If ageing is corrupted epigenetic information, the therapeutic logic is to rewrite it — and unlike the genome, the epigenome is designed to be written. Three approaches follow, and the rest of Part III elaborates them. The most radical is epigenetic reprogramming, the controlled, pulsed application of identity factors to restore youthful patterns of expression, whose central problem is one of dosage and control (Section 8.2) and whose mechanism is precisely the reset this chapter has described. More conventional are the epigenetic drugs — inhibitors of the methyltransferases and histone deacetylases that already exist, largely from oncology, as agents for redirecting a cell’s expression programme (Marei, 2025). And on the horizon is targeted epigenetic editing, which would rewrite specific marks at specific loci rather than resetting the cell wholesale. All three rest on the same foundation laid here: that the layer ageing corrupts is the one layer cells were built to revise.
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