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For this study, researchers exposed lung cells to a quantity of cigarette smoke equal to someone smoking one or two packs a day. They found a 2-4 times higher than normal level of an enzyme that suppresses or damages gene expression after three months - and if the genes with suppressed expression were genes that prevented cancer, the consequences could be catastrophic. Surely enough, within the first year to 15 months, researchers found that some of the hundreds of suppressed genes were anti-cancer genes. However, if you do quit smoking, your risk of heart disease halves after one year, among other life-extending benefits.
How powerful are external, modifiable factors on our genes? Well, research has found that even the smallest diet changes are able to change gene expression. In this case, the genes affected by these changes affect circadian rhythm; a well-balanced circadian rhythm helps to guard against inflammation, cardiovascular issues and diabetes. Perhaps it is controversial, but even the genetic disorder Huntington's Disease may be at least somewhat controllable by natural epigenetic means. Oxidative stress plays a large role in disease progression, and the resulting loss of glutathione causes a shortage of the amino acid methionine, which is required for the methylation function that suppresses the abnormal gene. Genes are not destiny, and we are only just discovering how much this is the case.