Curriculum
Module 09 · 70 min
Gene Expression & Chromatin
From nucleosomes to enhancers: how cells choose which genes to read.
CoreClinicalResearch
Topics
What this module covers
- 01Nucleosomes, histone variants, histone modifications (Me, Ac, Ph, Ub)
- 02DNA methylation: 5mC, 5hmC, imprinting, X-inactivation
- 03Transcription factors, enhancers, super-enhancers, 3D genome (TADs)
- 04RNA Pol II promoter-proximal pausing and release
- 05Epigenetic memory and reprogramming (Yamanaka factors)
- 06Cancer epigenetics: IDH, EZH2, DNMT3A, KMT2A
Deep dives
Lesson sub-pages
Learning objectives
By the end of this module you will be able to
- L01Explain how histone-mark patterns predict transcriptional state.
- L02Connect a specific epigenetic mutation to a specific cancer or developmental syndrome.
- L03Distinguish driver vs passenger epigenetic alterations.
Expected takeaways
What you should walk away believing
- →Most disease-associated GWAS hits sit in non-coding enhancer regions, not in protein-coding sequence.
- →Epigenetic therapies (DNMTi, HDACi, EZH2i) are now standard in selected hematologic malignancies.
- →Pioneer transcription factors open chromatin — they are the entry points for cell-fate change.
Core summary
At the Core level
DNA is wrapped on histone octamers; modifications on histones and on DNA itself act as a regulatory code that recruits readers, writers, and erasers. Together they decide which genes a cell expresses now and remember next week. Three-dimensional folding into topologically associating domains determines which enhancers contact which promoters.
Myth vs reality
Common misconception
Claim
Lifestyle changes 'reprogram your epigenome'.
Reality
Diet and exercise alter some methylation marks, but claims of broad reprogramming are usually overstated; few clinical phenotypes are convincingly mediated by intentional epigenetic modulation outside oncology.
Evidence-graded claims
Claims, scored A–F
A
H3K4me3 marks active promoters
Established by genome-wide profiling.
B
Most non-coding GWAS variants act through gene-regulatory elements
Strongly supported by chromatin/eQTL colocalisation.
D
Phase separation alone explains transcription-factor function
Important emerging concept; specificity vs generality is debated.
Quiz
Check your understanding
Q1. IDH1/2 mutations produce:
Q2. Yamanaka reprogramming factors:
Flashcards
Lock it in
1 / 3
Front
Active vs repressed promoter marks?
Click to flip
Suggested reading
Primary literature
- The 4D nucleome project — Dekker et al., Nature 2017 ↗
- Cancer epigenetics: from mechanism to therapy — Dawson & Kouzarides, Cell 2012 ↗