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Shared DNA methylation signatures in childhood allergy: The MeDALL study - 04/03/21

Doi : 10.1016/j.jaci.2020.11.044 
Cheng-Jian Xu, PhD a, b, c, d, e, , Olena Gruzieva, MD, PhD f, g, , Cancan Qi, MSc a, b, Ana Esplugues, PhD h, i, j, Ulrike Gehring, PhD k, Anna Bergström, PhD f, Dan Mason, PhD l, Leda Chatzi, MD, PhD m, Daniela Porta, MSc n, Karin C. Lodrup Carlsen, MD, PhD o, p, Nour Baïz, PhD q, Anne-Marie Madore, PhD r, Harri Alenius, PhD f, Bianca van Rijkom, BSc s, Soesma A. Jankipersadsing, MSc s, Pieter van der Vlies, BSc s, t, Inger Kull, PhD u, Marianne van Hage, MD, PhD v, w, Mariona Bustamante, PhD j, x, y, Aitana Lertxundi, PhD j, z, aa, Matias Torrent, MD, PhD bb, cc, Gillian Santorelli, MSc l, Maria Pia Fantini, MD dd, Vegard Hovland, MD, PhD p, Giancarlo Pesce, PhD q,

the BIOS Consortium

Nanna Fyhrquist, PhD f, ee, Tiina Laatikainen, MD, PhD ff, gg, Martijn C. Nawijn, PhD b, hh, Yang Li, PhD c, d, e, Cisca Wijmenga, PhD s, Mihai G. Netea, MD, PhD e, ii, Jean Bousquet, MD, PhD jj, kk, Josep M. Anto, MD, PhD j, x, y, ll, Catherine Laprise, PhD r, mm, nn, Tari Haahtela, MD, PhD oo, Isabella Annesi-Maesano, MD, PhD q, Kai-Håkon Carlsen, MD, PhD o, p, Davide Gori, MD, PhD dd, Manolis Kogevinas, MD, PhD x, John Wright, FRCP l, Cilla Söderhäll, PhD pp, qq, Judith M. Vonk, PhD b, rr, Jordi Sunyer, MD, PhD j, x, y, ll, Erik Melén, MD, PhD u, ss, Gerard H. Koppelman, MD, PhD a, b
a Department of Pediatric Pulmonology and Pediatric Allergy, Beatrix Children’s Hospital, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands 
b GRIAC Research Institute, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands 
c Centre for Individualized Infection Medicine, CiiM, a joint venture between Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany 
d TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany 
e Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands 
f Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden 
g Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden 
h Nursing Department, Faculty of Nursing and Chiropody, Universitat de València, València, Spain 
i FISABIO-Universitat Jaume I-Universitat de València Joint Research Unit of Epidemiology and Environmental Health, València, Spain 
j CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain 
k Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands 
l Bradford Institute for Health Research, Bradford, United Kingdom 
m Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles 
n Department of Epidemiology, Lazio Regional Health Service, Rome, Italy 
o Division of Paediatric and Adolescent Medicine, The Faculty of Medicine, University of Oslo, Oslo, Norway 
p Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway 
q Sorbonne University and INSERM, Epidemiology of Allergic and Respiratory Diseases (EPAR) Department, IPLESP, Medical School Saint Antoine, Paris, France 
r Département des sciences fondamentales, Université du Québec à Chicoutimi, Saguenay, Québec City, Canada 
s Department of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands 
t HZPC Research BV, Metslawier, The Netherlands 
u Department of Clinical Sciences and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden 
v Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden 
w Karolinska University Hospital, Stockholm, Sweden 
x ISGlobal, Institute of Global Health, Barcelona, Spain 
y Universitat Pompeu Fabra, Barcelona, Spain 
z Preventive Medicine and Public Health Department, University of Basque Country (UPV/EHU), Leioa, Bizkaia, Spain 
aa Health Research institute Biodonostia, Donostia-San Sebastian, Gipuzkoa, Spain 
bb Health Research Institute of the Balearic Islands, Spain 
cc ib-salut, Area de Salut de Menorca, Spain 
dd Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy 
ee Human Microbiome Program, Medicum, University of Helsinki, Helsinki, Finland 
ff Finnish Institute for Health and Welfare, Helsinki, Finland 
gg Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland 
hh Department of Pathology and Medical Biology, Experimental Pulmonology and Inflammation Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands 
ii Department for Genomics and Immunoregulation, Life and Medical Sciences Institute (LIMES), University of Bonn, Bonn, Germany 
jj University Hospital, Montpellier, France 
kk Department of Dermatology, Charité, Berlin, Germany 
ll IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain 
mm Centre intersectoriel en santé durable, Université du Québec à Chicoutimi, Saguenay, Québec City, Canada 
nn Centre de santé et de services sociaux du Saguenay–Lac-Saint-Jean, Saguenay, Québec, Canada 
oo Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland 
pp Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden 
qq Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden 
rr Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands 
ss Sachs' Children's Hospital, Stockholm, Sweden 

Corresponding author: Cheng-Jian Xu, PhD, Centre for Individualized Infection Medicine, c/o TWINCORE Feodor-Lynen-Street 7, 30625, Hannover, Germany.Centre for Individualized Infection Medicinec/o TWINCORE Feodor-Lynen-Street 7Hannover30625Germany

Abstract

Background

Differential DNA methylation associated with allergy might provide novel insights into the shared or unique etiology of asthma, rhinitis, and eczema.

Objective

We sought to identify DNA methylation profiles associated with childhood allergy.

Methods

Within the European Mechanisms of the Development of Allergy (MeDALL) consortium, we performed an epigenome-wide association study of whole blood DNA methylation by using a cross-sectional design. Allergy was defined as having symptoms from at least 1 allergic disease (asthma, rhinitis, or eczema) and positive serum-specific IgE to common aeroallergens. The discovery study included 219 case patients and 417 controls at age 4 years and 228 case patients and 593 controls at age 8 years from 3 birth cohorts, with replication analyses in 325 case patients and 1111 controls. We performed additional analyses on 21 replicated sites in 785 case patients and 2124 controls by allergic symptoms only from 8 cohorts, 3 of which were not previously included in analyses.

Results

We identified 80 differentially methylated CpG sites that showed a 1% to 3% methylation difference in the discovery phase, of which 21 (including 5 novel CpG sites) passed genome-wide significance after meta-analysis. All 21 CpG sites were also significantly differentially methylated with allergic symptoms and shared between asthma, rhinitis, and eczema. The 21 CpG sites mapped to relevant genes, including ACOT7, LMAN3, and CLDN23. All 21 CpG sties were differently methylated in asthma in isolated eosinophils, and 10 were replicated in respiratory epithelium.

Conclusion

Reduced whole blood DNA methylation at 21 CpG sites was significantly associated with childhood allergy. The findings provide novel insights into the shared molecular mechanisms underlying asthma, rhinitis, and eczema.

Il testo completo di questo articolo è disponibile in PDF.

Key words : Epigenetics, DNA methylation, allergy, IgE, children

Abbreviations used : BIOS, EDEN, eQTM, EWAS, GWAS, INMA, MeDALL, NK, PIAMA, SNP


Mappa


 The Mechanisms of the Development of Allergy (MeDALL) European Union project was supported by the Seventh Framework Programme (grant agreement 261357). The Biobank-Based Integrative Omics Studies (BIOS) Consortium was funded by BBMRI-NL, a research infrastructure financed by the Dutch government (NWO 184.021.007). Cohort-specific funding is described in the Online Supplement (at www.jacionline.org). The funders of the study had no role in design of the study, data gathering, analysis, interpretation, writing of the article, or in the decision to submit it for publication. M.G.N. was supported by a European Research Council Advanced Grant (833247) and a Spinoza Grant from The Netherlands Organization for Scientific Research.
 Disclosure of potential conflict of interest: M. Hage reports personal fees from Thermo Fisher Scientific; ALK; Biomay AG, Vienna, Austria; and Hycor Biomedical LLC outside the submitted work. G. H. Koppelman participated in advisory board meetings for GSK and Pure-IMS outside the submitted work. The rest of the authors declare that they have no relevant conflicts of interest.


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