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Title: Dichotomy in the Impact of Elevated Maternal Glucose Levels on Neonatal Epigenome
Authors: Lim, I.Y. 
Lin X.
Teh A.L.
Wu Y.
Chen L.
He M.
Chan, S.-Y. 
MacIsaac J.L.
Chan, J.K.Y. 
Tan K.H.
Chong, M.F.F. 
Kobor M.S.
Godfrey K.M.
Meaney M.J.
Lee, Y.S. 
Eriksson, J.G. 
Gluckman P.D.
Chong, Y.S. 
Karnani, N. 
Keywords: 2h oral glucose tolerance test
DNA methylation
Epigenome wide association study
Fasting plasma glucose
Gestational diabetes
Issue Date: 2022
Publisher: Endocrine Society
Citation: Lim, I.Y., Lin X., Teh A.L., Wu Y., Chen L., He M., Chan, S.-Y., MacIsaac J.L., Chan, J.K.Y., Tan K.H., Chong, M.F.F., Kobor M.S., Godfrey K.M., Meaney M.J., Lee, Y.S., Eriksson, J.G., Gluckman P.D., Chong, Y.S., Karnani, N. (2022). Dichotomy in the Impact of Elevated Maternal Glucose Levels on Neonatal Epigenome. Journal of Clinical Endocrinology and Metabolism 107 (3). ScholarBank@NUS Repository.
Abstract: Context: Antenatal hyperglycemia is associated with increased risk of future adverse health outcomes in both mother and child. Variations in offspring's epigenome can reflect the impact and response to in utero glycemic exposure, and may have different consequences for the child. Objective: We examined possible differences in associations of basal glucose status and glucose handling during pregnancy with both clinical covariates and offspring cord tissue DNA methylation. Research Design and Methods: This study included 830 mother-offspring dyads from the Growing Up in Singapore Towards Healthy Outcomes cohort. The fetal epigenome of umbilical cord tissue was profiled using Illumina HumanMethylation450 arrays. Associations of maternal mid-pregnancy fasting (fasting plasma glucose [FPG]) and 2-hour plasma glucose (2hPG) after a 75-g oral glucose challenge with both maternal clinical phenotypes and offspring epigenome at delivery were investigated separately. Results: Maternal age, prepregnancy body mass index, and blood pressure measures were associated with both FPG and 2hPG, whereas Chinese ethnicity (P = 1.9 × 10-4), maternal height (P = 1.1 × 10-4), pregnancy weight gain (P = 2.2 × 10-3), prepregnancy alcohol consumption (P = 4.6 × 10-4), and tobacco exposure (P = 1.9 × 10-3) showed significantly opposite associations between the 2 glucose measures. Most importantly, we observed a dichotomy in the effects of these glycemic indices on the offspring epigenome. Offspring born to mothers with elevated 2hPG showed global hypomethylation. CpGs most associated with the 2 measures also reflected differences in gene ontologies and had different associations with offspring birthweight. Conclusions: Our findings suggest that 2 traditionally used glycemic indices for diagnosing gestational diabetes may reflect distinctive pathophysiologies in pregnancy, and have differential impacts on the offspring's DNA methylome. © 2021 The Author(s) 2021.
Source Title: Journal of Clinical Endocrinology and Metabolism
ISSN: 0021972X
DOI: 10.1210/clinem/dgab710
Appears in Collections:Staff Publications

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