Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

DNA methylation at birth in monozygotic twins discordant for pediatric acute lymphoblastic leukemia

Eric Nickels, Shaobo Li, Swe Swe Myint, Katti Arroyo, Qianxi Feng, Kimberly D. Siegmund, Adam J. de Smith, Joseph L. Wiemels

Nature Communications · 2022

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Summary

This study examined DNA methylation patterns at birth in genetically identical twins where one later developed paediatric acute lymphoblastic leukaemia, using archived neonatal blood spots. Through epigenome-wide analysis, the authors identified 240 significant methylation probes and 10 genomic regions associated with disease development, and found evidence of global DNA hypomethylation in cases relative to unaffected twins. The findings suggest that aberrant DNA methylation present at birth may contribute to leukaemia predisposition, independent of genetic factors.

UK applicability

This molecular epidemiological work has potential relevance to UK clinical paediatric oncology and neonatal screening programmes, though the study does not directly address nutritional or agricultural interventions. The findings may inform future risk stratification or early detection strategies in UK healthcare settings, though additional validation and mechanistic work would be required.

Key measures

DNA methylation status at birth (measured by Illumina EPIC array on archived neonatal blood spots); conditional logistic regression of methylation probes; coefficient bias analysis across array regions (open sea, shelf/shore, gene body, promoter, CpG island)

Outcomes reported

The study measured DNA methylation patterns in neonatal blood spots from 41 monozygotic twin pairs discordant for paediatric acute lymphoblastic leukaemia, identifying 240 significant methylation probes and 10 genomic regions associated with future disease development. Results indicate that global DNA hypomethylation at birth is associated with increased risk of paediatric acute lymphoblastic leukaemia.

Theme
Nutrition & health
Subject
Maternal, infant & child nutrition
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1038/s41467-022-33677-z
Catalogue ID
SNmoj7nwvq-0mwmn2

Topic tags

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