New Trend of Biomarkers: Epigenetic Biomarkers

All macromolecular structures are determined by nucleotide sequences in the genome. However, there is another mechanism that determines gene expression and can be transferred from cell to cell. These changes are often called epigenetic. During the generation of this code, DNA sequence is not changed in any way. The most common epigenetic changes are methylation and acetylation of histone proteins and DNA methylation. Methylation changes are a process that can be seen from mammals to bacterial microorganisms, Methylation changes are a process that can be seen from mammals to bacterial microorganisms, developed by an organism as an adaptation method to environmental or intrinsic effects, or used to close genomic regions that are no longer needed in the evolutionary process. It has been shown with scientific studies that these methylated regions can be identified and it is now known that only transcription factors do not control the expression of genes and contribute to epigenetic changes.


Introduction
All macromolecular structures are determined by nucleotide sequences in the genome. However, there is another mechanism that determines gene expression and can be transferred from cell to cell. These changes are often called epigenetic. During the generation of this code, DNA sequence is not changed in any way. The most common epigenetic changes are methylation and acetylation of histone proteins and DNA methylation. Methylation changes are a process that can be seen from mammals to bacterial microorganisms, Methylation changes are a process that can be seen from mammals to bacterial microorganisms, developed by an organism as an adaptation method to environmental or intrinsic effects, or used to close genomic regions that are no longer needed in the evolutionary process. It has been shown with scientific studies that these methylated regions can be identified and it is now known that only transcription factors do not control the expression of genes and contribute to epigenetic changes.
DNA methylation is the most commonly studied and best understood of all the epigenetic mechanisms. It occurs the conversion of cytosines to 5'-methylcytosine through an enzymatic change.
Cytosine methylation in the mammalian genome usually occurs in 5'-CG-3 'binary nucleotides, also called CpG binary nucleotides [1]. Methylation is performed by DNA methyltransferases (DNMT) and DNMT family has four members called as DNMT1, DNMT2, DNMT3A, and DNMT3B. These enzymes are divided into two groups, which protect the methylated region and add new methyl groups. 70% of all CpG binary nucleotides of the human genome are methylated [2]. The remains are CpG-rich promoter region or regions located in the first exons of the genes, about 200 base pairs in size. These regions are also called CpG islets and are found in 60% of all genes [3]. CpG methylation is programmed in the early embryonic period and is maintained in later periods. Since it is effective in regulating gene expression, CpG methylation is of great importance in performing normal cell functions. DNA methylation plays an important role in the regulation of expression of age-specific or tissue-specific genes by silencing the genes on the inactive X chromosome [4]. In addition, it is thought to be useful in developing new strategies against aging by calculating the changes in total DNA methylation with various algorithms [5]. It is now known that histone acetylation-deacetylation plays a certain role

ARTICLE INFO Abstract
All phenotype features of living things have a system called epigenetic mechanism that contributes to how the genes in living things' DNA should work, form phenotypes, adapt to different environments, how processes work from embryos to adolescents, aging and cancers. As studies about what this system is and how it works, it continues to increase in research on its potential applications. Histone acetylation-methylation and DNA methylation especially studies are becoming more popular and new fields of study and application areas are emerging. Studies in the field of epigenetics especially contribute to aging and cancer and to diseases that develop with aging. Increasing human exposure to toxic pollutants and carcinogens as a driving force epigenetic system to respond to such environmental stimuli; some of them can adapt to the microenvironment of the cell on a cellular basis while affecting the survival of the organism. As all of these have become well understood in recent years, it has led us to consider the possibilities of using epigenetic systems in our benefits. Here, we aimed to briefly discuss how such changes can be used in favor of mankind.
in diseases such as Chronic Obstructive Pulmonary Disease (COPD) and especially cancer. There are also studies that imbalances in acetylation-deacetylation may alter the transcription profile of inflammatory cytokine genes and facilitate COPD development in smokers [6]. In recent years, histone acetyltransferase is thought to play a role in diseases such as cancer, asthma and COPD [7,8].
Another example is marker researches in colorectal cancers. SPG20 / ITGA4 / ALX4 gene promoter hypermethylation may help diagnose colorectal cancer without the need for colonoscopy [9]. Doctors with blood samples can diagnose the disease. HRAS, CCND2, and SERPINB5 genes activated by hypomethylation in gastric cancers, CA9 in renal cancers and PAX2 in endometrial cancers are now considered as biomarkers [10][11][12].

Current Approaches to Epigenetic Therapy
In light of all this information, after the emergence of the In addition, epigenetic markers gain importance in monitoring the response to treatments. Treatment is effective in whether DNMT inhibitor treatment is another approach to monitoring genome-wide DNA methylations or not [14]. Therefore, the clinical importance of epigenetic changes in cancer development is increasing and monitoring of the efficacy of cancer treatments is of great importance with appropriate epigenetic markers. Estimation of epigenetic changes in new cancer cells during tumorigenesis may target more specific molecules against these and may provide more effective cancer treatments. As a result, the applicability of such treatments also depends on the ability of respective material to be delivered to the cell and its microenvironment, and material science is involved. There should be adequate studies in this field so that new treatments specific to the cell and person can be applied In spite of all the knowledge in epigenetic, the development of the above-mentioned epigenetic target therapies in parallel to the science of materials is particularly important for the production of fragment molecules in order to be applied appropriately in living systems. Although our general knowledge increases day by day about epigenetic mechanisms which their applicability must be specific to the individual so that the efficacy of the treatments is appropriate for the disease. Although it is not far to think that epigenetic-based therapies and biomarkers will take place in the near future as well as usual treatments and it gives hope for both patients and specialists.