Evidence map›Paper›PMID 36855187›Full record

ArticleClinical epigenetics2023

Investigating the effects of maltreatment and acute stress on the concordance of blood and DNA methylation methods of estimating immune cell proportions.

Abner T Apsley, Laura Etzel, Waylon J Hastings, Christine C Heim, Jennie G Noll, Kieran J O'Donnell, Hannah M C Schreier, Chad E Shenk, Qiaofeng Ye, Idan Shalev

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Lifetime adversity exposure, mood symptoms, and immune mitochondrial bioenergetics.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Article
  4. Review
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

10 authors at 2 institutions in 2 countries.

Abner T ApsleyDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Laura EtzelDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Waylon J HastingsDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Christine C HeimDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Jennie G NollDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
Kieran J O'DonnellYale Child Study Center, Yale School of Medicine, Yale University, New Haven, CT, USA.
Hannah M C SchreierDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Chad E ShenkDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
Qiaofeng YeDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA.
Idan ShalevDepartment of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA. ius14@psu.edu.
Pennsylvania State University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
STRATIFIED CLUSTER RANDOMIZED TRIAL (SCRT) OF A CLINICAL DECISION RULE (CDR) FOR ABUSIVE HEAD TRAUMA (AHT)P50HD089922 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI Yo Jackson · 2017 to 2026
$16.9M
Psychosocial Determinants and Biological Pathway to Healthy Aging (Pathways)T32AG049676 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LYNN M. MARTIRE · 2016 to 2026
$3.9M
Health & wellbeing of sexually abused females & offspring: 25 and 27 yr. followupR01HD072468 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI NOLL, JENNIE G · 2013 to 2017
$3.1M
Elucidating the measurement of telomeres: Development of a transdisciplinary, high-impact Telomere Research NetworkU24AG066528 · NIA · TULANE UNIVERSITY OF LOUISIANA · PI DRURY, STACY SCHMIDT · 2019 to 2023
$3.0M
Daily Stress Coping and Premature Cognitive Aging in Child Abuse Victims at MidfiR01AG048791 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI NOLL, JENNIE G · 2014 to 2015
$587k
Temporal Genomics Mechanisms Underlying Disease and AgingR21AG055621 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI SHALEV, IDAN · 2018 to 2019
$436k
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002014NIA NIH HHS AG049676NIA NIH HHS R01AG04879NIA NIH HHS R01 AG048791NIA NIH HHS R21 AG055621NIA NIH HHS R21AG055621NIA NIH HHS T32 AG049676NIA NIH HHS U24 AG066528NICHD NIH HHS P50 HD089922NICHD NIH HHS R01 HD072468
6 · The paper itself

Abstract

backgroundImmune cell proportions can be used to detect pathophysiological states and are also critical covariates in genomic analyses. The complete blood count (CBC) is the most common method of immune cell proportion estimation, but immune cell proportions can also be estimated using whole-genome DNA methylation (DNAm). Although the concordance of CBC and DNAm estimations has been validated in various adult and clinical populations, less is known about the concordance of existing estimators among stress-exposed individuals. As early life adversity and acute psychosocial stress have both been associated with unique DNAm alterations, the concordance of CBC and DNAm immune cell proportion needs to be validated in various states of stress.

resultsWe report the correlation and concordance between CBC and DNAm estimates of immune cell proportions using the Illumina EPIC DNAm array within two unique studies: Study 1, a high-risk pediatric cohort of children oversampled for exposure to maltreatment (N = 365, age 8 to 14 years), and Study 2, a sample of young adults who have participated in an acute laboratory stressor with four pre- and post-stress measurements (N = 28, number of observations = 100). Comparing CBC and DNAm proportions across both studies, estimates of neutrophils (r = 0.948, p < 0.001), lymphocytes (r = 0.916, p < 0.001), and eosinophils (r = 0.933, p < 0.001) were highly correlated, while monocyte estimates were moderately correlated (r = 0.766, p < 0.001) and basophil estimates were weakly correlated (r = 0.189, p < 0.001). In Study 1, we observed significant deviations in raw values between the two approaches for some immune cell subtypes; however, the observed differences were not significantly predicted by exposure to child maltreatment. In Study 2, while significant changes in immune cell proportions were observed in response to acute psychosocial stress for both CBC and DNAm estimates, the observed changes were similar for both approaches.

conclusionsAlthough significant differences in immune cell proportion estimates between CBC and DNAm exist, as well as stress-induced changes in immune cell proportions, neither child maltreatment nor acute psychosocial stress alters the concordance of CBC and DNAm estimation methods. These results suggest that the agreement between CBC and DNAm estimators of immune cell proportions is robust to exposure to child maltreatment and acute psychosocial stress.

Indexed as

DNA MethylationEosinophilsAdolescentChildGenomicsHumansMonocytesNeutrophilsYoung AdultAcute psychosocial stressChildhood maltreatmentComplete blood countDNA methylationImmune cell proportions

Identifiers

PMID36855187
PMCPMC9976543
OpenAlexW4322627166

What OpenQuestion holds

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LicenceCC BY
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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.