The methylation of DNA helps stabilize chromatin in an inactive configurati
on and inhibits gene transcription. This mechanism of gene regulation is in
volved in essential genetic events including differentiation, genomic impri
nting, and X chromosome inactivation. The alteration of methylation pattern
s can result in abnormal gene expression, with significant pathologic effec
ts including carcinogenesis, autoimmunity, and some of the changes in gene
expression associated with aging. The mechanisms establishing, maintaining,
and modifying methylation patterns in normal and pathologic states are onl
y now becoming understood, as are the mechanisms relating DNA methylation t
o gene expression and chromosome inactivation. Further characterization of
these mechanisms holds promise for delaying or preventing the changes in me
thylation patterns that contribute to cancer, autoimmunity and aging.