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. 2022 Sep 5;17(13):2188–2208. doi: 10.1080/15592294.2022.2111755

Table 2.

Literature search on studies of DNA methylation in placenta tissue and hyperglycaemia and dyslipidemia in pregnancy.

Sample size Method Genes Results Influence of foetal sex Authors, year, PMID
Dyslipidemia
Placenta, 3rd trimester
262 450k EWAS STK11, MOGAT2, DHRS12, BRD1, ECI2, SRM, ALX4, MICA, RPTOR, FAAH, HECTD2 11 CpGs in 11 genes associated with maternal dyslipidemia (after FDR). Adjusted for foetal sex Ouidir et al, 2020 [119]
69 PS LDLR, LRP1, SCARB1 Maternal cholesterol changes were negatively associated with LDLR DNAm and positively associated with LRP1 DNAm. LDLR and LRP1 DNAm was associated with cord blood triglyceride and leptin levels. Mediation analysis supported a causal relationship between cholesterol changes, LRP1 DNAm, and cord blood leptin level. Adjusted for foetal sex Guay et al, 2019 [120]
262 450k EWAS The Horvath Clock Low maternal HDL cholesterol associated with accelerated placental epigenetic ageing among mothers with normal pre-pregnancy weight and a female foetus. Adjusted and stratified for foetal sex Shrestha et al, 2019 [55]
Hyperglycaemia
Placenta, 3rd trimester
259 EPIC EWAS LEP Maternal glycaemia associated with LEP DNAm, neonatal leptinemia, and adiposity and skinfolds at age 3 years. DNAm levels at cg15758240 mediates 0.8% of the association between maternal glycaemia and neonatal leptinemia. Adjusted for foetal sex
X/Y probes removed
Gagné-Ouellet et al, 2020 [50]
430 EPIC EWAS CHRNA4, MICALL2/
UNCX, DLGAP2, ENTPD2, DP1P
DNAm at 188 CpG sites was associated with Matsuda index (after FDR). Mendelian randomization analyses found five loci where DNAm may causally influence maternal insulin sensitivity, including the maternally imprinted gene DLGAP2. Adjusted for foetal sex
X/Y probes removed
Hivert et al, 2020 [65]
12 decreased GI
12 increased GI
PS,
450k EWAS
PLIN1, CPT1B, SSTR4, CIDEA Negative association between DNAm and miRNA expression*. No data on foetal sex
X/Y probes removed
Yan et al, 2019 [121]
448 EPIC EWAS PDE4B, TNFRSF1B, LDLR, BLM DNAm of PDE4B, NFRSF1B, LDLR, and BLM associated (after FDR) with 2 hr glucose post OGTT. DNAm and mRNA expression of PDE4B, TNFRSF1B and LDLR was negatively correlated. In an independent replication the results were consistent in direction. Adjusted for foetal sexX/Y probes removed Cardenas et al, 2018 [122]
24 GDM
34 Ctrl
PS PGC1A In combined groups, DNAm associated positively with fasting, 1 hr, and 2 hr glucose levels post OGTT. Adjusted for foetal sex Xie et al, 2015 [47]
34 IGT
106 NGT
PS IGF1R, IGFBP3, IGF1, INSR DNAm of IGF1R and IGFBP3 were lower in IGT compared to NGT and associated negatively with fasting (IGF1R) and 2 hr glucose levels (IGF1R and IGFBP3) post OGTT. Adjusted for foetal sex Desgagné et al, 2014 [123]
26 IGT
74 NGT
PS ABCA1 DNAm at maternal side was positively associated with 2 hr glucose levels post OGTT. Adjusted for foetal sex (partly) Houde et al, 2013 [124]
98 PS ADIPOQ Foetal side DNAm associated negatively with 2hr glucose post OGTT. Maternal side DNAm associated negatively with HOMA-IR. DNAm at both sides associated negatively with maternal adiponectin levels No data on foetal sex Bouchard et al, 2012 [53]

If FDR is not stated in the table, it was not stated in the paper.

*Yan et al did not include continuous data on glycaemic index (GI).

Abbreviations: DNAm: DNA methylation, GI: glycaemic index, OGTT: oral glucose tolerance test, IGT: impaired glucose tolerance, NGT: Normal glucose tolerance, FDR: false discovery rate, EWAS: epigenome wide association study, PS: pyrosequencing.