Gestational diabetes & diabetes in pregnancy

Association of prenatal glycemic marker cumulative exposure with placental DNA methylation change

J Clin Endocrinol MetabPublished Epigenome-wide association study

Authors' conclusion

Increased glycemic marker exposure was associated with placental DNA methylation near genes enriched for inflammatory and cardiometabolic pathways. Placenta-mediated epigenetic mechanisms may link maternal glycemic dysregulation and offspring disease risk.

Study context

Population
Pregnant women with glycemic markers measured at 8–13, 16–22, 24–29 and 34–37 gestational weeks; placental DNA methylation by Illumina array
Outcome
Association of cumulative glycemic exposure (AUCgluc, AUCinsl, AUCHbA1c) with placental DNA methylation
Methodological detailsstratified by fetal sex
  • Stratified by fetal sex

Main finding

As reported in the abstract

Placental DNA methylation associated with glycemic marker AUC
Sex-specific methylation associations identified at FDR-adjusted P < .05
4

Further findings

Correlation of differentially methylated sites with neonatal anthropometry and placental weight

Higher methylation at cg15608939 in males correlated with increased birth weight
Lower methylation at cg05471842 in females correlated with increased birth weight
Lower methylation at cg23951198 in males correlated with increased placental weight

Pathway enrichment of genes mapped to top CpGs

Enriched for metabolic, immune and inflammatory pathways; linked to cardiometabolic diseases and traits

Original publication

Association of prenatal glycemic marker cumulative exposure with placental DNA methylation change. J Clin Endocrinol Metab. Published 8 January 2026. doi:10.1210/clinem/dgag006

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