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Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/117628
Maternal BMI at the start of pregnancy and offspring epigenome-wide DNA methylation: findings from the pregnancy and childhood epigenetics (PACE) consortium
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Pre-pregnancy maternal obesity is associated with adverse
offspring outcomes at birth and later in life. Individual
studies have shown that epigenetic modifications such as DNA
methylation could contribute. Within the Pregnancy and Childhood
Epigenetics (PACE) Consortium, we meta-analysed the association
between pre-pregnancy maternal BMI and methylation at over
450,000 sites in newborn blood DNA, across 19 cohorts (9,340
mother-newborn pairs). We attempted to infer causality by
comparing the effects of maternal versus paternal BMI and
incorporating genetic variation. In four additional cohorts
(1,817 mother-child pairs), we meta-analysed the association
between maternal BMI at the start of pregnancy and blood
methylation in adolescents. In newborns, maternal BMI was
associated with small (<0.2% per BMI unit (1 kg/m2), P <
1.06 x 10-7) methylation variation at 9,044 sites throughout the
genome. Adjustment for estimated cell proportions greatly
attenuated the number of significant CpGs to 104, including 86
sites common to the unadjusted model. At 72/86 sites, the
direction of the association was the same in newborns and
adolescents, suggesting persistence of signals. However, we
found evidence for acausal intrauterine effect of maternal BMI
on newborn methylation at just 8/86 sites. In conclusion, this
well-powered analysis identified robust associations between
maternal adiposity and variations in newborn blood DNA
methylation, but these small effects may be better explained by
genetic or lifestyle factors than a causal intrauterine
mechanism. This highlights the need for large-scale
collaborative approaches and the application of causal inference
techniques in epigenetic epidemiology.
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SHARP, Gemma C., et al. Maternal BMI at the start of pregnancy and offspring
epigenome-wide DNA methylation: findings from the pregnancy and
childhood epigenetics (PACE) consortium. Human Molecular Genetics. 2017. Vol. 26, num. 20, pags. 4067-4085. ISSN 0964-6906. [consulted: 13 of August of 2026]. Available at: https://hdl.handle.net/2445/117628