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The Epigenetics Revolution: How Modern Biology Is Rewriting Our Understanding of Genetics, Disease, and Inheritance Hardcover – Illustrated, March 6, 2012
| Nessa Carey (Author) Find all the books, read about the author, and more. See search results for this author |
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Nessa Carey, a leading epigenetics researcher, connects the field's arguments to such diverse phenomena as how ants and queen bees control their colonies; why tortoiseshell cats are always female; why some plants need cold weather before they can flower; and how our bodies age and develop disease. Reaching beyond biology, epigenetics now informs work on drug addiction, the long-term effects of famine, and the physical and psychological consequences of childhood trauma. Carey concludes with a discussion of the future directions for this research and its ability to improve human health and well-being.
- Print length352 pages
- LanguageEnglish
- PublisherColumbia University Press
- Publication dateMarch 6, 2012
- Dimensions6.3 x 1.1 x 9.1 inches
- ISBN-100231161166
- ISBN-13978-0231161169
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Editorial Reviews
Review
Nessa Carey takes us on a lively and up-to-date tour of what's known about epigenetic mechanisms and their implications for ageing and cancer. -- Laurence Hurst, University of Bath ― Focus Magazine
[Nessa Carey's] book combines an easy style with a textbook's thoroughness.... A bold attempt to bring epigenetics to a wide audience. -- Jonathan Weitzman ― Nature
Carey's report on the rapidly developing state of epigenetics research may help nonscientists with public-policy, investment, and health-care decisions. ― Booklist
An exhilarating exploration of an exciting new field, and a good gift for a bright biologystudent looking for a career choice. ― Kirkus Reviews
An enlightening introduction to what scientists have learned in the past decade about [epigenetics]. -- Carl Zimmer ― The Wall Street Journal
This book provides an excellent introduction to a fascinating new field that may revolutionize our understanding of human health and disease. Highly recommended. ― Library Journal
A must-read for every intelligent person who likes to know what is going on in modern science. -- Graham Storrs ― New York Journal of Books
[Carey] provides an excellent and largely accurate account of a fascinating and fast-moving area of modern biology. -- Jonathan Hodgkin ― Times Literary Supplement
Written in an engaging manner using everyday metaphors to clarify complex concepts and utilizing well–defined diagrams, the author has produced an outstanding book with her wit and expertise. -- Rita Hoots ― NSTA Recommends (National Science Teachers Association)
[A] mercifully clear writer. -- Katharine Whittemore ― The Boston Globe
About the Author
Product details
- Publisher : Columbia University Press; Illustrated edition (March 6, 2012)
- Language : English
- Hardcover : 352 pages
- ISBN-10 : 0231161166
- ISBN-13 : 978-0231161169
- Item Weight : 1.3 pounds
- Dimensions : 6.3 x 1.1 x 9.1 inches
- Best Sellers Rank: #382,472 in Books (See Top 100 in Books)
- #72 in Cell Biology (Books)
- #81 in Molecular Biology (Books)
- #253 in Genetics (Books)
- Customer Reviews:
About the authors

Discover more of the author’s books, see similar authors, read author blogs and more

Here's the official version...
Nessa Carey has a virology PhD from the University of Edinburgh and is a former Senior Lecturer in Molecular Biology at Imperial College, London. She has worked in the biotech and pharmaceutical industry for ten years. She lives in Bedfordshire and this is her first book.
And what else?
After leaving school I went to the University of Edinburgh to become a vet. This didn't last because I was allergic to fur, unable to think in 3D (not good for anatomy), quite bored and really rubbish at the course. So I dropped out and at Catford Job Centre, in amongst the ads for short order chefs (I couldn't cook) and van drivers (I couldn't drive), was one for a forensic scientist. And oddly enough I had always wanted to work at this end of crime - I must have been the only kid in the UK who had read a biography of Bernard Spilsbury by the age of 11.
So for five years I worked at the Metropolitan Police Forensic Science Lab in London and studied part-time. I then realised that I loved academic science and went off to do a PhD. At the University of Edinburgh. In the veterinary faculty.
After that, it was the academic route of post-doc, Lecturer and Senior Lecturer. But I had a tendency to wander off on routes that intrigued me - degree in Immunology, PhD in Virology, post-doc in Human Genetics, academic position in Molecular Biology. Such wandering isn't necessarily the best idea in academia but the breadth of experience is really valued in industry. I've spent 10 years in biotech and have recently moved to the pharmaceutical sector.
And outside of work? I love birdwatching (no, I don't have a life-list), cycling, scavenging stuff from skips, and growing vegetables. I have a fantasy about one day having a smallholding (where I will starve to death if I really have to be self-sufficient) and I can't wait to write my next book. And I can now cook. And drive.
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The word, “epigenetics” refers to all those ways in which influences are imposed on the genetic codes in DNA in our cells. Unfortunately, as Nessa Carey reminds us on page, 101, the word has been used in many different ways, and therefore a book on epigenetics ends up resembling a book called, “Many Topics About Genetics and Biology.” One of the strong points of this book is the author’s determination to provide the reader with a text that is thorough and up-to-date, and one of the problems with this book is the shotgun, or smorgasbord effect of trying to cover many topics related by an abstract concept, but not necessarily very similar to each other.
This book consists of sixteen chapters, each one of which deals with a particular cellular phenomenon in which the genetics of DNA is superceded or modified by some other effect. For example, in Chapter Two, the author discusses cell differentiation, why the cells in our body all contain the same DNA but make different tissue types. In Chapter Five, the author discusses, “Why Aren’t Identical Twins Actually Identical.” She points out that identical twins, who have exactly the same DNA sequences in their chromosomes, are not necessarily concordant for genetic diseases such as schizophrenia. She reminds us that the DNA occurs in a kind of “dampening field,” something like a dimmer switch or a volume dial, which determines whether and how the DNA code gets expressed. In Chapter Six, called, “The Sins of the Fathers,” Carey describes how in some exceptional circumstances, environmental influences can be passed across the generations as if our genes could learn, the kind of thing that Lamarck promoted, and that has generally been disproven by modern genetics, but which occasionally pertains, for example the way starvation during warfare can influence subsequent multiple generations.
In Chapter Eight, “The Battle of the Sexes,” Carey takes us through the remarkably complex stages by which our father’s and our mother’s chromosomes can be coordinated when they form a single new entity. In Chapter Nine, the author discusses the complexity involved with the fact that males have only one X chromosome, while females have two X chromosomes, one of which is a duplicate that therefore needs to be shut off. The silencing of one X chromosome in every cell in every woman, and the asymmetry of chromosomes in every male (who have one X chromosome and one Y chromosome instead of a pair of chromosomes) and the possibility for errors in these mechanisms, opens a pathway to interesting speculation about important social issues, such as the biology of gender, or sexuality, issues which the author chooses to refrain from considering in this cautiously scientific book.
My favorite chapter was Chapter Ten, “The Message is not the Medium,” in which the author does an outstanding job of authoritatively dismissing the widespread, misguided idea that DNA codes for protein, and that DNA which does not code for protein is therefore “junk.” She shocks the reader with the dramatic statement that the complexity of living organisms correlates better with the percentage of the genome that does not code for protein than the percent that does. Organisms become more complex, evolving from bacteria, through mice, through humans, not by creating more proteins, but by regulating proteins with greater complexity. At a certain evolutionary point, proteins have become refined, and mutually fitted to the extent that few modifications to them can become adaptive. At this junction, most protein modifications create errors and problems; therefore, from this evolutionary point onward, for organisms to adapt and evolve, few future changes in protein structure can be made, and instead, the way in which proteins can be regulated becomes a new avenue of selection and adaptation.
Carey guides us through detailed descriptions about how the genome is regulated through various methods, such as methylation, acetylation, histone changes, and most remarkably, the way that DNA codes non-coding RNA, which in turn regulates DNA. DNA itself creates RNA molecules that act like dial-turners or button pushers, augmenting or reducing DNA expression. Only two percent of the human genome codes for the manufacture of protein. “The fact that ninety-eight percent of the human genome does not code for protein suggests that there has been a huge evolutionary investment in the development of complicated non-coding RNA-mediated regulatory processes…Complicated networks of molecules influence how, when and to what degree proteins are expressed.”
Another example of Nessa Carey’s carefully documented, stereotype-busting writing, is her emphasis that, “Cancer is not a one-off event. Cancer is a multi-step process.” She points out that women who inherit a mutated BRCA1 gene, are at high risk for breast cancer, but do not necessarily get cancer because other defects have to accumulate as well. We are reminded that cancer is not an entity, but a compounding of replication errors, environmental assaults, viral parasites in nucleic acid, and unbalanced patterns within our inbuilt flexibility systems that are intended to give varying permissions to stem cells’ full potentials. Much of our life is not driven, but poised, and its regulators are multiple.
The thing I enjoyed most about The Epigenetics Revolution was Nessa Carey’s uncompromising attitude towards the complexity, multiplicity, and unexpectedness within the mechanisms that regulate genes. What I enjoyed least about this book is the attempt to cover too many topics, some of them only tangentially related to others. This book has useful charts, illustrations, and meaningful cartoons. Another excellent feature of the author’s style is the emphasis on science as a living and personal process. The book recounts many experiments and counter-experiments and familiarizes us with the human side of scientific dialogue and argument.
This book is more interesting than pleasant, more arduous than easy, and it is not for the average reader, but I constantly felt like cheering for the excellence of Nessa Carey who is so determined to bring to our attention the wonder of genetic inventiveness within our life.
Review by Paul R. Fleischman author or Wonder: When and Why the World Appears Radiant
Is it possible that acquired characteristics can be inherited to the third, or even the fourth generation? Carey thinks so. She quotes Exodus 20:5, "For I, the Lord your God, am a jealous God, punishing the children for the sins of the fathers to the third and fourth generation of those who hate me Exodus," as a segue for chapter 6, "The Sins of the Fathers." She assures the reader that acquired characteristic can be passed on to several generations of offspring. In a narrowly defined sense, Lamarck was correct. Biology professors taught me that Lamarck was wrong, that acquired characteristics were not passed from parents to offspring, and that all inherited traits were based strictly and squarely on DNA.
Nessa Carey insists "that for some very specific situations Lamarckian inheritance is taking place, and we have a handle on the molecular mechanism behind it." (p. 110) The mechanism of epigenetics involves the methylation of DNA or histones. Methylation involves the attachment of a methyl group (-CH3) to the target molecule. There is also acetylation, phosphorylation, and other chemical modifications of DNA or histones that moderate the activity of genes.
On her website, Carey explains epigenetics this way:
"Every time we see two things which are genetically identical, but which aren't the same, we're seeing epigenetics in action. This affects huge amounts of life on earth and has a big impact on human health. The science is weird, heretical and fascinating."
You have probably heard, "You are what you eat." In the case of honeybees, this is undoubtedly true. Carey explains how queen bees become queens and how worker bees (also female) become workers. She says that a virgin queen mates with several male bees (drones) before settling down to produce a hive of new bees. The drones usually come from other hives and very seldom from the same hive as the virgin queen. Nevertheless, a hive contains thousands of genetically identical bees. (p. 283) Of course, there are thousands of others that are genetically different from the group that is identical. Nevertheless, how does a larval bee become a queen rather than a worker?
Dr. Carey explains that young worker bees (nurse bees) feed all honeybee larvae royal jelly for the first three days after hatching. After that time, nurse bees feed royal jelly to only the larvae that are to become queens. She says that no one understands why the nurse bees continue to feed royal jelly to only a few of the larvae. Who decides which larvae should become queens? Maybe there is some genetic or epigenetic tag that clues the worker bees. Carey doesn't suggest this.The pattern of early feeding completely deter¬mines whether a larva will develop into a worker or into a queen.
This scenario "just SHRIEKS epigenetics," remarks Carey [emphasis added].
I thought her discussion about rat babies who received much maternal care vs. the babies of mother rats who were lackadaisical at licking and grooming was very interesting. The well-nurtured babies became well-adjusted, calmer adults, while the less-nurtured babies became stressed-out adults. Carey describes several experiments that rule out purely genetic and psychological outcomes of maternal care. One might suppose that giving a juvenile rat a nurturing environment might improve the laid-back response to stress, but Carey leaves no doubt that good nurturing during the first week of a rat's life causes epigenetic changes. She said that "being licked and groomed by the mother set off a chain of events that led to epigenetic changes in the cortisol receptor gene." (p. 241)
She explains how experimenters determined this. For instance, baby rats that had nurturing mothers were switched to lackadaisical mothers after the first week of life. These babies still displayed the calmer, laid-back traits when subjected to stress as adults. Babies of lackadaisical mothers were switched to nurturing mothers, and they became stressed-out adults.
Dr. Carey examined the relationship between various diseases and epigenetic events. Is it possible that cancers could be cured if the right promoter regions of genes were methylated or demethylated? She explains that trying to prevent cancer via epigenetic modification could create worse problems for the patient. Even using epigenetics to promote longevity might actually cause cancer and early death.
The relationships in genetics and epigenetics are finely tuned, and as a creationist, I see the interdependent relationships as indicators of God's handiwork. Carey sees the same things as products of a long process of evolution.
Carey, like most evolutionists, believes that evolution produced the epigenetic systems. Presumably, because her book is about epigenetics and not evolution, she doesn't back up her occasional claims that epigenomes evolved. On the other hand, Thomas Woodward and James Gills claim the epigenome was designed in their book The Mysterious Epigenome: What Lies Beyond DNA.
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Again, later in the book, it is suggested that the permanence of methylation makes it the ideal candidate as the cause of PTSD (post traumatic stress disorder). Only after this idea has been developed in detail is it stated that memory may also be epigenetically determined. Memory, of course, is a far bigger subject than PTSD, and a very complicated one in which the growth of both new connections and new synapses (and possibly glial cells) has long been recognised as a perfectly good explanation of how neurons build and strengthen association. These processes may indeed be under control of epigenetics, but epigenetics isn't necessary for an explanation - again transcription factor cascades, or just the fact that synapses remain once they have been induced to form by neural firing are sufficient. PTSD undoubtedly arises out of memory; and especially emotional memory which appears to get separated from other memories, but memory is a much more complex process than can just be put down to epigenetics. I'm not saying that epigenetics isn't important - I think it's hugely important; just that Carey tends to jump to conclusions in a less than thorough way.
There is much mention of 'mental illness' in the book, again with methylation implicated especially in the 'diseases' of PTSD and 'depression'. While the author does a great, and much needed job of explaining how paradigm shifts can take a long time in science because of inertia in the system which resists the overthrow of established ideas, she is clearly unaware of the paradigm shift that has long been underway in the field of so called 'mental illness', especially in the UK, where DSM (the Diagnostic Statistical Manual) has long been viewed with disdain by many psychiatrists, clinical psychogist, and therapists. I suspect that the author's involvement in the pharmaceuticals field has blinded her to this. Many experts, such as Professor Richard Bental ('Doctoring the Minds' and 'Madness Explained') regard depression and even schizophrenia as understandable consequences of pressure from society and family (see also R D Laing's 'Politics of the Family' etc and Bateson's double bind hypothesis). Carey's search for a simple 'cause', though valid to some degree, is much too crude, and ignores so many complex factors. Her quoting of identical twin studies (too often glibly trotted out in general) needs to be questioned. Even twins who grow up together don't share the same experiences - one might have been traumatised, chastised, or otherwise changed in a fleeting moment while the other was absent - this is what creates differing personalities, and it does so through memory, the functioning of the mind, and even psychosomatic effects. All of these are down to neural networks, and we don't understand the functioning of neural networks yet, even at a quite basic level. It's jumping to conclusions to think that epigenetics is suddenly the key to 'mental illness'. An interesting fact about PTSD which caught my attention years ago, is that the commonly prescribed beta-blocker, propranolol, has been found to prevent PTSD if given to soldiers prior to battle. It is also said to 'kill conscience', and there is considerable evidence from research that emotional memories are erased and then put back when we remember events, and that re-living traumatic events while taking propranolol can block that 'putting back'. This poses serious questions for the role of methylation - how is the methylation in neurons involved in emotional memories undone every time we remember something; and if memories are constantly erased and put back, even those causing PTSD, doesn't that rather conflict with the argument that the permanence of methylation is the key? And does propranolol in fact affect methylation or some process around it (a topic for research)?
As I said, I'm not the average reader, having been passionately involved in these subjects for thirty or more years, and I know just how mind-bogglingly complicated they are becoming. All the more credit to Nessa Carey for tackling them in a book now, because studying papers is exhausting and takes time, even when you have access to them, and we need books that try to summarise, and access to other's ideas, if what E O Wilson calls 'consilience' across science disciplines is to be achieved. A great book, and I look forward to reading the next one on 'Junk' DNA when it comes out.
And yet – Identical (Zygotic) Twins, over their life-cycle, can turn out different in many ways. Why?
Our cell life is a lot more complex than just the template of our D.N.A; there are other factors playing on the top of this genetic code, switching certain options “off” and “on”. Welcome to the world Epigenetics.
As someone who had heard of this term being banded around in science articles and TV shows, I wanted to learn a little bit more – after all, when I did Biology at School (in the mid 1990’s) this stuff certainly wasn’t mentioned on the public radar.
Nessa Carey has written an excellent book helping “numpties” like myself grasp hold of this new and exiting field in biology. It’s not a book that is shy of using biological terminology, and it involved me grappling with imagery that I had never even imagined before; but that’s the exciting thing about science! As well as providing you with the knowledge of why your male tortoiseshell cat will be infertile, this book will give you a greater appreciation of the complexity of life at a cellular level.
When the human genome project finished sequencing human DNA at the beginning of the century it seemed as though we had the fundamental material on which to ground our genetic understanding. But only 2% of the DNA is responsible for making the building blocks of the embryo. Is the rest of the DNA really junk or are there other things going on?
If identical twins have identical genetic make up and genes are the only factor affecting development, how can the twins develop differently as they get older?
If genes are immutable how can environmental changes have long term biological consequences? Audrey Hepburn's mother was pregnant in Holland during the great Dutch famine of 1944-45. Audrey Hepburn was affected throughout life by stunted growth and poor health. But more than that, not only did offspring of mothers starved in early pregnancy suffer from a tendency to obesity as they inherited the compensation mechanism for starvation, but so did the grandchildren. Clearly an environmental change with biological consequences can be passed on down the generations.
Epigenetics holds the answer. Whenever two genetically identical individuals are non-identical in some way - this is epigenetics. When a change in environment has biological consequences that last long after the event itself we are seeing an epigenetic effect in action. Cells read the genetic code in DNA more like a script that needs interpretation. Epigenetics controls the switching on an off of genes as it interpretes the script.
Nessa Carey delves deep into the mechanism. At fertilisation the zygote is a single cell resulting from the fusion of one egg and one sperm. As various cells of the body begin to differentiate each cell becomes specialised. Once it is specialised you cannot easily unspecialise it. However Nessa Carey vividly tells the story of how Professor Yamanaka did just that. He developed a technique to switch off genes. Incidentally she also vividly describes the intense competition between research scientists and often vicious attacks on each other.
Epigenetics depends upon the ability for genes to be switched on and switched off. Nessa describes in great detail how methylation of DNA and histone action causes genes to be switched on or switched off. It is mesmerising to learn about the science even if I cannot remember it!
The excitement involved in the potential of gene therapy and the development of epigenetic drugs to treat cancer is infectious. Epigenetics may be controversial in the scientific community. It makes for a very stimulating if heavy book.
I picked it up because I wanted to know just what DNA methylation was and I came away learning that and much more.
It needs to be read in chronological order because subsequent chapters build on previous explanations. I came with a basic knowledge of genetics which was sufficient for understanding. The basics are given as well, but don't detract from the more detailed scientific content. I would say it is suitable for anybody with GCSE biology behind them, but imagine most readers will be educated to A level or beyond. If you have a degree in genetic science this will be too simple for you.
I can say that I have not enjoyed a non-fiction book so much in a long time. Definitely recommended.









