Evidence map›Paper›PMID 26840378›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2016

Assessing the fetal effects of maternal obesity via transcriptomic analysis of cord blood: a prospective case-control study.

A G Edlow, L Hui, H C Wick, I Fried, D W Bianchi

Open access · bronzeAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

A G EdlowMother Infant Research Institute and Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA, USA.
L HuiMother Infant Research Institute and Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA, USA.
H C WickDepartment of Computer Science, Tufts University, Medford, MA, USA.
I FriedDepartment of Computer Science, Tufts University, Medford, MA, USA.
D W BianchiMother Infant Research Institute and Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA, USA.
Tufts Medical Center · USTufts University · USMercy Hospital for Women · AU

Funding

REPRODUCTIVE SCIENTIST TRAINING PROGRAMK12HD000849 · NICHD · WASHINGTON UNIVERSITY · PI Danny J Schust · 1988 to 2026
$33.2M
Feto-Maternal DNA/RNA Trafficking:Biology &ApplicationsR01HD042053 · NICHD · TUFTS MEDICAL CENTER · PI BIANCHI, DIANA W. · 2004 to 2013
$3.2M
NICHD NIH HHS K12 HD000849NICHD NIH HHS R01 HD042053NICHD NIH HHS R01HD42053-10
6 · The paper itself

Abstract

objectiveTo analyse fetal gene expression at term using umbilical cord blood, in order to provide insights into the effects of maternal obesity on human development.

designProspective case-control study.

settingAcademic tertiary care centre. POPULATION: Eight obese (body mass index ≥30 kg/m(2)) and eight lean (body mass index <25 kg/m(2)) pregnant women undergoing prelabour caesarean delivery at term.

methodsWomen were matched for gestational age and fetal sex. Cord blood RNA was extracted and hybridised to gene expression arrays. Differentially regulated genes were identified using paired t-tests and the Benjamini-Hochberg correction. Functional analyses were performed using Ingenuity Pathway Analysis, BioGPS and Gene Set Enrichment Analysis with a fetal-specific annotation. Z-scores ≥2.0 or P-values <0.01 were considered significant.

main outcome measureFunctions of differentially regulated genes in fetuses of obese women.

resultsA total of 701 differentially regulated genes were identified, producing an expression profile implicating neurodegeneration, decreased survival of sensory neurons, and decreased neurogenesis in the fetuses of obese women. Upstream regulators related to inflammatory signalling were significantly activated; those related to insulin receptor signalling, lipid homeostasis, regulation of axonal guidance, and cellular response to oxidative stress were significantly inhibited. Of 26 tissue-specific genes that were differentially regulated in fetuses of obese women, six mapped to the fetal brain.

conclusionMaternal obesity affects fetal gene expression at term, implicating dysregulated brain development, inflammatory and immune signalling, glucose and lipid homeostasis, and oxidative stress. This may have implications for postnatal neurodevelopment and metabolism.

Indexed as

AdultBody Mass IndexCase-Control StudiesFemaleFetal BloodGene Expression Regulation, DevelopmentalHumansInfant, NewbornInsulin ResistanceMaleObesityOligonucleotide Array Sequence AnalysisPregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsProspective StudiesBraincord bloodfetalfetal programmingmaternal obesitymetabolictranscriptome

Identifiers

PMID26840378
PMCPMC4742363
OpenAlexW2263426393

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.