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Lister R, Chamberlain A, Einstein F, Wu B, Zheng D, Zhou B. Intrauterine Programming of Diabetes Induced Cardiac Embryopathy. Diabetes Obes Int J 2019; 4:202. [PMID: 32537569 PMCID: PMC7293196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Maternal hyperglycemia is a well-recognized risk factor for fetal congenital heart disease. However, the underlying cellular and molecular mechanisms are not well characterized. We hypothesize that maternal hyperglycemia leading to congenital heart are linked to abnormal DNA methylation and mRNA expression at cardiac specific loci. METHODS Hyperglycemia was induced in normal 8-week old CD-1 female mice with a one-time intraperitoneal injection of 150 mg/kg of streptozotocin (STZ) 2 weeks prior to mating. Histological analysis of fetal cardiac morphology was evaluated for malformations on embryonic day (E) 16.5 of control pups and pups exposed to maternal hyperglycemia. We used a massively-parallel sequencing-based methylation sensitive restriction based assay to examine genome-wide cytosine methylation levels at >1.65 million loci in neonatal hearts on post-natal (P) day 0. Functional validation was performed with real time quantitative polymerase chain reaction (RT-qPCR). RESULTS Cardiac structural defects occurred in 28% of the pups (n=12/45) of hyperglycemic dams versus 7% (n=4/61) of controls. Notable phenotypes were hypoplastic left or right ventricle, double outlet right ventricle, ventricular septal defect, and left ventricular outflow tract obstruction. A 10-fold increase in DNA methylation of gene promoter regions was seen in many cardiac important genes in the experimental versus control P0 neonates and have corresponding decreases in gene expression in 21/32 genes functionally validated. CONCLUSION Maternal hyperglycemia alters DNA methylation and mRNA expression of some cardiac genes during heart development. Quantitative, genome-wide assessment of cytosine methylation can be used as a discovery platform to gain insight into the mechanisms of hyperglycemia-induced cardiac anomalies.
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Affiliation(s)
| | | | | | - Bingruo Wu
- MD Albert Einstein College of Medicine, USA
| | - DeYou Zheng
- Phd Albert Einstein College of Medicine, USA
| | - Bin Zhou
- MD Vanderbilt University Medical Center, USA
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Buresch A, Rosner M, Suskin B, Einstein F, Bircaj E, Lister R, Klugman S, Dar P. 610: Actual rates of recommended diagnostic testing after first trimester screening vs. same-day screening by cell free DNA. Am J Obstet Gynecol 2016. [DOI: 10.1016/j.ajog.2015.10.655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Heo H, Uy N, Delahaye F, Tozour J, Slomko H, Zhao Y, Reidy K, Einstein F. 162: Urinary nephrin is an early biomarker for chronic kidney disease in maternal caloric restricted rats. Am J Obstet Gynecol 2015. [DOI: 10.1016/j.ajog.2014.10.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Heo H, Tozour J, Delahaye F, Zhao Y, Barzilai N, Einstein F. 810: Differentially methylated Regions as targets of adverse intrauterine environment. Am J Obstet Gynecol 2014. [DOI: 10.1016/j.ajog.2013.10.843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Heo H, Kogelman Y, Koba W, Jelicks L, Ambadipudi K, Cui MH, Karakash S, Fine E, Einstein F. 809: Non-invasive tissue-specific glucose uptake in pregnancy using the dual imaging of MRI and mPet. Am J Obstet Gynecol 2014. [DOI: 10.1016/j.ajog.2013.10.842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lister R, Chamberlain A, Einstein F, Zhou B. 300: Sex-specific transgenerational impaired glucose tolerance in offspring exposed to maternal hyperglycemia. Am J Obstet Gynecol 2014. [DOI: 10.1016/j.ajog.2013.10.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Heo H, Huffman D, Delahaye F, Karakash S, Zhao Y, Barzilai N, Einstein F. 51: Moderate voluntary running protects against hepatic insulin resistance and restores the placenta-pup glucose uptake gradient in diet-induced obese pregnant rats. Am J Obstet Gynecol 2013. [DOI: 10.1016/j.ajog.2012.10.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lister R, Zhou B, Chamberlain A, Einstein F. 61: Intrauterine programming of diabetes induced cardiac embryopathy. Am J Obstet Gynecol 2013. [DOI: 10.1016/j.ajog.2012.10.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Heo H, Karakash S, Huffman D, Delahaye F, Zhao Y, Barzilai N, Einstein F. 205: Sedentary behavior during pregnancy does not alter maternal fat distribution or insulin action. Am J Obstet Gynecol 2012. [DOI: 10.1016/j.ajog.2011.10.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Heo H, Slomko H, Karakash S, Delahaye F, Zhao Y, Huffman D, Barzilai N, Einstein F. 204: Impact of maternal diet on peripheral vs hepatic insulin resistance in young female offspring. Am J Obstet Gynecol 2012. [DOI: 10.1016/j.ajog.2011.10.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Lister R, Einstein F, Chamberlain A, Dar P, Bernstein P, Zhou B. 269: Streptozotocin dosing for the induction of fetal cardiac dysmorphology associated with maternal hyperglycemia. Am J Obstet Gynecol 2012. [DOI: 10.1016/j.ajog.2011.10.287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Heo H, Hou L, Karakash S, Zhao Y, Atzmon G, Barzilai N, Einstein F. 212: Metabolic alterations in visceral fat and liver contribute to persistent insulin resistance early postpartum. Am J Obstet Gynecol 2011. [DOI: 10.1016/j.ajog.2010.10.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gebb J, Rosner M, Heo H, Einstein F, Merkatz IR, Dar P. 351: Cerclage height correlates with risk of preterm delivery in patients with ultrasound-indicated but not prophylactic cerclage. Am J Obstet Gynecol 2011. [DOI: 10.1016/j.ajog.2010.10.369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Karakash S, Heo H, Dar P, Koba W, Fine E, Barzilai N, Einstein F. 377: MicroPET Imaging in pregnancy: a novel way to visualize and quantify in vivo glucose uptake in pregnancy. Am J Obstet Gynecol 2011. [DOI: 10.1016/j.ajog.2010.10.395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Einstein F, Thompson RF, Bhagat TD, Fazzari MJ, Verma A, Barzilai N, Greally JM. Cytosine methylation dysregulation in neonates following intrauterine growth restriction. PLoS One 2010; 5:e8887. [PMID: 20126273 PMCID: PMC2811176 DOI: 10.1371/journal.pone.0008887] [Citation(s) in RCA: 115] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2009] [Accepted: 01/04/2010] [Indexed: 01/21/2023] Open
Abstract
Background Perturbations of the intrauterine environment can affect fetal development during critical periods of plasticity, and can increase susceptibility to a number of age-related diseases (e.g., type 2 diabetes mellitus; T2DM), manifesting as late as decades later. We hypothesized that this biological memory is mediated by permanent alterations of the epigenome in stem cell populations, and focused our studies specifically on DNA methylation in CD34+ hematopoietic stem and progenitor cells from cord blood from neonates with intrauterine growth restriction (IUGR) and control subjects. Methods and Findings Our epigenomic assays utilized a two-stage design involving genome-wide discovery followed by quantitative, single-locus validation. We found that changes in cytosine methylation occur in response to IUGR of moderate degree and involving a restricted number of loci. We also identify specific loci that are targeted for dysregulation of DNA methylation, in particular the hepatocyte nuclear factor 4α (HNF4A) gene, a well-known diabetes candidate gene not previously associated with growth restriction in utero, and other loci encoding HNF4A-interacting proteins. Conclusions Our results give insights into the potential contribution of epigenomic dysregulation in mediating the long-term consequences of IUGR, and demonstrate the value of this approach to studies of the fetal origin of adult disease.
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Affiliation(s)
- Francine Einstein
- Department of Obstetrics, Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, New York, United States of America
| | - Reid F. Thompson
- Department of Genetics (Computational Genetics), Albert Einstein College of Medicine, Bronx, New York, United States of America
| | - Tushar D. Bhagat
- Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, United States of America
| | - Melissa J. Fazzari
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, United States of America
| | - Amit Verma
- Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York, United States of America
| | - Nir Barzilai
- Department of Medicine, and Center for Epigenomics, Albert Einstein College of Medicine, Bronx, New York, United States of America
- * E-mail: (NB); (JMG)
| | - John M. Greally
- Department of Genetics (Computational Genetics), Albert Einstein College of Medicine, Bronx, New York, United States of America
- Department of Medicine, and Center for Epigenomics, Albert Einstein College of Medicine, Bronx, New York, United States of America
- * E-mail: (NB); (JMG)
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Einstein F, Thompson RF, Bhagat TD, Fazzari MJ, Verma A, Barzilai N, Greally JM. Cytosine methylation dysregulation in neonates following intrauterine growth restriction. PLoS One 2010. [PMID: 20126273 DOI: 10.1371/journal.pone.000887] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Perturbations of the intrauterine environment can affect fetal development during critical periods of plasticity, and can increase susceptibility to a number of age-related diseases (e.g., type 2 diabetes mellitus; T2DM), manifesting as late as decades later. We hypothesized that this biological memory is mediated by permanent alterations of the epigenome in stem cell populations, and focused our studies specifically on DNA methylation in CD34+ hematopoietic stem and progenitor cells from cord blood from neonates with intrauterine growth restriction (IUGR) and control subjects. METHODS AND FINDINGS Our epigenomic assays utilized a two-stage design involving genome-wide discovery followed by quantitative, single-locus validation. We found that changes in cytosine methylation occur in response to IUGR of moderate degree and involving a restricted number of loci. We also identify specific loci that are targeted for dysregulation of DNA methylation, in particular the hepatocyte nuclear factor 4alpha (HNF4A) gene, a well-known diabetes candidate gene not previously associated with growth restriction in utero, and other loci encoding HNF4A-interacting proteins. CONCLUSIONS Our results give insights into the potential contribution of epigenomic dysregulation in mediating the long-term consequences of IUGR, and demonstrate the value of this approach to studies of the fetal origin of adult disease.
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Affiliation(s)
- Francine Einstein
- Department of Obstetrics, Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, New York, United States of America
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Einstein F, Thompson RF, Heo H, Budagov T, Atzmon G, Goffman D, Barzilai N, Montagna C, Greally JM. 600: Abnormal intrauterine growth induces global epigenetic changes in human stem cells. Am J Obstet Gynecol 2008. [DOI: 10.1016/j.ajog.2008.09.630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gebb J, Einstein F, Merkatz IR, Dar P. 279: First trimester 3D power doppler of the intervillous space in patients with decreased PAPP-A levels and increased uterine artery pulsatility index. Am J Obstet Gynecol 2008. [DOI: 10.1016/j.ajog.2008.09.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Einstein F, Heo H, Cui L, Huffman DM, Muzumdar RH, Barzilai N. 717: Physiological insulin resistance of pregnancy leads to increased glucose uptake rat pups. Am J Obstet Gynecol 2008. [DOI: 10.1016/j.ajog.2008.09.748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Alkalay A, Fisher N, Capone K, Karakash S, Kowensky J, Sar P, Einstein F. 791: Outcomes associated with isolated borderline oligohydramnios between 24 and 34 weeks' gestation. Am J Obstet Gynecol 2008. [DOI: 10.1016/j.ajog.2008.09.822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Heo H, Cui L, Muzumdar RH, Huffman DM, Barzilai N, Einstein F. 539: Hepatic and peripheral insulin resistance of pregnancy are not reversed in early postpartum rats. Am J Obstet Gynecol 2008. [DOI: 10.1016/j.ajog.2008.09.569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Einstein F, Fishman S, Muzumdar R, Yang XM, Atzmon G, Merkatz I, Barzilai N. Pregnancy alters adipose biology and its conribution to thrombosis, insulin action and inflammation. Am J Obstet Gynecol 2006. [DOI: 10.1016/j.ajog.2006.10.537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Landsberger E, Ankrah Y, Segal-Isaacson C, Gurewitsch E, Levine L, Einstein F, Chazotte C. Should severely obese women complete childbearing prior to undergoing bariatric surgery? Am J Obstet Gynecol 2006. [DOI: 10.1016/j.ajog.2006.10.303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Einstein F, Fishman S, Muzumdar R, Yang XM, Atzmon G, Merkatz I, Barzilai N. Increased hepatic insulin resistance is detemined by visceral fat accretion and accumulation of hepatic triglycerides during pregnancy. Am J Obstet Gynecol 2006. [DOI: 10.1016/j.ajog.2006.10.536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Wright RL, Einstein F, Trentacoste S, Eerden PV, Bebbington M, Merkatz IR, Bernstein PS. Time to clinically significant viral suppression in HIV-infected pregnant women. Am J Obstet Gynecol 2003. [DOI: 10.1016/j.ajog.2003.10.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Alper H, Einstein F, Nagai R, Petrignani J. Reactions of Thioesters and Thiolactones with Cyclopentadienylmetal Dicarbonyl Dimers. Organometallics 1984. [DOI: 10.1021/om00081a904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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