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Schematic representation of DNA methylation patterning: The establishment of new DNA methylation patterns during development is regulated by the activity of de novo DNA methyltransferases, while activity of maintenance DNA methyltransferases serves to perpetuate these patterns during successive rounds of cell division. DNA methylation marks can be reversed through active or passive demethylation. Active demethylation involves the successive enzymatic oxidation of 5-methylcytosine (5mC) to 5-hydroxymethylcytosine (5hmC),5-formylcytosine (5fC), and 5-carboxylcytosine (5caC) by TET (Ten-eleven translocation) dioxygenases, followed by thymine DNA glycosylase (TDG) dependent removal of 5fC and 5caC, coupled with base-excision repair to a cytosine (C). A hemi-methylated 5hmC is not recognized by the maintenance DNA methyltransferases and can get diluted and lost during replication, thus contributing to passive demethylation. Disruption of maintenance methyltransferase activity can similarly result in replication dependent dilution of DNA methylation.

Schematic representation of DNA methylation patterning: The establishment of new DNA methylation patterns during development is regulated by the activity of de novo DNA methyltransferases, while activity of maintenance DNA methyltransferases serves to perpetuate these patterns during successive rounds of cell division. DNA methylation marks can be reversed through active or passive demethylation. Active demethylation involves the successive enzymatic oxidation of 5-methylcytosine (5mC) to 5-hydroxymethylcytosine (5hmC),5-formylcytosine (5fC), and 5-carboxylcytosine (5caC) by TET (Ten-eleven translocation) dioxygenases, followed by thymine DNA glycosylase (TDG) dependent removal of 5fC and 5caC, coupled with base-excision repair to a cytosine (C). A hemi-methylated 5hmC is not recognized by the maintenance DNA methyltransferases and can get diluted and lost during replication, thus contributing to passive demethylation. Disruption of maintenance methyltransferase activity can similarly result in replication dependent dilution of DNA methylation.

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Pancreatic beta cells play a central role in regulating glucose homeostasis by secreting the hormone insulin. Failure of beta cells due to reduced function and mass and the resulting insulin insufficiency can drive the dysregulation of glycemic control, causing diabetes. Epigenetic regulation by DNA methylation is central to shaping the gene expres...

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... The HLA genes, as well as the other immuneregulating genes and molecules discussed earlier, are among these genes. Abnormal DNA methylation of genes involved in beta cell development, maturation, and differentiation as well as insulin synthesis can also predispose to T1DM (42). ...
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