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Published on: September 27, 2017
Prenatal smoke exposure, DNA methylation, and childhood atopic dermatitis
1Department of Pediatrics, Taipei Hospital Department of Health, Taipei, Taiwan.
Insights
Prenatal smoke exposure may increase the risk of atopic dermatitis (AD) by altering DNA methylation in the thymic stromal lymphopoietin (TSLP) gene. This epigenetic change in TSLP is linked to both smoke exposure and AD development in children.
Area of Science:
- Epigenetics
- Environmental Health
- Pediatrics
Background:
- Biological mechanisms linking prenatal smoke exposure to atopic disorders are not fully understood.
- The role of DNA methylation in mediating the effects of prenatal smoke exposure on atopic diseases requires further investigation.
Purpose of the Study:
- To investigate whether prenatal smoke exposure induces DNA methylation changes in cord blood.
- To explore the association between prenatal smoke exposure, DNA methylation, and the development of atopic dermatitis (AD).
Main Methods:
- Screening of methylation differences using Illumina Infinium 27K arrays in a cohort of 14 infants.
- Validation of differentially methylated CpG loci using methylation-dependent fragment separation (MDFS).
- Measurement of cord blood cotinine levels to quantify prenatal smoke exposure.
Main Results:
- Significant promoter methylation differences were identified in the thymic stromal lymphopoietin (TSLP) gene.
- TSLP 5'-CpG island (CGI) methylation was significantly associated with prenatal smoke exposure (OR=3.17) and AD (OR=2.32) in a larger cohort.
- Increased TSLP 5'CGI methylation inversely correlated with TSLP protein expression (r=-0.45).
Conclusions:
- Prenatal tobacco smoke exposure may increase the risk of atopic dermatitis (AD) through epigenetic modifications, specifically DNA methylation.
- The TSLP gene's methylation status serves as a potential biomarker linking prenatal smoke exposure to AD development.
Background:
The biological mechanisms of how prenatal smoke exposure leading to atopic disorders remain to be addressed. Whether prenatal smoke exposure affects DNA methylation leading to atopic disorders is not clear.
Objective:
As most children suffering from atopic dermatitis (AD) continue to develop asthma later in life, we explored whether prenatal smoke exposure induces cord blood DNA methylation.
Methods:
Methylation differences associated with smoke exposure were screened by Illumina Infinium 27K methylation arrays for 14 children from the Taiwan birth panel study cohort initially. Information about development of atopic dermatitis (AD) and risk factors was collected. Cord blood cotinine levels were measured to represent prenatal smoke exposure. CpG loci that demonstrated a statistically significant difference in methylation were validated by methylation-dependent fragment separation (MDFS). Differential methylation in three genes (TSLP, GSTT1, and CYB5R3) was identified through the screen.
Results:
Among these, only thymic stromal lymphopoietin (TSLP) gene displayed significant difference in promoter methylation percentage after being validated by MDFS (p = 0.018). TSLP gene was further investigated in a larger sample of 150 children from the cohort who completed the follow-up study. Methylation status of the TSLP 5'-CpG island (CGI) was found to be significantly associated with prenatal smoke exposure (OR = 3.17, 95% CI = 1.63-6.19) and with AD (OR = 2.32, 95% CI = 1.06-5.11). The degree of TSLP 5'CGI methylation inversely correlated with TSLP protein expression levels (r = -0.45, P = 0.001).
Conclusions & Clinical Relevance:
The effect of prenatal tobacco smoke exposure on the risk for AD may be mediated through DNA methylation.
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