A Pregnancy and Childhood Epigenetics Consortium (PACE) meta-analysis highlights potential relationships between birth order and neonatal blood DNA methylation.

Shaobo Li ORCID logo ; Natalia Spitz ORCID logo ; Akram Ghantous ; Sarina Abrishamcar ORCID logo ; Brigitte Reimann ; Irene Marques ; Matt J Silver ORCID logo ; Sofía Aguilar-Lacasaña ; Negusse Kitaba ORCID logo ; Faisal I Rezwan ORCID logo ; +56 more... Stefan Röder ORCID logo ; Lea Sirignano ; Johanna Tuhkanen ; Giulia Mancano ; Gemma C Sharp ; Catherine Metayer ; Libby Morimoto ORCID logo ; Dan J Stein ORCID logo ; Heather J Zar ; Rossella Alfano ORCID logo ; Tim Nawrot ; Congrong Wang ; Eero Kajantie ORCID logo ; Elina Keikkala ; Sanna Mustaniemi ORCID logo ; Justiina Ronkainen ORCID logo ; Sylvain Sebert ORCID logo ; Wnurinham Silva ORCID logo ; Marja Vääräsmäki ; Vincent WV Jaddoe ORCID logo ; Robin M Bernstein ; Andrew M Prentice ORCID logo ; Marta Cosin-Tomas ; Terence Dwyer ORCID logo ; Siri Eldevik Håberg ; Zdenko Herceg ; Maria C Magnus ; Monica Cheng Munthe-Kaas ; Christian M Page ; Maja Völker ; Maria Gilles ; Tabea Send ; Stephanie Witt ORCID logo ; Lea Zillich ORCID logo ; Luigi Gagliardi ; Lorenzo Richiardi ; Darina Czamara ORCID logo ; Katri Räikkönen ; Lida Chatzi ; Marina Vafeiadi ORCID logo ; S Hasan Arshad ; Susan Ewart ; Michelle Plusquin ; Janine F Felix ORCID logo ; Sophie E Moore ; Martine Vrijheid ORCID logo ; John W Holloway ORCID logo ; Wilfried Karmaus ORCID logo ; Gunda Herberth ORCID logo ; Ana Zenclussen ORCID logo ; Fabian Streit ORCID logo ; Jari Lahti ORCID logo ; Anke Hüls ; Thanh T Hoang ORCID logo ; Stephanie J London ORCID logo ; Joseph L Wiemels ORCID logo ; (2024) A Pregnancy and Childhood Epigenetics Consortium (PACE) meta-analysis highlights potential relationships between birth order and neonatal blood DNA methylation. Communications biology, 7 (1). 66-. ISSN 2399-3642 DOI: 10.1038/s42003-023-05698-x
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Higher birth order is associated with altered risk of many disease states. Changes in placentation and exposures to in utero growth factors with successive pregnancies may impact later life disease risk via persistent DNA methylation alterations. We investigated birth order with Illumina DNA methylation array data in each of 16 birth cohorts (8164 newborns) with European, African, and Latino ancestries from the Pregnancy and Childhood Epigenetics Consortium. Meta-analyzed data demonstrated systematic DNA methylation variation in 341 CpGs (FDR adjusted P < 0.05) and 1107 regions. Forty CpGs were located within known quantitative trait loci for gene expression traits in blood, and trait enrichment analysis suggested a strong association with immune-related, transcriptional control, and blood pressure regulation phenotypes. Decreasing fertility rates worldwide with the concomitant increased proportion of first-born children highlights a potential reflection of birth order-related epigenomic states on changing disease incidence trends.


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