DNA methylation risk score for type 2 diabetes is associated with gestational diabetes.

DNA epigenetics Epigenetics Gestational diabetes Methylation risk score Type 2 diabetes

Journal

Cardiovascular diabetology
ISSN: 1475-2840
Titre abrégé: Cardiovasc Diabetol
Pays: England
ID NLM: 101147637

Informations de publication

Date de publication:
13 Feb 2024
Historique:
received: 14 12 2023
accepted: 02 02 2024
medline: 14 2 2024
pubmed: 14 2 2024
entrez: 13 2 2024
Statut: epublish

Résumé

Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) share many pathophysiological factors including genetics, but whether epigenetic marks are shared is unknown. We aimed to test whether a DNA methylation risk score (MRS) for T2DM was associated with GDM across ancestry and GDM criteria. In two independent pregnancy cohorts, EPIPREG (n = 480) and EPIDG (n = 32), DNA methylation in peripheral blood leukocytes was measured at a gestational age of 28 ± 2. We constructed an MRS in EPIPREG and EPIDG based on CpG hits from a published epigenome-wide association study (EWAS) of T2DM. With mixed models logistic regression of EPIPREG and EPIDG, MRS for T2DM was associated with GDM: odd ratio (OR)[95% CI]: 1.3 [1.1-1.8], P = 0.002 for the unadjusted model, and 1.4 [1.1-1.7], P = 0.00014 for a model adjusted by age, pre-pregnant BMI, family history of diabetes and smoking status. Also, we found 6 CpGs through a meta-analysis (cg14020176, cg22650271, cg14870271, cg27243685, cg06378491, cg25130381) associated with GDM, and some of their methylation quantitative loci (mQTLs) were related to T2DM and GDM. For the first time, we show that DNA methylation marks for T2DM are also associated with GDM, suggesting shared epigenetic mechanisms between GDM and T2DM.

Sections du résumé

BACKGROUND BACKGROUND
Gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) share many pathophysiological factors including genetics, but whether epigenetic marks are shared is unknown. We aimed to test whether a DNA methylation risk score (MRS) for T2DM was associated with GDM across ancestry and GDM criteria.
METHODS METHODS
In two independent pregnancy cohorts, EPIPREG (n = 480) and EPIDG (n = 32), DNA methylation in peripheral blood leukocytes was measured at a gestational age of 28 ± 2. We constructed an MRS in EPIPREG and EPIDG based on CpG hits from a published epigenome-wide association study (EWAS) of T2DM.
RESULTS RESULTS
With mixed models logistic regression of EPIPREG and EPIDG, MRS for T2DM was associated with GDM: odd ratio (OR)[95% CI]: 1.3 [1.1-1.8], P = 0.002 for the unadjusted model, and 1.4 [1.1-1.7], P = 0.00014 for a model adjusted by age, pre-pregnant BMI, family history of diabetes and smoking status. Also, we found 6 CpGs through a meta-analysis (cg14020176, cg22650271, cg14870271, cg27243685, cg06378491, cg25130381) associated with GDM, and some of their methylation quantitative loci (mQTLs) were related to T2DM and GDM.
CONCLUSION CONCLUSIONS
For the first time, we show that DNA methylation marks for T2DM are also associated with GDM, suggesting shared epigenetic mechanisms between GDM and T2DM.

Identifiants

pubmed: 38350951
doi: 10.1186/s12933-024-02151-z
pii: 10.1186/s12933-024-02151-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

68

Subventions

Organisme : Instituto de Salud Carlos III
ID : FI19/00178
Organisme : Instituto de Salud Carlos III
ID : PI18/01175
Organisme : Helse Sør-Øst RHF
ID : 2019092
Organisme : Servicio Andaluz de Salud
ID : PI-0283-2018
Organisme : Servicio Andaluz de Salud
ID : PI-0419-2019
Organisme : Servicio Andaluz de Salud
ID : RC-0008-2021
Organisme : Norges Forskningsråd
ID : 271555/F20
Organisme : Norges Forskningsråd
ID : 325640
Organisme : Australian Research Council
ID : DE220101226

Informations de copyright

© 2024. The Author(s).

Références

Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Kaabi JA. Epidemiology of Type 2 Diabetes – Global Burden of Disease and Forecasted Trends. J Epidemiol Glob Health. 2020 [cited 2022 Feb 2];10(1):107. Available from: https://www.pmc/articles/PMC7310804/ .
Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline. Diabetes Res Clin Pract. 2014 [cited 2023 Feb 27];103(3):341–63. Available from: https://www.pubmed.ncbi.nlm.nih.gov/24847517/ .
Zhu Y, Zhang C. Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective. Curr Diab Rep. 2016 [cited 2022 Nov 30];16(1):7. Available from: http://www.pmc/articles/PMC6675405/ .
Farrar D. Hyperglycemia in pregnancy: prevalence, impact, and management challenges. Int J Womens Health. 2016 [cited 2022 Nov 23];8:519–27. Available from: https://www.pubmed.ncbi.nlm.nih.gov/27703397/ .
Wang Z, Peng H, Gao W, Cao W, Lv J, Yu C, et al. Blood DNA methylation markers associated with type 2 diabetes, fasting glucose, and HbA1c levels: an epigenome-wide association study in 316 adult twin pairs. Genomics. 2021;113(6):4206–13.
doi: 10.1016/j.ygeno.2021.11.005 pubmed: 34774679
Chambers JC, Loh M, Lehne B, Drong A, Kriebel J, Motta V et al. Epigenome-wide association of DNA methylation markers in peripheral blood from Indian Asians and Europeans with incident type 2 diabetes: a nested case-control study. lancet Diabetes Endocrinol. 2015 [cited 2022 Dec 22];3(7):526–34. Available from: https://pubmed.ncbi.nlm.nih.gov/26095709/ .
Cardona A, Day FR, Perry JRB, Loh M, Chu AY, Lehne B et al. Epigenome-wide association study of incident type 2 diabetes in a British population: EPIC-Norfolk study. Diabetes. 2019 [cited 2022 Dec 22];68(12):2315–26. Available from: https://pubmed.ncbi.nlm.nih.gov/31506343/ .
Iwata M, Maeda S, Kamura Y, Takano A, Kato H, Murakami S et al. Genetic Risk Score Constructed Using 14 Susceptibility Alleles for Type 2 Diabetes Is Associated With the Early Onset of Diabetes and May Predict the Future Requirement of Insulin Injections Among Japanese Individuals. Diabetes Care. 2012 [cited 2023 Mar 8];35(8):1763–70. Available from: https://diabetesjournals.org/care/article/35/8/ 1763/29901/Genetic-Risk-Score-Constructed-Using-14.
Stanislawski MA, Litkowski E, Raghavan S, Harrall KK, Shaw J, Glueck DH et al. Genetic Risk Score for Type 2 Diabetes and Traits Related to Glucose-Insulin Homeostasis in Youth: The Exploring Perinatal Outcomes Among Children (EPOCH) Study. Diabetes Care. 2021 [cited 2023 Mar 8];44(9):2018–24. Available from: https://pubmed.ncbi.nlm.nih.gov/34257098/ .
Thompson M, Hill BL, Rakocz N, Chiang JN, Geschwind D, Sankararaman S et al. Methylation risk scores are associated with a collection of phenotypes within electronic health record systems. NPJ genomic Med. 2022 [cited 2022 Dec 2];7(1). Available from: https://pubmed.ncbi.nlm.nih.gov/36008412/ .
Schrader S, Perfilyev A, Ahlqvist E, Groop L, Vaag A, Martinell M et al. Novel Subgroups of Type 2 Diabetes Display Different Epigenetic Patterns That Associate With Future Diabetic Complications. Diabetes Care. 2022 [cited 2023 Feb 3];45(7):1621–30. Available from: https://pubmed.ncbi.nlm.nih.gov/35607770/ .
Pervjakova N, Moen GH, Borges MC, Ferreira T, Cook JP, Allard C et al. Multi-ancestry genome-wide association study of gestational diabetes mellitus highlights genetic links with type 2 diabetes. Hum Mol Genet. 2022 [cited 2023 Apr 26];31(19):3377–91. Available from: https://academic.oup.com/hmg/article/31/19/3377/6537590 .
Jenum AK, Mrøkrid K, Sletner L, Vange S, Torper JL, Nakstad B et al. Impact of ethnicity on gestational diabetes identified with the WHO and the modified International Association of Diabetes and Pregnancy Study Groups criteria: a population-based cohort study. Eur J Endocrinol. 2012 [cited 2023 Jan 16];166(2):317–24. Available from: https://eje.bioscientifica.com/view/journals/eje/166/2/317.xml .
Fragoso-Bargas N, Opsahl JO, Kiryushchenko N, Böttcher Y, Lee-Ødegård S, Qvigstad E et al. Cohort profile: epigenetics in pregnancy (EPIPREG) – Population-based sample of European and south Asian pregnant women with epigenome-wide DNA methylation (850k) in peripheral blood leukocytes. PLoS ONE. 2021;16(8 August).
Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. National Diabetes Data Group. Diabetes. 1979 [cited 2022 Jun 10];28(12):1039–57. Available from: https://pubmed.ncbi.nlm.nih.gov/510803/ .
Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res. 1988 [cited 2023 Feb 6];16(3):1215. Available from: https://pubmed.ncbi.nlm.nih.gov/3344216/ .
Houseman EA, Accomando WP, Koestler DC, Christensen BC, Marsit CJ, Nelson HH et al. DNA methylation arrays as surrogate measures of cell mixture distribution. BMC Bioinformatics. 2012 [cited 2022 Jun 13];13(1):1–16. Available from: https://bmcbioinformatics.biomedcentral.com/articles/ https://doi.org/10.1186/1471-2105-13-86 .
Fraszczyk E, Spijkerman AMW, Zhang Y, Brandmaier S, Day FR, Zhou L et al. Epigenome-wide association study of incident type 2 diabetes: a meta-analysis of five prospective European cohorts. Diabetologia. 2022 [cited 2022 Dec 2];65(5):763–76. Available from: https://pubmed.ncbi.nlm.nih.gov/35169870/ .
Verschuren WMM, Blokstra A, Picavet HSJ, Smit HA. Cohort profile: the Doetinchem Cohort Study. Int J Epidemiol. 2008 [cited 2023 Sep 7];37(6):1236–41. Available from: https://pubmed.ncbi.nlm.nih.gov/18238821/ .
Raum E, Rothenbacher D, Löw M, Stegmaier C, Ziegler H, Brenner H. Changes of cardiovascular risk factors and their implications in subsequent birth cohorts of older adults in Germany: a life course approach. Eur J Cardiovasc Prev Rehabil. 2007 [cited 2023 Sep 7];14(6):809–14. Available from: https://pubmed.ncbi.nlm.nih.gov/18043304/ .
Holle R, Happich M, Löwel H, Wichmann HE. KORA–a research platform for population based health research. Gesundheitswesen. 2005 [cited 2023 Sep 7];67 Suppl 1(SUPPL. 1). Available from: https://pubmed.ncbi.nlm.nih.gov/16032513/ .
Kuznetsova A, Brockhoff PB, Christensen RHB. lmerTest Package: Tests in Linear Mixed Effects Models. J Stat Softw. 2017 [cited 2022 Dec 2];82(13):1–26. Available from: https://www.jstatsoft.org/index.php/jss/article/view/v082i13 .
Willer CJ, Li Y, Abecasis GR. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics. 2010 [cited 2024 Jan 16];26(17):2190–1. Available from: https://pubmed.ncbi.nlm.nih.gov/20616382/ .
Chapter 10. : Analysing data and undertaking meta-analyses | Cochrane Training. [cited 2024 Jan 16]. Available from: https://training.cochrane.org/handbook/current/chapter-10 .
LDlink | An Interactive Web Tool for Exploring Linkage. Disequilibrium in Population Groups. [cited 2022 Dec 2]. Available from: https://ldlink.nci.nih.gov/?tab=snpclip .
PhenoScanner. [cited 2022 Dec 2]. Available from: http://www.phenoscanner.medschl.cam.ac.uk/ .
Althouse AD. Adjust for Multiple Comparisons? It’s Not That Simple. Ann Thorac Surg. 2016 May 1 [cited 2023 Sep 7];101(5):1644–5. Available from: http://www.annalsthoracicsurgery.org/article/S0003497515018731/fulltext .
Opsahl JO, Moen GH, Qvigstad E, Böttcher Y, Birkeland KI, Sommer C. Epigenetic signatures associated with maternal body mass index or gestational weight gain: a systematic review. J Dev Orig Health Dis. 2021 Jun 1 [cited 2023 May 15];12(3):373–83. Available from: https://pubmed.ncbi.nlm.nih.gov/32873364/ .
Wu P, Farrell WE, Haworth KE, Emes RD, Kitchen MO, Glossop JR et al. Maternal genome-wide DNA methylation profiling in gestational diabetes shows distinctive disease-associated changes relative to matched healthy pregnancies. Epigenetics. 2016;0.
Dias S, Adam S, Rheeder P, Louw J, Pheiffer C. Altered Genome-Wide DNA Methylation in Peripheral Blood of South African Women with Gestational Diabetes Mellitus. Int J Mol Sci. 2019 [cited 2020 Apr 20];20(23):5828. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31757015 .
Ballesteros M, Gil-Lluís P, Ejarque M, Diaz-Perdigones C, Martinez-Guasch L, Fernández-Veledo S et al. DNA methylation in gestational diabetes and its predictive value for postpartum glucose disturbances. J Clin Endocrinol Metab. 2022 [cited 2022 Aug 9]; Available from: https://pubmed.ncbi.nlm.nih.gov/35914803/ .
Cardona A, Day FR, Perry JRB, Loh M, Chu AY, Lehne B et al. Epigenome-wide association study of incident type 2 diabetes in a British population: EPIC-Norfolk study. Diabetes. 2019 [cited 2023 Feb 3];68(12):2315–26. Available from: https://pubmed.ncbi.nlm.nih.gov/31506343/ .
Meeks KAC, Henneman P, Venema A, Addo J, Bahendeka S, Burr T et al. Epigenome-wide association study in whole blood on type 2 diabetes among sub-Saharan African individuals: findings from the RODAM study. Int J Epidemiol. 2019 [cited 2023 Feb 3];48(1):58–70. Available from: https://pubmed.ncbi.nlm.nih.gov/30107520/ .
Tobi EW, Juvinao-Quintero DL, Ronkainen J, Ott R, Alfano R, Canouil M et al. Maternal Glycemic Dysregulation During Pregnancy and Neonatal Blood DNA Methylation: Meta-analyses of Epigenome-Wide Association Studies. Diabetes Care. 2022 [cited 2022 Nov 30];45(3):614–23. Available from: https://pubmed.ncbi.nlm.nih.gov/35104326/ .
Qie R, Chen Q, Wang T, Chen X, Wang J, Cheng R et al. Association of ABCG1 gene methylation and its dynamic change status with incident type 2 diabetes mellitus: the Rural Chinese Cohort Study. J Hum Genet. 2021 [cited 2023 Feb 9];66(4):347–57. Available from: https://pubmed.ncbi.nlm.nih.gov/32968204/ .
Tian M, Zhang C, Han H, Liu R, Gao Z, Chen P et al. Effects of the preassembly of benzohydroxamic acid with Fe (III) ions on its adsorption on cassiterite surface. Miner Eng. 2018 [cited 2018 Nov 13];127:32–41. Available from: https://www.sciencedirect.com/science/article/pii/S0892687518303352 .
MAP4K2 mitogen-activated protein. kinase kinase kinase kinase 2 [Homo sapiens (human)] - Gene - NCBI. [cited 2023 Feb 9]. Available from: https://www.ncbi.nlm.nih.gov /gene?Db=gene&Cmd=DetailsSearch&Term=5871.
PDGFB platelet derived growth. factor subunit B [Homo sapiens (human)] - Gene - NCBI. [cited 2023 Feb 13]. Available from: https://www.ncbi.nlm.nih.gov/gene/5155#gene-ontology .
Shan Z, Xu C, Wang W, Li W. Enhanced PDGF signaling in gestational diabetes mellitus is involved in pancreatic β-cell dysfunction. Biochem Biophys Res Commun. 2019;516(2):402–7.
doi: 10.1016/j.bbrc.2019.06.048 pubmed: 31217075
Linares-Pineda T, Peña-Montero N, Fragoso-Bargas N, Gutiérrez-Repiso C, Lima-Rubio F, Suarez-Arana M et al. Epigenetic marks associated with gestational diabetes mellitus across two time points during pregnancy. Clin Epigenetics. 2023 [cited 2023 Jul 7];15(1):110. Available from: https://pubmed.ncbi.nlm.nih.gov/37415231/ .
Linares-Pineda TM, Peña-Montero N, Gutiérrez-Repiso C, Lima-Rubio F, Sánchez-Pozo A, Tinahones FJ et al. Epigenome wide association study in peripheral blood of pregnant women identifies potential metabolic pathways related to gestational diabetes. Epigenetics. 2023 [cited 2023 May 30];18(1):2211369. Available from: https://pubmed.ncbi.nlm.nih.gov/37192269/ .
Moen GH, Sommer C, Prasad RB, Sletner L, Groop L, Qvigstad E et al. MECHANISMS IN ENDOCRINOLOGY: Epigenetic modifications and gestational diabetes: a systematic review of published literature. Eur J Endocrinol. 2017 [cited 2024 Jan 17];176(5):R247–67. Available from: https://pubmed.ncbi.nlm.nih.gov/28232369/ .
Nabais MF, Gadd DA, Hannon E, Mill J, McRae AF, Wray NR. An overview of DNA methylation-derived trait score methods and applications. Genome Biol 2023 241. 2023 [cited 2024 Jan 12];24(1):1–23. Available from: https://genomebiology.biomedcentral.com/articles/ https://doi.org/10.1186/s13059-023-02855-7 .
Abu-El-Haija A, Reddi HV, Wand H, Rose NC, Mori M, Qian E et al. The clinical application of polygenic risk scores: A points to consider statement of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2023 [cited 2024 Jan 12];25(5). Available from: https://pubmed.ncbi.nlm.nih.gov/36920474/ .

Auteurs

Teresa M Linares-Pineda (TM)

Department of Endocrinology and Nutrition, Instituto de Investigación Biomédica Málaga (IBIMA)- Plataforma Bionand, University Hospital Virgen de la Victoria, Málaga, Spain.
Department of Biochemistry and Molecular Biology 2, University of Granada, Granada, Spain.
Centre for Biomedical Research Network on Obesity Physiopathology and Nutrition (CIBEROBN), Madrid, Spain.

Nicolas Fragoso-Bargas (N)

Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, 0424, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Mohn Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway.

María José Picón (MJ)

Department of Endocrinology and Nutrition, Instituto de Investigación Biomédica Málaga (IBIMA)- Plataforma Bionand, University Hospital Virgen de la Victoria, Málaga, Spain.

Maria Molina-Vega (M)

Department of Endocrinology and Nutrition, Instituto de Investigación Biomédica Málaga (IBIMA)- Plataforma Bionand, University Hospital Virgen de la Victoria, Málaga, Spain.

Anne Karen Jenum (AK)

General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Line Sletner (L)

Department of Pediatric and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway.

Sindre Lee-Ødegård (S)

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Julia O Opsahl (JO)

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Haukeland University Hospital, Bergen, Norway.

Gunn-Helen Moen (GH)

Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, 0424, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Institute of Molecular Bioscience, The University of Queensland, Brisbane, Australia.
K. G Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Population Health Science, Bristol Medical School, University of Bristol, Bristol, UK.
Frazer Institute, The University of Queensland, Woolloongabba, QLD, 4102, Australia.

Elisabeth Qvigstad (E)

Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, 0424, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Rashmi B Prasad (RB)

Lund University Diabetes Centre, Malmo, Sweden.
Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.

Kåre I Birkeland (KI)

Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, 0424, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Sonsoles Morcillo (S)

Department of Endocrinology and Nutrition, Instituto de Investigación Biomédica Málaga (IBIMA)- Plataforma Bionand, University Hospital Virgen de la Victoria, Málaga, Spain.
Centre for Biomedical Research Network on Obesity Physiopathology and Nutrition (CIBEROBN), Madrid, Spain.

Christine Sommer (C)

Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, 0424, Norway. christine.sommer@medisin.uio.no.

Classifications MeSH