Related Experiment Video
Updated: May 23, 2026

Stable Isotope In-Vivo Labeling for Mass-Spectrometry Identification of Paternal Metabolites Transferred from Sperm to Oocyte During Fertilization
Published on: June 17, 2025
Maternal inheritance of a promoter variant in the imprinted PHLDA2 gene significantly increases birth weight
Miho Ishida1, David Monk, Andrew J Duncan
1Clinical and Molecular Genetics Unit, Institute of Child Health, University College London, London, UK.
Insights
A specific gene variant (RS1) in the PHLDA2 promoter, when inherited from the mother, significantly increases birth weight. Maternal inheritance of this variant can lead to a substantial gain in infant weight.
Area of Science:
- Genetics
- Developmental Biology
- Reproductive Medicine
Background:
- Birth weight is a critical predictor of perinatal and adult health.
- Intrauterine growth restriction is linked to perinatal complications and adult diseases.
- The genetic regulation of birth weight and its variability remains incompletely understood.
Purpose of the Study:
- To investigate the genetic factors influencing birth weight.
- To identify polymorphic variants in the PHLDA2 promoter region.
- To elucidate the mechanism of PHLDA2 transcriptional regulation on in utero growth.
Main Methods:
- Sequencing of the PHLDA2 promoter region in fetal DNA samples.
- Luciferase reporter assay to assess promoter efficiency of identified variants.
- Genotyping of the RS1 variant in three independent European birth cohorts.
- Meta-analysis of genetic data from a total of 9,433 individuals.
Main Results:
- A 15 bp repeat sequence (RS1) variant was identified in the PHLDA2 promoter, reducing its efficiency.
- Maternal inheritance of the RS1 variant was associated with a significant increase in birth weight (93g).
- Homozygosity for the maternal RS1 variant showed a larger effect on birth weight (155g), comparable to maternal smoking's impact.
Conclusions:
- The RS1 variant in the PHLDA2 promoter is a novel genetic determinant of birth weight.
- Maternal inheritance of RS1 positively influences fetal growth.
- Understanding genetic contributions to birth weight can inform strategies for preventing growth-related complications.
Abstract:
Birth weight is an important indicator of both perinatal and adult health, but little is known about the genetic factors contributing to its variability. Intrauterine growth restriction is a leading cause of perinatal morbidity and mortality and is also associated with adult disease. A significant correlation has been reported between lower birth weight and increased expression of the maternal PHLDA2 allele in term placenta (the normal imprinting pattern was maintained). However, a mechanism that explains the transcriptional regulation of PHLDA2 on in utero growth has yet to be described. In this study, we sequenced the PHLDA2 promoter region in 263 fetal DNA samples to identify polymorphic variants. We used a luciferase reporter assay to identify in the PHLDA2 promoter a 15 bp repeat sequence (RS1) variant that significantly reduces PHLDA2-promoter efficiency. RS1 genotyping was then performed in three independent white European normal birth cohorts. Meta-analysis of all three (total n = 9,433) showed that maternal inheritance of RS1 resulted in a significant 93 g increase in birth weight (p = 0.01; 95% confidence interval [CI] = 22-163). Moreover, when the mother was homozygous for RS1, the influence on birth weight was 155 g (p = 0.04; 95% CI = 9-300), which is a similar magnitude to the reduction in birth weight caused by maternal smoking.
Related Concept Videos
Genomic Imprinting and Inheritance
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
Animal Mitochondrial Genetics
Background and Environment Affect Phenotype
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
Epigenetic Regulation
X-chromosome...
Epigenetic Regulation
Incomplete Dominance
