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Sex-influenced DNA methylation differs by placental cell type.
Jiyoung Han1,2, Amy M Inkster1,2, Victor Yuan1,2
1BC Children's Hospital Research Institute, 950 W. 28th Ave, Vancouver, V5Z 4H4, BC, Canada.
Biology of Sex Differences
|March 19, 2026
Summary
Sex differences in placental DNA methylation (DNAme) vary by cell type, with endothelial and stromal cells lacking X-chromosome DNAme. This finding suggests sex chromosome effects on pregnancy outcomes may differ by placental cell type.
Area of Science:
- Reproductive Biology
- Epigenetics
- Genomics
Background:
- Sex differences in human placenta function and morphology impact pregnancy outcomes.
- X chromosome inactivation (XCI) is key for dosage compensation but shows low X-chromosome promoter DNA methylation (DNAme) in the placenta.
- Placental cell-type-specific sex differences in DNAme remain uninvestigated.
Purpose of the Study:
- To investigate sex-influenced DNA methylation (DNAme) differences across distinct placental cell types.
- To determine if DNAme patterns align with cellular developmental origins and sex chromosome complement.
Main Methods:
- Analyzed DNAme in sorted endothelial, stromal, cytotrophoblast, and Hofbauer cells from term placentas using Illumina arrays.
- Compared placental cell DNAme with data from chorionic plate and umbilical cord endothelial cells.
- Conducted sex-stratified analyses of X/Y and autosomal DNAme to identify sex chromosome-associated differences.
Main Results:
- DNA methylation distribution on X and Y chromosomes varied significantly by cell type.
- Differences in DNAme clustered according to developmental origins: extraembryonic mesoderm (endothelial/stromal), trophectoderm (cytotrophoblast), and epiblast (Hofbauer cells).
- XCI-associated DNAme was absent in endothelial/stromal cells and low in trophoblasts, suggesting cell-type-specific de novo DNAme establishment.
Conclusions:
- Lack of X-linked promoter DNAme in endothelial/stromal cells reflects their distinct developmental origin.
- Autosomal DNAme differences correlated with cell relationships and sex chromosome complement.
- Sex chromosome effects on pregnancy outcomes likely vary depending on placental cell type.
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