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Published on: May 5, 2018
Association between placental DNA methylation and fetal congenital heart disease
Jingjing Liu1,2, Yuduo Wu1,2, Hairui Sun1,2
1Echocardiography Medical Center, Beijing Anzhen Hospital, Capital Medical University, No. 2, Anzhen Road, Chaoyang District, Beijing, 100029, China.
Insights
Placental DNA methylation patterns are associated with congenital heart disease (CHD) in fetuses. This finding suggests placental methylation could serve as a potential biomarker for early CHD detection.
Area of Science:
- Epigenetics
- Developmental Biology
- Perinatology
Background:
- Congenital heart disease (CHD) presents a significant global health challenge, with early diagnosis remaining difficult.
- Emerging research suggests placental methylation may act as a predictor for CHD, necessitating further investigation.
Purpose of the Study:
- To investigate the association between prenatal placental DNA methylation and congenital heart disease (CHD).
Main Methods:
- Placental tissues from fetuses with isolated, non-syndromic CHD and unaffected controls were analyzed.
- The Illumina Infinium Human Methylation 850K BeadChip assay identified differential methylation sites (DMSs) and regions (DMRs).
- Gene function was assessed using KEGG and Gene Ontology (GO) enrichment analyses.
Main Results:
- Over 9,600 differential methylation genes and 26,200 DMSs were identified between CHD cases and controls.
- Enrichment analyses linked DMSs to crucial heart development and disease pathways.
- Ten DMRs, including those involving TLL1, CRABP1, FDFT1, and PCK2, were identified, with gene function loss correlating to observed phenotypes.
Conclusions:
- Prenatal placental DNA methylation levels are closely associated with fetal congenital heart disease.
- Placental methylation patterns may offer a novel avenue for the early prediction of CHD.
Abstract:
Congenital heart disease (CHD) is a worldwide problem with high morbidity and mortality. Early diagnosis of congenital heart disease is still a challenge in clinical work. In recent years, few studies indicated that placental methylation may be predictors of CHD. More studies are needed to confirm the association between placental methylation and CHD. The aim of this study was to investigate the association between prenatal placental DNA methylation and CHD. Placental tissues were obtained from four fetuses during the second trimester with isolated, non-syndromic congenital heart disease, including three cases with double outlet right ventricle (DORV) and one case with tetralogy of Fallot (TOF), and four unaffected fetuses as controls. The Illumina Infinium Human Methylation 850K BeadChip assay was employed to identify differential methylation sites (DMSs) and differential methylation regions (DMRs). Differential methylation was evaluated by comparing the β-values for individual CpG loci in cases vs. controls. In addition, the function of genes was assessed through KEGG enrichment analysis, Gene Ontology (GO) analysis and KEGG pathway analysis. Compared with the control group, we identified 9625 differential methylation genes on 26,202 DMSs (p < 0.05), of which 6997 were hyper-methylation and 2628 were hypo-methylation. The top 30 terms of GO biological process and KEGG enrichment analysis of DMSs were connected with multiple important pathways of heart development and disease. Ten differentially methylated regions and the genes related to DMRs, such as TLL1, CRABP1, FDFT1, and PCK2, were identified. The deformity caused by the loss of function of these genes is remarkably consistent with the clinical phenotype of our cases. The DNA methylation level of placental tissue is closely associated with fetal congenital heart disease.
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