This study analyzed gene expression in fibroblasts from monozygotic twins, one with Down syndrome (T1DS) and one without (T2N). They found domains of differential gene expression (GEDDs) along chromosomes in T1DS. Similar domains were found in a mouse model of Down syndrome. GEDDs correlated with late-replicating domains and histone methylation, but not with lamina-associated domains. Certain genes on chromosome 21 involved in epigenetic regulation, like histone modification and chromatin condensation, may drive the gene expression changes in Down syndrome. Future work could inhibit or overexpress these genes to test their role.