“…Numerous recent studies have highlighted the critical role for DNA hydroxymethylation in the context of environmental exposures and disease. − DNA hydroxymethylation entails the oxidative conversion of 5-methylcytosine to 5-hydroxymethylcytosine by TET dioxygenases. , While 5-hydroxymethylcytosine is an intermediate in the process of active DNA demethylation, it is also now considered to be a stable epigenetic modification and is associated with regulation of gene expression and alternative splicing. − TET dioxygenases convert 5-methylcytosine to 5-hydroxymethylcytosine using iron (Fe II), α-ketoglutarate, and vitamin C as cofactors, and can also catalyze the further oxidation of 5-hydroxymethylcytosine to 5-formylcytosine and 5-carboxylcytosine. , Like 5-hydroxymethylcytosine, 5-formylcytosine and 5-carboxylcytosine are intermediates in the process of demethylation of DNA through both replication-dependent dilution as well as pathways involving DNA repair enzymes such as thymine DNA glycosylase. , Three TET dioxygenases, TET1, TET2, and TET3 have been identified and each show distinct expression patterns during normal development and in differentiated tissues. , TETs are most highly expressed in embryonic stem cells and during early development, where they function in active DNA demethylation during both waves of reprogramming. 5-Hydroxymethylcytosine is present to a notable degree in embryonic stem cells and the brain. − The specific role of 5-hydroxymethylcytosine in the brain is only beginning to be characterized, but there is evidence to suggest it plays a role in neurodevelopment and aging, and its aberrant expression is implicated in several neurological disorders. , Furthermore, 5-hydroxymethylcytosine is influenced by the environment, with exposures such as arsenic, lead, and pesticides associated with alterations in 5-hydroxymethylcytosine in the brain and blood. ,, Future studies will undoubtedly continue to clarify the role for 5-hydroxymethylcytosine in normal neurodevelopment, environmental health, and disease.…”