Evidence map›Paper›PMID 41153345›Full record

SynthesisGenes2025

Drug-Induced Epigenetic Alterations: A Set of Forensic Toxicological Fingerprints?-A Systematic Review.

Simone Grassi, Andrea Costantino, Alexandra Dimitrova, Emma Beatrice Croce, Francesca Iasi, Alessandra Puggioni, Francesco De Micco, Fabio Vaiano

Abstract readSystematic Review
In one paragraph

Synthesis in Genes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Simone GrassiFT-LAB Forensic Toxicology Laboratory, Department of Health Science, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-2420-6658
Andrea CostantinoForensic Medical Sciences, Department of Health Science, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-3377-7997
Alexandra DimitrovaFT-LAB Forensic Toxicology Laboratory, Department of Health Science, University of Florence, 50121 Florence, Italy.ORCID 0009-0001-4166-8010
Emma Beatrice CroceFT-LAB Forensic Toxicology Laboratory, Department of Health Science, University of Florence, 50121 Florence, Italy.
Francesca IasiForensic Medical Sciences, Department of Health Science, University of Florence, 50121 Florence, Italy.ORCID 0009-0005-2983-0846
Alessandra PuggioniLegal Medicine, Department of Prevention, ULSS 6 Euganea, 35131 Padua, Italy.
Francesco De MiccoResearch Unit of Bioethics and Humanities, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.ORCID 0000-0001-8483-3787
Fabio VaianoFT-LAB Forensic Toxicology Laboratory, Department of Health Science, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-9256-4326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEpigenetics refers to heritable modifications in gene expression that do not involve changes to the DNA sequence. Among these, DNA methylation, histone modifications, and non-coding RNAs play a key role in regulating gene activity and are influenced by environmental factors, including exposure to psychoactive substances. In recent years, it has been hypothesized that such alterations may serve as molecular markers with forensic relevance. This systematic review aims to evaluate whether current evidence supports the use of drug-induced epigenetic changes as potential toxicological fingerprints in human subjects.

methodsA systematic literature search was conducted following PRISMA guidelines, including articles published on PubMed between 1 January, 2010, and 31 December, 2025. Only studies conducted on human samples and published in English were considered; animal studies and articles lacking epigenetic data were excluded.

resultsForty-two studies met the inclusion criteria. The most commonly investigated substances (alcohol, cocaine, methamphetamine, cannabis, and opioids) were found to induce specific and, in some cases, persistent epigenetic changes. These include alterations in CpG methylation in promoter regions, variations in miRNA expression, and modulation of epigenetic enzymes. Such changes were observed in brain tissue, blood cells, and semen, with evidence of persistence even after drug cessation.

conclusionsCurrent evidence confirms that psychoactive substance use is associated with specific epigenetic modifications. However, forensic application remains limited due to confounding factors such as age, co-exposures, and post-mortem interval. Further standardized research is necessary to validate their use as forensic biomarkers.

Indexed as

Epigenesis, GeneticForensic ToxicologySubstance-Related DisordersDNA MethylationHumansMicroRNAsMicroRNAsbiomarkersDNA methylationdrug abuseepigeneticsforensic toxicologyhistone modificationmiRNApsychoactive substances

Identifiers

PMID41153345
PMCPMC12562753

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.