Evidence map›Paper›PMID 37899449›Full record

Observational studyBMC medical genomics2023

Genome-wide neonatal epigenetic changes associated with maternal exposure to the COVID-19 pandemic.

Kristen Kocher, Surajit Bhattacharya, Nickie Niforatos-Andescavage, Miguel Almalvez, Diedtra Henderson, Eric Vilain, Catherine Limperopoulos, Emmanuèle C Délot

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC medical genomics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  8. AssessingFrontiers in immunology · 2025
    Review
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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

8 authors at 3 institutions in 1 country.

Kristen KocherCenter for Genetic Medicine Research, Children's National Research & Innovation Campus, Washington, DC, USA.
Surajit BhattacharyaCenter for Genetic Medicine Research, Children's National Research & Innovation Campus, Washington, DC, USA.
Nickie Niforatos-AndescavageDeveloping Brain Institute, Children's National Hospital, Washington, DC, USA.
Miguel AlmalvezInstitute for Clinical and Translational Science, University of California, Irvine, CA, USA.
Diedtra HendersonDeveloping Brain Institute, Children's National Hospital, Washington, DC, USA.
Eric VilainInstitute for Clinical and Translational Science, University of California, Irvine, CA, USA. evilain@hs.uci.edu.
Catherine LimperopoulosDeveloping Brain Institute, Children's National Hospital, Washington, DC, USA.
Emmanuèle C DélotCenter for Genetic Medicine Research, Children's National Research & Innovation Campus, Washington, DC, USA. edelot@childrensnational.org.
Children's National · USGeorge Washington University · USUniversity of California, Irvine · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Antecedents of Impaired Brain Development in Fetuses with Heart DiseaseR01HL116585 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI LIMPEROPOULOS, CATHERINE · 2013 to 2017
$3.8M
Diversity Supplement: Clinical Pediatric Research Training for the Fetal-Neonatal BrainT32HD098066 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI DU PLESSIS, ADRE JACQUES, LIMPEROPOULOS, CATHERINE · 2020 to 2024
$1.7M
NCATS NIH HHS UL1 TR001414NHLBI NIH HHS R01 HL116585NICHD NIH HHS T32 HD098066
6 · The paper itself

Abstract

backgroundDuring gestation, stressors to the fetus, including viral exposure or maternal psychological distress, can fundamentally alter the neonatal epigenome, and may be associated with long-term impaired developmental outcomes. The impact of in utero exposure to the COVID-19 pandemic on the newborn epigenome has yet to be described.

methodsThis study aimed to determine whether there are unique epigenetic signatures in newborns who experienced otherwise healthy pregnancies that occurred during the COVID-19 pandemic (Project RESCUE). The pre-pandemic control and pandemic cohorts (Project RESCUE) included in this study are part of a prospective observational and longitudinal cohort study that evaluates the impact of elevated prenatal maternal stress during the COVID-19 pandemic on early childhood neurodevelopment. Using buccal swabs collected at birth, differential DNA methylation analysis was performed using the Infinium MethylationEPIC arrays and linear regression analysis. Pathway analysis and gene ontology enrichment were performed on resultant gene lists.

resultsWidespread differential methylation was found between neonates exposed in utero to the pandemic and pre-pandemic neonates. In contrast, there were no apparent epigenetic differences associated with maternal COVID-19 infection during pregnancy. Differential methylation was observed among genomic sites that underpin important neurological pathways that have been previously reported in the literature to be differentially methylated because of prenatal stress, such as NR3C1.

conclusionsThe present study reveals potential associations between exposure to the COVID-19 pandemic during pregnancy and subsequent changes in the newborn epigenome. While this finding warrants further investigation, it is a point that should be considered in any study assessing newborn DNA methylation studies obtained during this period, even in otherwise healthy pregnancies.

Indexed as

COVID-19Prenatal Exposure Delayed EffectsDNA MethylationEpigenesis, GeneticFemaleFetal BloodGenome-Wide Association StudyHumansInfant, NewbornLongitudinal StudiesMaternal ExposurePandemicsPregnancyCOVID-19 pandemicDNA methylationEpigeneticsPerinatal stressSARS-CoV-2

Identifiers

PMID37899449
PMCPMC10614377
OpenAlexW4388022614

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.