Evidence map›Paper›PMID 36707542›Full record

ArticleCommunications medicine2023

Oxytocin receptor DNA methylation is associated with exogenous oxytocin needs during parturition and postpartum hemorrhage.

Elise N Erickson, Leslie Myatt, Joshua S Danoff, Kathleen M Krol, Jessica J Connelly

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
16.8field-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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  8. Design, synthesis, conformational analysis, and biological activity of CαJournal of enzyme inhibition and medicinal chemistry · 2023
    Article
  9. A prolonged latent phase: An early career in oxytocin during birth.Comprehensive psychoneuroendocrinology · 2023
    Article
  10. Article
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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 3 institutions in 1 country.

Elise N EricksonOregon Health and Science University, Portland, OR, USA. eliseerickson@arizona.edu.ORCID http://orcid.org/0000-0002-6655-3500
Leslie MyattOregon Health and Science University, Portland, OR, USA.
Joshua S DanoffUniversity of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-7867-8300
Kathleen M KrolUniversity of Virginia, Charlottesville, VA, USA.
Jessica J ConnellyUniversity of Virginia, Charlottesville, VA, USA.
University of Virginia · USOregon Health & Science University · USUniversity of Arizona · US

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Scholars in Women's Health Research Across the LifespanK12HD043488 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MYATT, LESLIE · 2002 to 2023
$10.4M
Mechanisms of maternal brain changes with birth interventionsR01HD098117 · NICHD · UNIVERSITY OF VIRGINIA · PI JESSICA J CONNELLY, Allison M. Perkeybile · 2019 to 2026
$4.9M
The Clock is Ticking: Epigenetic Age Acceleration as a Biomarker of Uterine Function in PregnancyK99NR019596 · NINR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ERICKSON, ELISE N · 2020 to 2021
$188k
NCATS NIH HHS UL1 TR002369NICHD NIH HHS K12 HD043488NICHD NIH HHS R01 HD098117NINR NIH HHS K99 NR019596
6 · The paper itself

Abstract

backgroundThe oxytocin receptor gene (OXTR) is regulated, in part, by DNA methylation. This mechanism has implications for uterine contractility during labor and for prevention or treatment of postpartum hemorrhage, an important contributor to global maternal morbidity and mortality.

methodsWe measured and compared the level of OXTR DNA methylation between matched blood and uterine myometrium to evaluate blood as an indicator of uterine methylation status using targeted pyrosequencing and sites from the Illumina EPIC Array. Next, we tested for OXTR DNA methylation differences in blood between individuals who experienced a postpartum hemorrhage arising from uterine atony and matched controls following vaginal birth. Bivariate statistical tests, generalized linear modeling and Poisson regression were used in the analyses.

resultsHere we show a significant positive correlation between blood and uterine DNA methylation levels at several OXTR loci. Females with higher OXTR DNA methylation in blood had required significantly more exogenous oxytocin during parturition. With higher DNA methylation, those who had oxytocin administered during labor had significantly greater relative risk for postpartum hemorrhage (IRR 2.95, 95% CI 1.53-5.71).

conclusionsWe provide evidence that epigenetic variability in OXTR is associated with the amount of oxytocin administered during parturition and moderates subsequent postpartum hemorrhage. Methylation can be measured using a peripheral tissue, suggesting potential use in identifying individuals susceptible to postpartum hemorrhage. Future studies are needed to quantify myometrial gene expression in connection with OXTR methylation.

Identifiers

PMID36707542
PMCPMC9882749
OpenAlexW4318309164

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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.