Work

Epigenetic Timing Effects on Child Developmental Outcomes: a Longitudinal Meta-regression of Findings From the Pregnancy and Childhood Epigenetics Consortium

Year: 2024
Type: article
Abstract: Background DNA methylation (DNAm) is a developmentally dynamic epigenetic process; yet, most epigenome-wide association studies (EWAS) have examined DNAm at only one timepoint or without systematic comparisons between timepoints. Thus, it is unclear whether DNAm alterations during certain developmental periods are more informative than others for health outcomes, how persistent epigenetic signals are across time, and whether epigenetic timing effects differ by outcome. Methods We applied longitudinal meta-regression models to published meta-analyses from the PACE consortium that examined DNAm at two timepoints—prospectively at birth and cross-sectionally in childhood—in relation to the same child outcome (ADHD symptoms, general psychopathology, sleep duration, BMI, asthma). These models allowed systematic comparisons of effect sizes and statistical significance between timepoints. Furthermore, we tested correlations between DNAm regression coefficients to assess the consistency of epigenetic signals across time and outcomes. Finally, we performed robustness checks, estimated between-study heterogeneity, and tested pathway enrichment. Results Our findings reveal three new insights: (i) across outcomes, DNAm effect sizes are consistently larger in childhood cross-sectional analyses compared to prospective analyses at birth; (ii) higher effect sizes do not necessarily translate into more significant findings, as associations also become noisier in childhood for most outcomes (showing larger standard errors in cross-sectional vs prospective analyses); and (iii) DNAm signals are highly time-specific, while also showing evidence of shared associations across health outcomes (ADHD symptoms, general psychopathology, and asthma). Notably, these observations could not be explained by sample size differences and only partly to differential study-heterogeneity. DNAm sites changing associations were enriched for neural pathways. Conclusions Our results highlight developmentally-specific associations between DNAm and child health outcomes, when assessing DNAm at birth vs childhood. This implies that EWAS results from one timepoint are unlikely to generalize to another. Longitudinal studies with repeated epigenetic assessments are direly needed to shed light on the dynamic relationship between DNAm, development and health, as well as to enable the creation of more reliable and generalizable epigenetic biomarkers. More broadly, this study underscores the importance of considering the time-varying nature of DNAm in epigenetic research and supports the potential existence of epigenetic “timing effects” on child health.
Institutions: Erasmus MC, University of Helsinki, Helsinki University Hospital, Universitat Pompeu Fabra, Barcelona Institute for Global Health, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Westat (United States), University of Bristol, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, Vall d'Hebron Institut de Recerca, Vall d'Hebron Hospital Universitari, Karolinska Institutet, Vytautas Magnus University, University of Southampton, ISPA - Instituto Universitário, William James Center for Research, The University of Western Australia, Royal Perth Hospital, University of Southern California, Max Planck Institute of Psychiatry, University of Colorado Anschutz, University of California, San Francisco, University of California, Berkeley, Virginia Commonwealth University, Norwegian Institute of Public Health, Helmholtz Centre for Environmental Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford Institute for Health Research, Emory University, Oulu University Hospital, MRC Centre for Environment and Health, Imperial College London, Brunel University of London, University of Oulu, Institut de Recerca Biomèdica Catalunya Sud, Ludwig-Maximilians-Universität München, University Medical Center Groningen, University of Groningen, Beatrix Kinderziekenhuis, Stockholm South General Hospital, Centro de Investigación Biomédica en Red, CSIRO Health and Biosecurity, University of North Carolina at Chapel Hill, South African Medical Research Council, University of Cape Town, Stanford Medicine, Stanford University, Universidad San Sebastián, Monash Health, University College London, Monash University, University of Bath, Medizinische Hochschule Hannover, Helmholtz Centre for Infection Research, Centre for Individualised Infection Medicine, Center for Experimental and Clinical Infection Research, University of Memphis, Harvard University, National Institute of Environmental Health Sciences, Leiden University Medical Center
Language: English
Open Access status: gold
Estimated APC paid: $3,000
OpenAlex ID: W4403450700
FWCI: 2.583
Cites: 40
Cited by: 20
Related to: 10