Evidence map›Paper›PMID 30239726›Full record

ArticleHuman molecular genetics2019

Impact of assisted reproduction, infertility, sex and paternal factors on the placental DNA methylome.

Sanaa Choufani, Andrei L Turinsky, Nir Melamed, Ellen Greenblatt, Michael Brudno, Anick Bérard, William D Fraser, Rosanna Weksberg, Jacquetta Trasler, Patricia Monnier and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03113331 (3D Cohort Study), which is not on this map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
13.1field-weighted citation impact, top 1% 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.

NCT03113331 active not recruitingnot on this map

3D Cohort Study: The Integrated Research Network in Perinatology of Quebec and Eastern Ontario

TypeobservationalSponsorUniversité de SherbrookeRan2010 to 2028Enrolled2,366ConditionsPregnancy Outcome
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  10. Reproductive life after in vitro fertilization.The Journal of clinical investigation · 2026
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  15. NADCommunications biology · 2025
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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

11 authors at 8 institutions in 1 country.

Sanaa ChoufaniGenetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Andrei L TurinskyGenetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Nir MelamedDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Ellen GreenblattMount Sinai Centre for Fertility and Reproductive Health, Mount Sinai Hospital, Toronto, Ontario, Canada.
Michael BrudnoGenetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Anick BérardResearch Unit on Medications and Pregnancy, Research Centre, CHU Sainte-Justine, and Faculty of Pharmacy, University of Montreal, Montreal, Quebec, Canada.
William D FraserDepartment of Obstetrics and Gynecology, Université de Sherbrooke and Centre de Recherche du CHUS, Sherbrooke, Quebec, Canada.
Rosanna WeksbergGenetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Jacquetta TraslerDepartments of Pediatrics, Human Genetics and Pharmacology & Therapeutics, and The Montreal Children's Hospital and Research Institute of the McGill University Health Centre.
Patricia MonnierMUHC Reproductive Centre, Department of Obstetrics and Gynecology, Royal Victoria Hospital and Research Institute of McGill University Health Centre, Quebec, Canada.
3D cohort study group
Centre Hospitalier Universitaire Sainte-Justine · CAMontreal Children's Hospital · CARoyal Victoria Regional Health Centre · CAUniversité de Sherbrooke · CAHospital for Sick Children · CAUniversity of Toronto · CAMount Sinai Hospital · CASunnybrook Health Science Centre · CA

Funding

CIHR CRI 88413CIHR FND-148425
6 · The paper itself

Abstract

Children conceived using Assisted Reproductive Technologies (ART) have a higher incidence of growth and birth defects, attributable in part to epigenetic perturbations. Both ART and germline defects associated with parental infertility could interfere with epigenetic reprogramming events in germ cells or early embryos. Mouse models indicate that the placenta is more susceptible to the induction of epigenetic abnormalities than the embryo, and thus the placental methylome may provide a sensitive indicator of 'at risk' conceptuses. Our goal was to use genome-wide profiling to examine the extent of epigenetic abnormalities in matched placentas from an ART/infertility group and control singleton pregnancies (n = 44/group) from a human prospective longitudinal birth cohort, the Design, Develop, Discover (3D) Study. Principal component analysis revealed a group of ART outliers. The ART outlier group was enriched for females and a subset of placentas showing loss of methylation of several imprinted genes including GNAS, SGCE, KCNQT1OT1 and BLCAP/NNAT. Within the ART group, placentas from pregnancies conceived with in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) showed distinct epigenetic profiles as compared to those conceived with less invasive procedures (ovulation induction, intrauterine insemination). Male factor infertility and paternal age further differentiated the IVF/ICSI group, suggesting an interaction of infertility and techniques in perturbing the placental epigenome. Together, the results suggest that the human placenta is sensitive to the induction of epigenetic defects by ART and/or infertility, and we stress the importance of considering both sex and paternal factors and that some but not all ART conceptuses will be susceptible.

Indexed as

AdultCohort StudiesDNADNA MethylationEpigenesis, GeneticEpigenomicsFemaleFertilization in VitroGenome-Wide Association StudyGenomic ImprintingHumansInfantInfant, NewbornInfertility, MaleLongitudinal StudiesMaleDNA

Identifiers

PMID30239726
PMCPMC6337702
OpenAlexW2901639159

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.