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Maternal Glycemic Dysregulation During Pregnancy and Neonatal Blood DNA Methylation: Meta-analyses of Epigenome-Wide Association Studies.


ABSTRACT:

Objective

Maternal glycemic dysregulation during pregnancy increases the risk of adverse health outcomes in her offspring, a risk thought to be linearly related to maternal hyperglycemia. It is hypothesized that changes in offspring DNA methylation (DNAm) underline these associations.

Research design and methods

To address this hypothesis, we conducted fixed-effects meta-analyses of epigenome-wide association study (EWAS) results from eight birth cohorts investigating relationships between cord blood DNAm and fetal exposure to maternal glucose (Nmaximum = 3,503), insulin (Nmaximum = 2,062), and area under the curve of glucose (AUCgluc) following oral glucose tolerance tests (Nmaximum = 1,505). We performed lookup analyses for identified cytosine-guanine dinucleotides (CpGs) in independent observational cohorts to examine associations between DNAm and cardiometabolic traits as well as tissue-specific gene expression.

Results

Greater maternal AUCgluc was associated with lower cord blood DNAm at neighboring CpGs cg26974062 (β [SE] -0.013 [2.1 × 10-3], P value corrected for false discovery rate [PFDR] = 5.1 × 10-3) and cg02988288 (β [SE]-0.013 [2.3 × 10-3], PFDR = 0.031) in TXNIP. These associations were attenuated in women with GDM. Lower blood DNAm at these two CpGs near TXNIP was associated with multiple metabolic traits later in life, including type 2 diabetes. TXNIP DNAm in liver biopsies was associated with hepatic expression of TXNIP. We observed little evidence of associations between either maternal glucose or insulin and cord blood DNAm.

Conclusions

Maternal hyperglycemia, as reflected by AUCgluc, was associated with lower cord blood DNAm at TXNIP. Associations between DNAm at these CpGs and metabolic traits in subsequent lookup analyses suggest that these may be candidate loci to investigate in future causal and mediation analyses.

SUBMITTER: Tobi EW 

PROVIDER: S-EPMC8918264 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Publications

Maternal Glycemic Dysregulation During Pregnancy and Neonatal Blood DNA Methylation: Meta-analyses of Epigenome-Wide Association Studies.

Tobi Elmar W EW   Juvinao-Quintero Diana L DL   Ronkainen Justiina J   Ott Raffael R   Alfano Rossella R   Canouil Mickaël M   Geurtsen Madelon L ML   Khamis Amna A   Küpers Leanne K LK   Lim Ives Y IY   Perron Patrice P   Pesce Giancarlo G   Tuhkanen Johanna J   Starling Anne P AP   Andrew Toby T   Binder Elisabeth E   Caiazzo Robert R   Chan Jerry K Y JKY   Gaillard Romy R   Gluckman Peter D PD   Keikkala Elina E   Karnani Neerja N   Mustaniemi Sanna S   Nawrot Tim S TS   Pattou François F   Plusquin Michelle M   Raverdy Violeta V   Tan Kok Hian KH   Tzala Evangelia E   Raikkonen Katri K   Winkler Christiane C   Ziegler Anette-G AG   Annesi-Maesano Isabella I   Bouchard Luigi L   Chong Yap Seng YS   Dabelea Dana D   Felix Janine F JF   Heude Barbara B   Jaddoe Vincent W V VWV   Lahti Jari J   Reimann Brigitte B   Vääräsmäki Marja M   Bonnefond Amélie A   Froguel Philippe P   Hummel Sandra S   Kajantie Eero E   Jarvelin Marjo-Riita MR   Steegers-Theunissen Regine P M RPM   Howe Caitlin G CG   Hivert Marie-France MF   Sebert Sylvain S  

Diabetes care 20220301 3


<h4>Objective</h4>Maternal glycemic dysregulation during pregnancy increases the risk of adverse health outcomes in her offspring, a risk thought to be linearly related to maternal hyperglycemia. It is hypothesized that changes in offspring DNA methylation (DNAm) underline these associations.<h4>Research design and methods</h4>To address this hypothesis, we conducted fixed-effects meta-analyses of epigenome-wide association study (EWAS) results from eight birth cohorts investigating relationship  ...[more]

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