Evidence map›Paper›PMID 35104326›Full record

SynthesisDiabetes care2022

Maternal Glycemic Dysregulation During Pregnancy and Neonatal Blood DNA Methylation: Meta-analyses of Epigenome-Wide Association Studies.

Elmar W Tobi, Diana L Juvinao-Quintero, Justiina Ronkainen, Raffael Ott, Rossella Alfano, Mickaël Canouil, Madelon L Geurtsen, Amna Khamis, Leanne K Küpers, Ives Y Lim and 41 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Diabetes care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
11.6field-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.

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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  5. Beyond Deterministic Fetal Programming: Intrauterine Exposures and the Multifactorial Origins of Adiposity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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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

51 authors at 16 institutions in 11 countries.

Elmar W TobiDivision of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-1378-3687
Diana L Juvinao-QuinteroDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA.
Justiina RonkainenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Raffael OttInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.
Rossella AlfanoCenter for Environmental Sciences, University of Hasselt, Hasselt, Belgium.
Mickaël CanouilINSERM U1283, CNRS UMR 8199, European Genomic Institute for Diabetes, Institut Pasteur de Lille, Lille, France.
Madelon L GeurtsenThe Generation R Study Group, Erasmus MC, Rotterdam, the Netherlands.
Amna KhamisINSERM U1283, CNRS UMR 8199, European Genomic Institute for Diabetes, Institut Pasteur de Lille, Lille, France.ORCID 0000-0003-1709-304X
Leanne K KüpersThe Generation R Study Group, Erasmus MC, Rotterdam, the Netherlands.
Ives Y LimBioinformatics Institute, A*STAR, Singapore.
Patrice PerronDepartment of Medicine, Universite de Sherbrooke, Sherbrooke, Canada.
Giancarlo PesceParis-Saclay University, Paris-South University, UVSQ, Center for Research in Epidemiology and Population Health (CESP), INSERM, Villejuif, France.
Johanna TuhkanenDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Anne P StarlingDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Toby AndrewDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, U.K.
Elisabeth BinderDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Robert CaiazzoUniversity of Lille, CHU Lille, Inserm, Institut Pasteur Lille, U1190 Translational Research for Diabetes, Lille, France.
Jerry K Y ChanDepartment of Reproductive Medicine, KK Women's and Children's Hospital, Singapore.
Romy GaillardThe Generation R Study Group, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-7967-4600
Peter D GluckmanSingapore Institute for Clinical Sciences, A*STAR, Singapore.ORCID 0000-0002-5711-1655
Elina KeikkalaPopulation Health Unit, Finnish Institute for Health and Welfare, Oulu, Finland.
Neerja KarnaniBioinformatics Institute, A*STAR, Singapore.ORCID 0000-0002-5301-409X
Sanna MustaniemiPopulation Health Unit, Finnish Institute for Health and Welfare, Oulu, Finland.
Tim S NawrotCenter for Environmental Sciences, University of Hasselt, Hasselt, Belgium.
François PattouUniversity of Lille, CHU Lille, Inserm, Institut Pasteur Lille, U1190 Translational Research for Diabetes, Lille, France.
Michelle PlusquinCenter for Environmental Sciences, University of Hasselt, Hasselt, Belgium.
Violeta RaverdyUniversity of Lille, CHU Lille, Inserm, Institut Pasteur Lille, U1190 Translational Research for Diabetes, Lille, France.
Kok Hian TanAcademic Clinical Program in Obstetrics and Gynaecology, Duke-NUS Medical School, Singapore.
Evangelia TzalaMRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, U.K.
Katri RaikkonenDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Christiane WinklerInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.
Anette-G ZieglerInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0002-6290-5548
Isabella Annesi-MaesanoMontpellier University, INSERM, Institut Desbrest d'Épidémiologie et de Santé Publique (IDESP), Montpellier, France.
Luigi BouchardDepartment of Biochemistry and Functional Genomics, Universite de Sherbrooke, Sherbrooke, Canada.ORCID 0000-0002-7852-0722
Yap Seng ChongSingapore Institute for Clinical Sciences, A*STAR, Singapore.ORCID 0000-0002-7232-8473
Dana DabeleaDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Janine F FelixThe Generation R Study Group, Erasmus MC, Rotterdam, the Netherlands.
Barbara HeudeUniversité de Paris, Inserm, INRAE, Centre for Research in Epidemiology and Statistics (CRESS), Paris, France.
Vincent W V JaddoeThe Generation R Study Group, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-2939-0041
Jari LahtiDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Brigitte ReimannCenter for Environmental Sciences, University of Hasselt, Hasselt, Belgium.
Marja VääräsmäkiPEDEGO Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Amélie BonnefondINSERM U1283, CNRS UMR 8199, European Genomic Institute for Diabetes, Institut Pasteur de Lille, Lille, France.
Philippe FroguelINSERM U1283, CNRS UMR 8199, European Genomic Institute for Diabetes, Institut Pasteur de Lille, Lille, France.ORCID 0000-0003-2972-0784
Sandra HummelInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich-Neuherberg, Germany.ORCID 0000-0001-6554-5974
Eero KajantiePopulation Health Unit, Finnish Institute for Health and Welfare, Oulu, Finland.
Marjo-Riita JarvelinCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Regine P M Steegers-TheunissenDivision of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, the Netherlands.
Caitlin G HoweDepartment of Epidemiology, Geisel School of Medicine, Dartmouth College, Lebanon, NH.ORCID 0000-0002-4935-9298
Marie-France HivertDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA.ORCID 0000-0001-7752-2585
Sylvain SebertCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Erasmus MC · NLInserm · FRAgency for Science, Technology and Research · SGCentre National de la Recherche Scientifique · FRHasselt University · BEOulu University Hospital · FITUM Klinikum · DEUniversity of Helsinki · FIColorado School of Public Health · USHarvard University · USImperial College London · GBKK Women's and Children's Hospital · SGUniversité de Sherbrooke · CAUniversity of Oulu · FIDartmouth College · USEmory University · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
Prenatal Metal Mixtures, Fetal Growth, and the Role of MicroRNAsR00ES030400 · NIEHS · DARTMOUTH COLLEGE · PI HOWE, CAITLIN GRACE · 2020 to 2022
$726k
Biotechnology and Biological Sciences Research CouncilMedical Research Council MR/R010676/1Medical Research Council MR/S019669/1Medical Research Council MR/S03658X/1NIDDK NIH HHS P30 DK048520NIEHS NIH HHS R00 ES030400
6 · The paper itself

Abstract

objectiveMaternal glycemic dysregulation during pregnancy increases the risk of adverse health outcomes in her offspring, a risk thought to be linearly related to maternal hyperglycemia. It is hypothesized that changes in offspring DNA methylation (DNAm) underline these associations. RESEARCH DESIGN AND

methodsTo address this hypothesis, we conducted fixed-effects meta-analyses of epigenome-wide association study (EWAS) results from eight birth cohorts investigating relationships between cord blood DNAm and fetal exposure to maternal glucose (Nmaximum = 3,503), insulin (Nmaximum = 2,062), and area under the curve of glucose (AUCgluc) following oral glucose tolerance tests (Nmaximum = 1,505). We performed lookup analyses for identified cytosine-guanine dinucleotides (CpGs) in independent observational cohorts to examine associations between DNAm and cardiometabolic traits as well as tissue-specific gene expression.

resultsGreater maternal AUCgluc was associated with lower cord blood DNAm at neighboring CpGs cg26974062 (β [SE] -0.013 [2.1 × 10-3], P value corrected for false discovery rate [PFDR] = 5.1 × 10-3) and cg02988288 (β [SE]-0.013 [2.3 × 10-3], PFDR = 0.031) in TXNIP. These associations were attenuated in women with GDM. Lower blood DNAm at these two CpGs near TXNIP was associated with multiple metabolic traits later in life, including type 2 diabetes. TXNIP DNAm in liver biopsies was associated with hepatic expression of TXNIP. We observed little evidence of associations between either maternal glucose or insulin and cord blood DNAm.

conclusionsMaternal hyperglycemia, as reflected by AUCgluc, was associated with lower cord blood DNAm at TXNIP. Associations between DNAm at these CpGs and metabolic traits in subsequent lookup analyses suggest that these may be candidate loci to investigate in future causal and mediation analyses.

Indexed as

Diabetes, GestationalDiabetes Mellitus, Type 2DNA MethylationEpigenesis, GeneticEpigenomeFemaleFetal BloodHumansInfant, NewbornPregnancy

Identifiers

PMID35104326
PMCPMC8918264
OpenAlexW4210554734

What OpenQuestion holds

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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.