Evidence map›Paper›PMID 27653086›Full record

ArticlePediatric research2017

Medical morbidities and DNA methylation of NR3C1 in preterm infants.

James Giarraputo, Jordan DeLoach, James Padbury, Alper Uzun, Carmen Marsit, Katheleen Hawes, Barry Lester

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. DNA Methylation ofBiological research for nursing · 2026
    Article
  3. Article
  4. Early Life Stress, DNA Methylation of NR3C1 and HSD11B2 , and Oral Feeding Skill Development in Preterm Infants : A Pilot Study.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Differential Placental DNA Methylation ofFrontiers in pediatrics · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. NeonatalFrontiers in behavioral neuroscience · 2019
    Article
  15. Article
  16. Article
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

7 authors at 2 institutions in 1 country.

James GiarraputoDepartment of Neuroscience, Brown University, Providence, Rhode Island.
Jordan DeLoachWarren Alpert Medical School of Brown University, Center for the Study of Children at Risk, Providence, Rhode Island.
James PadburyWarren Alpert Medical School of Brown University, Departments of Pediatrics, Providence, Rhode Island.
Alper UzunWarren Alpert Medical School of Brown University, Departments of Pediatrics, Providence, Rhode Island.
Carmen MarsitDepartment of Pharmacology and Toxicology and Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Katheleen HawesWarren Alpert Medical School of Brown University, Center for the Study of Children at Risk, Providence, Rhode Island.
Barry LesterWarren Alpert Medical School of Brown University, Center for the Study of Children at Risk, Providence, Rhode Island.
Brown University · USDartmouth College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there are no accepted "normal" levels of circulating cortisol in preterm infants, critically ill preterm infants show lower cortisol levels than healthy preterm infants. The regulation of cortisol reactivity by epigenetic changes in glucocorticoid receptor gene (NR3C1) expression has been demonstrated. This study aims to examine the relationship between medical morbidities in preterm infants and DNA methylation of NR3C1.

methodsPyrosequencing was used to determine DNA methylation in CpG sites 1-4 of promoter region 1F of NR3C1. Cluster analysis placed 67 preterm infants born <1,500 g into groups based on medical morbidities. The DNA methylation pattern was compared across groups.

resultsCluster analysis identified a high medical risk cluster and a low medical risk cluster. A Mann-Whitney U-test showed lower methylation at CpG1 for infants in the high-risk group (M = 0.336, SE = 0.084) than infants in the low-risk group (M = 0.617, SE = 0.109, P = 0.032). The false discovery rate was low (q = 0.025). Cohen's D effect size was moderate (0.525).

conclusionDecreased DNA methylation of CpG1 of NR3C1 in high-risk infants may allow for increased binding of transcription factors involved in the stress response, repair and regulation of NR3C1. This may ensure healthy growth in high-risk preterm infants over increasing cortisol levels.

Indexed as

DNA MethylationCpG IslandsCritical IllnessEpigenesis, GeneticFemaleHeat-Shock ResponseHumansHydrocortisoneInfant, NewbornInfant, PrematureMaleMorbidityPromoter Regions, GeneticReceptors, GlucocorticoidRisk FactorsStress, PhysiologicalHydrocortisoneNR3C1 protein, humanReceptors, GlucocorticoidTranscription Factors

Identifiers

PMID27653086
PMCPMC5313510
OpenAlexW2521690540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.