Epigenetic mechanisms are essential in regulating normal cellular functions and play an important role during the disease developmental stages. However, aberrant epigenetic mechanisms may lead to pathological consequences such as cancer, neurological disorders, bone and skeletal diseases, cardiovascular dysfunction, and metabolic syndrome. The molecular mechanisms of epigenetic modification include DNA methylation, histone modification (acetylation, methylation and phosphorylation), and microRNAs (miRNAs). Unlike genetic modifications, epigenetic states of genes are reversible and can be altered by certain intrinsic and extrinsic factors. In the past few decades, accumulated evidence shows that dietary phytochemicals with chemopreventive effects are also potent epigenetic regulators. Resveratrol and pterostilbene are stilbenoids, which have been reported to have anti-cancer, antiinflammatory, anti-lipid, and anti-diabetic properties. Stilbenoids are also reported to improve cardiovascular disease. By altering DNA methylation and histone modification or by modulating miRNA expression, resveratrol, and pterostilbene become potent epigenetic modifiers. In this review, we summarize these studies and underlying mechanisms of resveratrol and pterostilbene and their influence on epigenetic mechanisms. V C 2017 BioFactors, 44(1): [26][27][28][29][30][31][32][33][34][35] 2018 Keywords: epigenetic; chemoprevention; resveratrol; pterostilbene Abbreviations: 3 0 UTR, 3 0 untranslated region; Ago2, argonaute2; AhR, aromatic hydrocarbon receptor; AMPK, AMP activated protein kinase; AP-1, activator protein-1; ARH-I, aplasia Ras homolog member I; AURKA, aurora kinase; BCL-2, B-cell lymphoma 2; BMFs, buccal mucosal fibroblasts; BRCA-1, breast cancer type 1; CAD, coronary artery disease; CCNB1, cyclin B1; CDKs, cyclin-dependent kinase; CLU, clusterin; CRP, C-reactive protein; CSCs, cancer stem cells; DMNTs, DNA methyltransferases; eNOS, endothelial NOS; ERa, estrogen receptor-alpha; EZH2, enhancer of zeste homolog 2; GBM, glioblastoma multiforme; GSCs, glioma stem cells; H3K9, acetyl-H3lysine9; HAT, histone acetyl transferase; HDACs, type III histone deacetylases; HK2, hexokinase 2; HSL, hormone sensitive lipase; MCP-1, monocyte hemoattractant protein-1; miRNAs, MicroRNAs; MNNG, N-methyl-N 0 -nitro-N-nitrosoguanidine; MTA1, metastasis-associated protein 1; NAD 1 , nicotinamide adenine dinucleotide 1 ; NAFLD, nonalcoholic fatty liver disease; NGFR, nerve growth factor receptor; NO, nitric oxide; NuRD, nucleosome remodeling deacetylation; OSF, oral submucous fibrosis; PDCD4, programmed cell death protein 4; PGR, progesterone receptor gene; PPARc, peroxisome proliferator-activated receptor gamma; PTEN, phosphatase and tensin homolog; RANKL, receptor activator of NF-jB ligand; RASSF1A, Ras association domain-containing protein 1; RNAi, RNA interference; SAM, S-adenosyl-l-methionine; SERCA2a, sarcoplasmic/endoplasmic reticulum Ca(21)ATPase 2a; sirtuins, silent information regulator 2-related proteins; SMADs, SMA and Mad rel...