understanding the specificity. Annals of the New York Academy of Sciences, 1363(1), 91–98. https://doi.org/10.1111/nyas.12956
- Meral, G., Aslan, E. S., Burkay, N., Ozkaya, M., & Alper Acar, E. G. (2026). The effects of green tea and curcumin on COMT and MAO pathways in nutrigenetics-based epigenetic approaches: Clinical benefits and the balanced management of psycho-oncological risks. EUCHEMBIOJ Reviews, 2(1), Article e26005. https://doi.org/10.62063/rev-40
- Miller, M., McAfee, C., Brown, R. D., Sears, S., Krautkramer, C., Gogia, R., Wylie, D., Josephs, R. A., & Champagne, F. A. (2025). Impact of acute stress exposure on genome-wide DNA methylation. Scientific Reports, 15(1), 23931. https://doi.org/10.1038/s41598-025-09299-y
- Musazzi, L., Mingardi, J., Ieraci, A., Popoli, M., & Treccani, G. (2023). Stress, microRNAs, and stress-related psychiatric disorders: An overview. Molecular Psychiatry, 28, 4977–4994. https://doi.org/10.1038/s41380-023-02139-3
- Nemeth, K., Bayraktar, R., Ferracin, M., & Calin, G. A. (2024). Non-coding RNAs in disease: From mechanisms to therapeutics. Nature Reviews Genetics, 25(3), 211–232. https://doi.org/10.1038/s41576-023-00662-1
- Office of Autoimmune Disease Research (OADR-ORWH). (2025, April 24). https://orwh.od.nih.gov/OADR-ORWH
- Orozco-Solis, R., & Aguilar-Arnal, L. (2020). Circadian regulation of immunity through epigenetic mechanisms. Frontiers in Cellular and Infection Microbiology, 10, 96. https://doi.org/10.3389/fcimb.2020.00096
- Ostaiza-Cardenas, J., Tobar, A. C., Costa, S. C., Calero, D. S., López-Carrera, A., Bermúdez, F. G., & Orellana-Manzano, A. (2025). Epigenetic modulation by lifestyle: Advances in diet, exercise, and mindfulness for disease prevention and health optimization. Frontiers in Nutrition, 12, 1632999. https://doi.org/10.3389/fnut.2025.1632999
- Osum, M., & Kalkan, R. (2025). Circadian rhythm, epigenetics and disease interaction. Global Medical Genetics, 12(1), 100006. https://doi.org/10.1016/j.gmg.2024.100006
- Panni, S., Lovering, R. C., Porras, P., & Orchard, S. (2020). Non-coding RNA regulatory networks. Biochimica Et Biophysica Acta. Gene Regulatory Mechanisms, 1863(6), 194417. https://doi.org/10.1016/j.bbagrm.2019.194417
- Pisetsky, D. S. (2023). Pathogenesis of autoimmune disease. Nature Reviews Nephrology, 19(8), 509–524. https://doi.org/10.1038/s41581-023-00720-1
- Pratama, B. P., Khairullah, A. R., Ma’ruf, I. F., Akintunde, A. O., Mustofa, I., Mulyati, S., Ahmad, R. Z., & Ansori, A. N. M. (2025). Revolutionizing curcumin bioavailability: From health benefits to placement in food packaging products. Food Systems, 8(3), 343–354. https://doi.org/10.21323/2618-9771-2025-8-3-343-354
- Qahtan, F., Abu-Qiyas, S., & Papandreou, D. (2026). Genetic and epigenetic determinants of vitamin D metabolism: nutrigenomic insights for precision nutrition. Frontiers in Nutrition, 13, 1772849. https://doi.org/10.3389/fnut.2026.1772849
- Ramos-Martínez, E., Falfán-Valencia, R., Pérez-Rubio, G., García-Vázquez, F. J., Rojas-Serrano, J., Heredia-Antúnez, A. P., Aristi-Urista, G., & Chavarria-Krauser, A. (2026). Treatment with curcumin delays the development of type 1 diabetes mellitus by decreasing proinflammatory cytokines in non-obese diabetic mice. Diabetology, 7(2), 31. https://doi.org/10.3390/diabetology7020031
- Sadee, W., Hartmann, K., Seweryn, M., Pietrzak, M., Handelman, S. K., & Rempala, G. A. (2014). Missing heritability of common diseases and treatments outside the protein-coding exome. Human Genetics, 133(10), 1199–1215. https://doi.org/10.1007/s00439-014-1476-7
- Saleh, R., Toor, S. M., Nair, V. S., & Elkord, E. (2020). Role of epigenetic modifications in inhibitory immune checkpoints in cancer development and progression. Frontiers in Immunology, 11, 1469. https://doi.org/10.3389/fimmu.2020.01469
- Sareen, S., Bakovic, M., & Cho, C. E. (2026). Choline and DNA methylation: impact across metabolic, oncogenic and neurodevelopmental disorders. Clinical Epigenetics, 18(1). https://doi.org/10.1186/s13148-026-02086-0
- Sun, T., Wu, Y., Kong, L., Wang, J., Zhang, F., Liu, Y., Gao, J., & Liu, Y. (2025). MTHFR polymorphisms in autoimmune diseases: Mechanistic and clinical perspectives. Autoimmunity Reviews, 25(1), 103939. https://doi.org/10.1016/j.autrev.2025.103939
- Surace, A. E. A., & Hedrich, C. M. (2019). The role of epigenetics in autoimmune/inflammatory disease. Frontiers in Immunology, 10, 1525. https://doi.org/10.3389/fimmu.2019.01525
- Sîrbe, C., Rednic, S., Grama, A., & Pop, T. L. (2022). An update on the effects of vitamin D on the immune system and autoimmune diseases. International Journal of Molecular Sciences, 23(17), 9784. https://doi.org/10.3390/ijms23179784
- Takahashi, J. S. (2017). Transcriptional architecture of the mammalian circadian clock. Nature Reviews. Genetics, 18(3), 164–179. https://doi.org/10.1038/nrg.2016.150
- Tortorella, S. M., Royce, S. G., Licciardi, P. V., & Karagiannis, T. C. (2014). Dietary sulforaphane in cancer chemoprevention: The role of epigenetic regulation and HDAC inhibition. Antioxidants and Redox Signaling, 22(16), 1382–1424. https://doi.org/10.1089/ars.2014.6097
- Tyrka, A. R., Price, L. H., Marsit, C., Walters, O. C., & Carpenter, L. L. (2012). Childhood adversity and epigenetic modulation of the leukocyte glucocorticoid receptor: preliminary findings in healthy adults. PLoS ONE, 7(1), e30148. https://doi.org/10.1371/journal.pone.0030148
- Tyrka, A. R., Parade, S. H., Eslinger, N. M., Marsit, C. J., Lesseur, C., Armstrong, D. A., Philip, N. S., Josefson, B., & Seifer, R. (2015). Methylation of exons 1d, 1f, and 1h of the glucocorticoid receptor gene promoter and exposure to adversity in pre-school aged children. Development and Psychopathology, 27(2), 577–585. https://doi.org/10.1017/S0954579415000176
- Usategui-Martín, R., De Luis-Román, D., Fernández-Gómez, J. M., Ruiz-Mambrilla, M., & Pérez-Castrillón, J. (2022). Vitamin D receptor (VDR) gene polymorphisms modify the response to vitamin D supplementation: A systematic review and meta-analysis. Nutrients, 14(2), 360. https://doi.org/10.3390/nu14020360
- von Hattburg, A. T. (2025). Epigenetics and life extension: The role of epigenetic modifications in ageing and reversing biological age through lifestyle interventions. American Journal of Biomedical Science & Research, 25(3). https://doi.org/10.34297/AJBSR.2025.25.003379
- Weeding, E., & Sawalha, A. H. (2018). Deoxyribonucleic acid methylation in systemic lupus erythematosus: implications for future clinical practice. Frontiers in Immunology, 9, 875. https://doi.org/10.3389/fimmu.2018.00875
- Wei, Z., Li, H., Lv, S., & Yang, J. (2024). Current situation and trend of non-coding RNA in rheumatoid arthritis: A review and bibliometric analysis. Frontiers in Immunology, 14, Article 1301545. https://doi.org/10.3389/fimmu.2023.1301545
- Xu, Y., Wang, Y., Jiang, Y., Liu, M., Zhong, W., Ge, Z., Sun, Z., & Shen, X. (2023). Relationship between cognitive dysfunction and the promoter methylation of PER1 and CRY1 in patients with cerebral small vessel disease. Frontiers in Aging Neuroscience, 15, 1174541. https://doi.org/10.3389/fnagi.2023.1174541
- Xu, Y., Yang, S., & Cao, C. (2025). Glucocorticoid receptor gene (NR3C1) methylation, childhood maltreatment, multilevel reward responsiveness and depressive and anxiety symptoms: A neuroimaging epigenetic study. NeuroImage, 306, 121003. https://doi.org/10.1016/j.neuroimage.2025.121003
- Yang, Q., Hu, Y., Zhang, B., & Hong, W. (2025). Exercise-induced epigenetic modifications: Implications for healthy aging. International Journal of Sports Medicine. https://doi.org/10.1055/a-2702-4789
- Yang, X., Zhang, Y., Wang, X., Chen, S., Zheng, Y., Hou, X., Wang, S., Zheng, X., Li, Q., Sun, Y., & Wu, J. (2024). Exercise-mediated epigenetic modifications in cardiovascular diseases. Epigenomics, 17(3), 179–191. https://doi.org/10.1080/17501911.2024.2447811
- Ye, X., Ho, Y., & Chang, R. C. (2025). Re-examination of inflammation in major depressive disorder: Bridging systemic and neuroinflammatory insights. Biomolecules, 15(11), 1556. https://doi.org/10.3390/biom15111556
- Yu, X., Zecharia, A., Zhang, Z., Yang, Q., Yustos, R., Jager, P., Vyssotski, A. L., Maywood, E. S., Chesham, J. E., Ma, Y., Brickley, S. G., Hastings, M. H., Franks, N. P., & Wisden, W. (2014). Circadian factor BMAL1 in histaminergic neurons regulates sleep architecture. Current Biology, 24(23), 2838–2844. https://doi.org/10.1016/j.cub.2014.10.019
- Zannas, A. S. (2019). Epigenetics as a key link between psychosocial stress and aging: Concepts, evidence, mechanisms. Dialogues in Clinical Neuroscience, 21(4), 389–396. https://doi.org/10.31887/DCNS.2019.21.4/azannas
- Zannas, A. (2021). Naturalistic Stress Hormone Levels Drive Cumulative Epigenomic Changes along the Cellular Lifespan. International Journal of Molecular Sciences, 22(16), 8778. https://doi.org/10.3390/ijms22168778
- Zeisberg, E. M., & Zeisberg, M. (2012). The role of promoter hypermethylation in fibroblast activation and fibrogenesis. The Journal of Pathology, 229(2), 264–273. https://doi.org/10.1002/path.4120
- Zhao, Z., Chen, Q., Qiao, X., Wang, J., Ali, Z. T. A., Li, J., & Yin, L. (2025). Sulforaphane in cancer precision medicine: from biosynthetic origins to multiscale mechanisms and clinical translation. Frontiers in Immunology, 16, 1702860. https://doi.org/10.3389/fimmu.2025.1702860
- Zheng, X., Liu, X., Guo, Y., Lv, Y., Lin, C., Wang, D., Wang, S., Liu, Y., & Hu, X. (2025). Physical exercise and epigenetic modifications in skeletal muscle, brain, and heart. Epigenetics & Chromatin, 18(1), 12. https://doi.org/10.1186/s13072-025-00576-8
- Zhou, A., & Ryan, J. (2023). Biological embedding of Early-Life adversity and a scoping review of the evidence for intergenerational epigenetic transmission of stress and trauma in humans. Genes, 14(8), 1639. https://doi.org/10.3390/genes14081639