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      Social and physical environments early in development predict DNA methylation of inflammatory genes in young adulthood

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          Significance

          Environments in infancy and childhood influence levels of inflammation in adulthood—an important risk factor for multiple diseases of aging—but the underlying biological mechanisms remain uncertain. Using data from a unique cohort study in the Philippines with a lifetime of information on each participant, we provide evidence that nutritional, microbial, and psychosocial exposures in infancy and childhood predict adult levels of DNA methylation—biochemical marks on the genome that affect gene expression—in genes that regulate inflammation. We also show that DNA methylation in these genes relates to levels of inflammatory biomarkers implicated in cardiovascular and other diseases. These results suggest that epigenetic mechanisms may partially explain how early environments have enduring effects on inflammation and inflammation-related diseases.

          Abstract

          Chronic inflammation contributes to a wide range of human diseases, and environments in infancy and childhood are important determinants of inflammatory phenotypes. The underlying biological mechanisms connecting early environments with the regulation of inflammation in adulthood are not known, but epigenetic processes are plausible candidates. We tested the hypothesis that patterns of DNA methylation (DNAm) in inflammatory genes in young adulthood would be predicted by early life nutritional, microbial, and psychosocial exposures previously associated with levels of inflammation. Data come from a population-based longitudinal birth cohort study in metropolitan Cebu, the Philippines, and DNAm was characterized in whole blood samples from 494 participants (age 20–22 y). Analyses focused on probes in 114 target genes involved in the regulation of inflammation, and we identified 10 sites across nine genes where the level of DNAm was significantly predicted by the following variables: household socioeconomic status in childhood, extended absence of a parent in childhood, exposure to animal feces in infancy, birth in the dry season, or duration of exclusive breastfeeding. To evaluate the biological significance of these sites, we tested for associations with a panel of inflammatory biomarkers measured in plasma obtained at the same age as DNAm assessment. Three sites predicted elevated inflammation, and one site predicted lower inflammation, consistent with the interpretation that levels of DNAm at these sites are functionally relevant. This pattern of results points toward DNAm as a potentially important biological mechanism through which developmental environments shape inflammatory phenotypes across the life course.

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          Most cited references47

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          Allele-specific FKBP5 DNA demethylation mediates gene-childhood trauma interactions.

          Although the fact that genetic predisposition and environmental exposures interact to shape development and function of the human brain and, ultimately, the risk of psychiatric disorders has drawn wide interest, the corresponding molecular mechanisms have not yet been elucidated. We found that a functional polymorphism altering chromatin interaction between the transcription start site and long-range enhancers in the FK506 binding protein 5 (FKBP5) gene, an important regulator of the stress hormone system, increased the risk of developing stress-related psychiatric disorders in adulthood by allele-specific, childhood trauma-dependent DNA demethylation in functional glucocorticoid response elements of FKBP5. This demethylation was linked to increased stress-dependent gene transcription followed by a long-term dysregulation of the stress hormone system and a global effect on the function of immune cells and brain areas associated with stress regulation. This identification of molecular mechanisms of genotype-directed long-term environmental reactivity will be useful for designing more effective treatment strategies for stress-related disorders.
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            Independent filtering increases detection power for high-throughput experiments.

            With high-dimensional data, variable-by-variable statistical testing is often used to select variables whose behavior differs across conditions. Such an approach requires adjustment for multiple testing, which can result in low statistical power. A two-stage approach that first filters variables by a criterion independent of the test statistic, and then only tests variables which pass the filter, can provide higher power. We show that use of some filter/test statistics pairs presented in the literature may, however, lead to loss of type I error control. We describe other pairs which avoid this problem. In an application to microarray data, we found that gene-by-gene filtering by overall variance followed by a t-test increased the number of discoveries by 50%. We also show that this particular statistic pair induces a lower bound on fold-change among the set of discoveries. Independent filtering-using filter/test pairs that are independent under the null hypothesis but correlated under the alternative-is a general approach that can substantially increase the efficiency of experiments.
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              Allergy, parasites, and the hygiene hypothesis.

              The increase of allergic diseases in the industrialized world has often been explained by a decline in infections during childhood. The immunological explanation has been put into the context of the functional T cell subsets known as T helper 1 (TH1) and T helper 2 (TH2) that display polarized cytokine profiles. It has been argued that bacterial and viral infections during early life direct the maturing immune system toward TH1, which counterbalance proallergic responses of TH2 cells. Thus, a reduction in the overall microbial burden will result in weak TH1 imprinting and unrestrained TH2 responses that allow an increase in allergy. This notion is contradicted by observations that the prevalence of TH1-autoimmune diseases is also increasing and that TH2-skewed parasitic worm (helminth) infections are not associated with allergy. More recently, elevations of anti-inflammatory cytokines, such as interleukin-10, that occur during long-term helminth infections have been shown to be inversely correlated with allergy. The induction of a robust anti-inflammatory regulatory network by persistent immune challenge offers a unifying explanation for the observed inverse association of many infections with allergic disorders.
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                Author and article information

                Journal
                Proc Natl Acad Sci U S A
                Proc. Natl. Acad. Sci. U.S.A
                pnas
                pnas
                PNAS
                Proceedings of the National Academy of Sciences of the United States of America
                National Academy of Sciences
                0027-8424
                1091-6490
                18 July 2017
                3 July 2017
                : 114
                : 29
                : 7611-7616
                Affiliations
                [1] aDepartment of Anthropology, Northwestern University , Evanston, IL 60208;
                [2] bInstitute for Policy Research, Northwestern University , Evanston, IL 60208;
                [3] cChild and Brain Development Program, Canadian Institute for Advanced Research , Toronto, Ontario M5G 1Z8, Canada;
                [4] dBC Children’s Hospital Research Institute, University of British Columbia, Vancouver, BC V5Z 4H4, Canada;
                [5] eDepartment of Sociology, Northwestern University , Evanston, IL 60208;
                [6] fUSC–Office of Population Studies Foundation, Inc., University of San Carlos , Cebu City, Philippines;
                [7] gDepartment of Nutrition and Dietetics, University of San Carlos , Cebu City, Philippines;
                [8] hDepartment of Psychology, Northwestern University , Evanston, IL 60208
                Author notes
                1To whom correspondence should be addressed. Email: t-mcdade@ 123456northwestern.edu .

                Edited by Bruce S. McEwen, The Rockefeller University, New York, NY, and approved May 25, 2017 (received for review December 16, 2016)

                Author contributions: T.W.M., J.M.M., J.B.B., G.E.M., M.S.K., and C.W.K. designed research; T.W.M., M.J.J., J.L.M., A.M.M., J.M.M., J.B.B., G.E.M., M.S.K., and C.W.K. performed research; T.W.M., C.R., M.J.J., and G.E.M. analyzed data; and T.W.M. wrote the paper.

                Author information
                http://orcid.org/0000-0003-1593-997X
                http://orcid.org/0000-0003-4092-3339
                Article
                PMC5530653 PMC5530653 5530653 201620661
                10.1073/pnas.1620661114
                5530653
                28673994
                662edd43-c9c1-46e0-8d21-6e915cd3e065
                History
                Page count
                Pages: 6
                Funding
                Funded by: National Science Foundation (NSF) 100000001
                Award ID: BCS-0746320
                Funded by: National Science Foundation (NSF) 100000001
                Award ID: BCS-1440564
                Funded by: Office of Extramural Research, National Institutes of Health (OER) 100006955
                Award ID: HL085144
                Funded by: Office of Extramural Research, National Institutes of Health (OER) 100006955
                Award ID: RO1 TW05596
                Categories
                Biological Sciences
                Anthropology

                inflammation,epigenetics,ecological immunology,developmental origins of health,developmental origins of disease

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