Parent-of-origin effects in the life-course evolution of cardiometabolic traits

DiabetologiaPublished Birth cohort study

Authors' conclusion

Our study provides proof of concept of the existence of parent-of-origin effects on cardiometabolic traits from birth, through childhood and puberty, until adult age. Our results indicate a predominantly maternal influence on intrauterine, pubertal and reproductive-age metabolism in the offspring. While the longitudinal analysis indicated a maternal bias for the macronutrients (glucose and lipids), and a paternal bias for glucose-insulin metabolism, the cross-sectional analysis revealed a transition between parental influence across physiological stages. This dynamic relationship may have its origins in the life-history theory of evolution, and could inform strategies for primordial prevention aimed at curbing the rising burden of cardiometabolic disease. Further studies are needed to determine the mechanisms underlying such effects.

Study context

Population
Offspring and parents of the Pune Maternal Nutrition Study birth cohort, studied from birth and followed up for 24 years
Exposure
Maternal vs paternal effects on offspring cardiometabolic traits
Outcome
Parent-of-origin effects on cardiometabolic traits
Methodological detailsserial measurements, cross-sectional and longitudinal analyses, replication cohort (Pune Children's Study)
  • Serial measurements
  • Cross-sectional and longitudinal analyses
  • Replication cohort (Pune Children's Study)

Main finding

As reported in the abstract

  • Birthweight showed a maternal parent-of-origin effect
  • At 24 years, maternal bias for some obesity-related traits in daughters; paternal bias for WHR in sons
  • Skinfold thickness in daughters shifted from paternal bias at 6 years to maternal bias at 24 years
  • Fasting glucose and lipids showed maternal bias at 6, 12 and 24 years
  • Fasting insulin and HOMA2-S: negative maternal effect at 6 years transitioned to a positive one at 12 years
  • HOMA2-B: paternal effect at 6 years transitioned to maternal at 12 years, remaining so at 24 years
  • Longitudinal modelling: stronger paternal effects over time for fasting insulin and HOMA indices, maternal effects for glucose and lipids

Observational data: associations, not effects.

Further findings

Replication in Pune Children's Study cohort

Some of these findings were also observed in the Pune Children's Study cohort

Genetic parent-of-origin effects (KCNQ1 locus)

KCNQ1 variants showed a maternal parent-of-origin effect on birthweight, HOMA2-B at 12 years, and lipids at 6 and 12 years

Original publication

Parent-of-origin effects in the life-course evolution of cardiometabolic traits. Diabetologia. Published 2 April 2025. doi:10.1007/s00125-025-06396-5

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