Summary: Study reports the effects of prenatal famine can cause metabolic health problems in offspring up to six decades later.
Source: Columbia University.
DNA methylation, known to enable the activity of genes and be involved in development and metabolism, plays a key role in the link between prenatal famine exposure and body mass index and adult metabolic health, according to researchers at Columbia University’s Mailman School of Public Health and Leiden University Medical Center. While earlier studies using animal models have illustrated the potential of epigenetics to influence health over the short run, this study in humans shows that the impact of a nutrition shock, like famine, on epigenetic markers in early life can still be linked to adult health, six decades later. The findings are published online in the journal Science Advances.
The researchers examined the question in the setting of the Dutch Hunger Winter of 1944-45, a famine at the end of World War II that resulted from a combination of punitive measures imposed by occupying German forces, winter conditions, and fuel shortages related to war operations. For five and one-half months, food rations dropped to below 900 kcal/day and then rapidly returned to pre-famine levels by massive Allied relief efforts. The percentage of calories from proteins, fat, and carbohydrates in the diet was relatively constant as the food rations diminished.
“Strikingly, the epigenetic changes we found to link prenatal famine to metabolic health are similar to changes that drive metabolic health in the general population,” said Elmar Tobi, PhD, lead author from the Leiden University Medical Center. “We believe the mechanisms we identified may be widely at play.”
Using a two-step analysis, the researchers studied DNA methylation in blood of 422 individuals who had been exposed to famine in utero and 463 (sibling) controls without exposure. They determined that DNA methylation changes were key to explaining the association of prenatal famine exposure with adult body mass index and triglycerides levels in blood — both important risk factors for metabolic disease — but not with the observed glucose measures.
The researchers found that DNA methylation of a gene that regulates growth and energy production in cells was linked to both prenatal famine and body mass index and explained 13 percent of the association between prenatal famine and higher body mass index. Similarly, the study identified DNA methylation changes near six additional genes that control metabolism and cell differentiation during development. These changes explained up to 80 percent of the association between famine and triglycerides.
Earlier studies by the team found that exposure to famine during gestation is associated with both increased risk of obesity and type 2 diabetes, and separately, with DNA methylation changes. But they had not yet examined the mediating role of DNA methylation.
“In this latest research, we adopted a genome-wide approach to systematically identify the potential of DNA methylation to act as a mediator of the relation between prenatal famine exposure and adult outcomes in our study population of the prenatally exposed individuals and their sibling controls,” noted Bas Heijmans, PhD, epigeneticist at the LUMC, and senior co-author of the study.
“We show that associations between exposure to an adverse environment during early development and health outcomes six decades later can be mediated by epigenetic factors,” said L.H. Lumey, MD, professor of Epidemiology at Columbia’s Mailman School of Public Health, and senior co-author. “Further studies will be needed to determine the possible impact of other factors in early life that could cause long-term harm to human health by epigenetic changes.”
About this neuroscience research article
Co-authors include R.C. Slieker, R. Luijk, K.F. Dekker, P.E. Slagboom, K.M. Xu, and E.W. van Zwet, Leiden University Medical Center; and A.D. Stein, Rollins School of Public Health, Emory University.
Funding: The study was supported by the U.S. National Institutes of Health (R01-HL067914, RC1- HD063549, R01-AG042190), the European Union’s Seventh Framework Program IDEAL (259679), and a VENI grant by the Netherlands Organization for Scientific Research (91617128). The authors declare no conflicts of interest.
[cbtabs][cbtab title=”MLA”]Columbia University “Prenatal Famine Drives DNA Methylation and Adult Health Six Decades Later.” NeuroscienceNews. NeuroscienceNews, 2 February 2018. <https://neurosciencenews.com/famine-health-dna-methylation-8419/>.[/cbtab][cbtab title=”APA”]Columbia University (2018, February 2). Prenatal Famine Drives DNA Methylation and Adult Health Six Decades Later. NeuroscienceNews. Retrieved February 2, 2018 from https://neurosciencenews.com/famine-health-dna-methylation-8419/[/cbtab][cbtab title=”Chicago”]Columbia University “Prenatal Famine Drives DNA Methylation and Adult Health Six Decades Later.” https://neurosciencenews.com/famine-health-dna-methylation-8419/ (accessed February 2, 2018).[/cbtab][/cbtabs]
DNA methylation as a mediator of the association between prenatal adversity and risk factors for metabolic disease in adulthood
Although it is assumed that epigenetic mechanisms, such as changes in DNA methylation (DNAm), underlie the relationship between adverse intrauterine conditions and adult metabolic health, evidence from human studies remains scarce. Therefore, we evaluated whether DNAm in whole blood mediated the association between prenatal famine exposure and metabolic health in 422 individuals exposed to famine in utero and 463 (sibling) controls. We implemented a two-step analysis, namely, a genome-wide exploration across 342,596 cytosine-phosphate-guanine dinucleotides (CpGs) for potential mediators of the association between prenatal famine exposure and adult body mass index (BMI), serum triglycerides (TG), or glucose concentrations, which was followed by formal mediation analysis. DNAm mediated the association of prenatal famine exposure with adult BMI and TG but not with glucose. DNAm at PIM3 (cg09349128), a gene involved in energy metabolism, mediated 13.4% [95% confidence interval (CI), 5 to 28%] of the association between famine exposure and BMI. DNAm at six CpGs, including TXNIP (cg19693031), influencing β cell function, and ABCG1 (cg07397296), affecting lipid metabolism, together mediated 80% (95% CI, 38.5 to 100%) of the association between famine exposure and TG. Analyses restricted to those exposed to famine during early gestation identified additional CpGs mediating the relationship with TG near PFKFB3 (glycolysis) and METTL8 (adipogenesis). DNAm at the CpGs involved was associated with gene expression in an external data set and correlated with DNAm levels in fat depots in additional postmortem data. Our data are consistent with the hypothesis that epigenetic mechanisms mediate the influence of transient adverse environmental factors in early life on long-term metabolic health. The specific mechanism awaits elucidation.