Evidence map›Paper›PMID 33875015›Full record

ArticleClinical epigenetics2021

An EPIC predictor of gestational age and its application to newborns conceived by assisted reproductive technologies.

Kristine L Haftorn, Yunsung Lee, William R P Denault, Christian M Page, Haakon E Nustad, Robert Lyle, Håkon K Gjessing, Anni Malmberg, Maria C Magnus, Øyvind Næss and 7 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.7field-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

44 citing papers in PubMed, 54 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

17 authors at 4 institutions in 5 countries.

Kristine L HaftornDepartment of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo, Norway. KristineLokas.Haftorn@fhi.no.ORCID 0000-0002-2152-1839
Yunsung LeeDepartment of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo, Norway.
William R P DenaultDepartment of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo, Norway.
Christian M PageCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Haakon E NustadCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Robert LyleCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Håkon K GjessingCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Anni MalmbergDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Maria C MagnusCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Øyvind NæssInstitute of Health and Society, University of Oslo, Oslo, Norway.
Darina CzamaraDepartment of Translational Research in Psychiatry, Max-Planck-Institute of Psychiatry, Munich, Germany.
Katri RäikkönenDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Jari LahtiDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Per MagnusCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Siri E HåbergCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Astanand Jugessur *Department of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo, Norway.
Jon Bohlin *Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NOUniversity of Helsinki · FIMax Planck Institute of Psychiatry · DEOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational age is a useful proxy for assessing developmental maturity, but correct estimation of gestational age is difficult using clinical measures. DNA methylation at birth has proven to be an accurate predictor of gestational age. Previous predictors of epigenetic gestational age were based on DNA methylation data from the Illumina HumanMethylation 27 K or 450 K array, which have subsequently been replaced by the Illumina MethylationEPIC 850 K array (EPIC). Our aims here were to build an epigenetic gestational age clock specific for the EPIC array and to evaluate its precision and accuracy using the embryo transfer date of newborns from the largest EPIC-derived dataset to date on assisted reproductive technologies (ART).

methodsWe built an epigenetic gestational age clock using Lasso regression trained on 755 randomly selected non-ART newborns from the Norwegian Study of Assisted Reproductive Technologies (START)-a substudy of the Norwegian Mother, Father, and Child Cohort Study (MoBa). For the ART-conceived newborns, the START dataset had detailed information on the embryo transfer date and the specific ART procedure used for conception. The predicted gestational age was compared to clinically estimated gestational age in 200 non-ART and 838 ART newborns using MM-type robust regression. The performance of the clock was compared to previously published gestational age clocks in an independent replication sample of 148 newborns from the Prediction and Prevention of Preeclampsia and Intrauterine Growth Restrictions (PREDO) study-a prospective pregnancy cohort of Finnish women.

resultsOur new epigenetic gestational age clock showed higher precision and accuracy in predicting gestational age than previous gestational age clocks (R

conclusionsWe present the first EPIC-based predictor of gestational age and demonstrate its robustness and precision in ART and non-ART newborns. As more datasets are being generated on the EPIC platform, this clock will be valuable in studies using gestational age to assess neonatal development.

Indexed as

Gestational AgeReproductive Techniques, AssistedCohort StudiesDatasets as TopicDNA MethylationEpigenesis, GeneticEpigenomicsFemaleFinlandHumansInfant, NewbornMaleNorwayProspective StudiesReproducibility of ResultsAssisted reproductive technologiesDNA methylationEpigeneticsGestational ageICSIIllumina MethylationEPIC BeadChipIVFMBRNMoBaPREDO

Identifiers

PMID33875015
PMCPMC8056641
OpenAlexW3153056629

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Registered trials

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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.