Evidence map›Paper›PMID 41651072›Full record

Trial reportThe Journal of nutrition2026

Maternal Adiposity and DNA Methylation of TfR2 and HJV Genes in Early Pregnancy: Mediating Role of Inflammation and Consequences for Iron Status.

Sabrina P Demirdjian, Rachelle E Irwin, Paul D Thompson, Maria S Mulhern, Maeve A Kerr, Mark Ledwidge, Kazi L Rahman, Caroline Conway, Edna P Rodriguez, Mary T McCann

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Sabrina P DemirdjianNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Rachelle E IrwinSchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster University, Coleraine, United Kingdom.
Paul D ThompsonNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Maria S MulhernNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Maeve A KerrNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Mark LedwidgeSchool of Medicine, University College Dublin, Dublin, Ireland.
Kazi L RahmanNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Caroline ConwaySchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster University, Coleraine, United Kingdom.
Edna P RodriguezSchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster University, Coleraine, United Kingdom.
Mary T McCannNutrition Innovation Centre for Food and Health, School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom. Electronic address: mt.mccann@ulster.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowing evidence shows that obesity influences iron status during pregnancy; however, it is unknown whether maternal obesity is associated with epigenetic changes in transferrin receptor 2 (TfR2) and hemojuvelin (HJV).

objectivesThis study aimed to explore the association between adiposity and DNA methylation in TfR2 and HJV in early pregnancy and the mediating effect of inflammation on this association.

methodsThis cross-sectional study used data from a double-blind randomized controlled trial in singleton pregnant women with normal weight (BMI: 18.5-24.9 kg/m

resultsA total of 65 pregnant women were included, 34 with normal weight, and 31 with obesity. Compared to women of normal-weight, those with obesity showed: lower percentage DNA methylationat TfR2z1 cytosine-phosphate-guanine (CpG) sites 5, 6, 8-10 and the mean TfR2z1 methylation (mean TfR2z1 methylation 5.80% vs 6.92%, P = 0.004); lower percentage of DNA methylation at TfR2z2 CpG sites 5 and 6 (12.5% vs 14.7%, P = 0.035; 17.8% vs 20.1%, P = 0.031); higher percentage DNA methylation at HJVz1 CpG site 3 (HJVz1 CpG 3 45.3% vs 43.4%, P = 0.010) and HJVz2 CpG site 2 and the mean HJVz2 methylation (HJVz2 CpG 2 43.2% vs 37.9%, P < 0.001, mean HJVz2 methylation 65.9% vs 61.6%, P < 0.001). Adjusting for covariates, DNA methylation at TfR2z1 was negatively and HJVz2 positively associated with all adiposity measures (TfR2z1, BMI β = -0.288, P = 0.030; HJVz2 β = 0.459, P < 0.001). Inflammation showed a mediating effect on the association between all adiposity measures and DNA methylation at HJVz1 (P = 0.019).

conclusionsMaternal adiposity is associated with epigenetic alterations in the iron metabolism genes TfR2 and HJV in early pregnancy, with modifications in HJV appearing to be mediated by inflammatory pathways.

Indexed as

AdiposityDNA MethylationHemochromatosis ProteinInflammationIronReceptors, TransferrinAdultCross-Sectional StudiesDouble-Blind MethodEpigenesis, GeneticFemaleGPI-Linked ProteinsHumansObesityPregnancyGPI-Linked ProteinsHemochromatosis ProteinHJV protein, humanIronReceptors, TransferrinTFR2 protein, humanCpG islandscytokinecytosine-phosphate-guanineepigenomicsgravidityhemojuvelininterleukiniron deficienciesoverweighttransferrin receptor

Identifiers

PMID41651072
PMCPMC13084681

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.