Evidence map›Paper›PMID 32332443›Full record

SynthesisThe Journal of perinatal & neonatal nursing

Stress During Pregnancy and Epigenetic Modifications to Offspring DNA: A Systematic Review of Associations and Implications for Preterm Birth.

Alexandra L Nowak, Cindy M Anderson, Amy R Mackos, Emily Neiman, Shannon L Gillespie

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of perinatal & neonatal nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

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  18. The Decolonization of Nursing Education.The journal for nurse practitioners : JNP · 2021
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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 1 institution in 1 country.

Alexandra L NowakThe Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus (Drs Nowak, Anderson, and Gillespie); and College of Nursing (Dr Mackos) and Wexner Medical Center (Ms Neiman), The Ohio State University, Columbus.
Cindy M Anderson
Amy R Mackos
Emily Neiman
Shannon L Gillespie
The Ohio State University Wexner Medical Center · US

Funding

Training in the Science of Health DevelopmentT32NR014225 · NINR · OHIO STATE UNIVERSITY · PI MARY E HAPP, Rita H Pickler · 2013 to 2026
$2.6M
Maternal Immune Responsiveness As CLinical Target for Preterm Birth Prevention (MIRACL)K23NR017902 · NINR · OHIO STATE UNIVERSITY · PI GILLESPIE, SHANNON L. · 2018 to 2020
$477k
Neighborhood Disorder and Epigenetic Regulation of Stress Pathways in Preterm BirthF31NR018363 · NINR · OHIO STATE UNIVERSITY · PI NOWAK, ALEXANDRA · 2019 to 2020
$79k
NINR NIH HHS F31 NR018363NINR NIH HHS K23 NR017902NINR NIH HHS T32 NR014225
6 · The paper itself

Abstract

Offspring born preterm (ie, before 37 weeks of gestation) are more likely to die or experience long-standing illness than full-term offspring. Maternal genetic variants (ie, heritable, stable variations in the genetic code) and epigenetic modifications (ie, chemical modifications to the genetic code that can affect which genes are turned on or off) in response to stress have been implicated in preterm birth. Fetal genetic variants have been linked to preterm birth though the role of offspring epigenetics in preterm birth remains understudied. This systematic review synthesizes the literature examining associations among stress during pregnancy and epigenetic modifications to offspring DNA, with 25 reports identified. Ten reports examined DNA methylation (ie, addition/removal of methyl groups to/from DNA) across the epigenome. The remainder examined DNA methylation near genes of interest, primarily genes linked to hypothalamic-pituitary-adrenal axis function (NR3C1, FKBP51), growth/immune function (IGF2), and socioemotional regulation (SLC6A4, OXTR). The majority of reports noted associations among stress and offspring DNA methylation, primarily when perceived stress, anxiety, or depression served as the predictor. Findings suggest that differences in offspring epigenetic patterns may play a role in stress-associated preterm birth and serve as targets for novel interventions.

Indexed as

DNA MethylationPremature BirthEpigenesis, GeneticFemaleHumansHypothalamo-Hypophyseal SystemInfant, NewbornPregnancyPregnancy ComplicationsStress, Psychological

Identifiers

PMID32332443
PMCPMC7185032
OpenAlexW3018389214

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.