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. 2023 Oct 28;15(10):e47875. doi: 10.7759/cureus.47875

Table 1. Target genes, epigenetic modifications and functional outcomes.

POMC=pro-opiomelanocortin; NPY=neuropeptide Y; ADRB3=Beta-3 adenoreceptor; H3K9=histone-3 lysine-9; ILGF2=insulin-like growth factor2; SLC6A4=solute carrier family serotonin transporter6A4; HIF3A=hypoxia-inducible factor3A; TNF=tumor necrosis factor; H3K18=histone-3 lysine-18; MC4R=melanocortin-4 receptor; T3-TRb=triiodothyronine-thyroid receptor-b; TRE=thyroid receptor binding element; H3K27=histone-3 lysine-27; HOXA3=homeobox A3; ACAD10=acyl-CoA dehydrogenase-10; lncRNA=long noncoding RNA; NEAT1=nuclear paraspeckle assembly transcript-1; mIR-140=micro RNA-140; lncRNA betalinc1=beta long intergenic noncoding RNA1; RIOT=regulator of insulin transcription; PPAR-gamma=peroxisome proliferator activated receptor-gamma; LPL=lipoportein lipase; G3PDH=glyceraldehyde 3-phosphate dehydrogenase; PGC1α=PPAR-gamma coactivator 1-alpha; SLC6A3=solute carrier family-3; PENK=pre-proenkephalin; MAPK4=mitogen activated protein kinase-4; NRF1=nuclear respiratory factor-1; FASN=fatty acid synthase

Target gene Epigenetic modification Functional outcomes
POMC Hypermethylated Inhibits satiety
Decreased acetylation of H3K9 related to POMC Increased food intake
NPY Hypomethylated Increases hunger and food intake
Increased acetylation of H3K9 related to NPY
ADRB3 Reduced activity of ADRB3 Abnormal lipolysis, increased lipid storage, and obesity.
ILGF2 Hypomethylation of ILGF2 Increased BMI
SLC6A4 Increased methylation of the SLC6A4 promotor region Obesity
HIF3A Increased methylation Obesity associated with breathing disorders
TNF Increased histone acetylation at H3K9 and H3K18 leads to increased TNF expression Mediates insulin resistance
MC4R Increased association of T3-TRb complexes with TREs at H3K27 in the MC4R promoter region reduces the MC4R expression and leads to reduced MSH activity Overeating
HOXA3 and ACAD10 Two lncRNAs, AK133540 and AK142386 modulate the interactions of transcription factors with their target genes Lipogenesis
NEAT1 or miR-140 miR-140 upregulates the expression of NEAT1 Adipogenesis
lncRNA betalinc1 Regulates transcription factors associated with pancreatic islet cells Alters glucose metabolism leading to obesity
RIOT Nkx6.1 Downregulation of RIOT results in increased methylation of the promoter region of Nkx6.1, a transcription factor crucial for the differentiation, development, and function of pancreatic beta cells Obesity-induced diabetes
PPAR-gamma Increased DNA methylation of the transcription factor PPAR-gamma Dysregulated lipid metabolism, insulin resistance, and obesity
PPAR-gamma activation is associated with increased expression of fetal LPL and G3PDH Activation of adipogenesis and lipogenesis influencing the development of subcutaneous fat
PGC1α interacts with transcription factors to enhance the transcription of PPAR-gamma Dysregulates lipid and glucose metabolism
SLC6A3 Hypermethylation of the SLC6A3 gene decreases the SLC6A3 membrane protein, causing prolonged dopamine activity Overeating even when aware of the negative consequences
PENK Hypomethylation of the PENK promoter corresponding to increased proenkephalin Causing overeating in offspring
MAPK4 Hypomethylation of MAPK4 gene Increased body weight, hyperglycemia, and insulin resistance in offspring
NRF1 Decreased DNA methylation of the NRF1 gene, a transcription factor Affects various metabolic genes
FASN Increased methylation of the FASN gene Reduces circulating lipids and the improves metabolic function