PMID- 36316758 OWN - NLM STAT- MEDLINE DCOM- 20221102 LR - 20221112 IS - 1868-7083 (Electronic) IS - 1868-7075 (Print) IS - 1868-7075 (Linking) VI - 14 IP - 1 DP - 2022 Oct 31 TI - Genome-wide DNA methylation analysis of extreme phenotypes in the identification of novel epigenetic modifications in diabetic retinopathy. PG - 137 LID - 10.1186/s13148-022-01354-z [doi] LID - 137 AB - BACKGROUND: Aberrant epigenetic modifications such as DNA methylation may contribute to the pathogenesis of DR. We aimed at elucidating the role of novel DNA methylation modifications in diabetic retinopathy (DR) in patients with type 2 diabetes mellitus (T2DM) using an extreme phenotypic design. METHODS/RESULTS: Two consecutive studies were conducted. A cross-sectional study using an extreme phenotypic design was conducted to identify rare methylation modifications that might contribute to DR pathogenesis. A 2-year longitudinal nested case-control study was conducted to validate the results and assess whether these novel methylation modifications could be used as biomarkers for predicting DR onset. A large number of differentially methylated CpG sites were identified in the cross-sectional study, and two (cg12869254 and cg04026387) corresponding to known genes were replicated in the longitudinal study. Higher methylation of cg12869254 significantly correlated with macular RNFL thinning in the superior and nasal subregions, and that of cg04026387 correlated with reduced deep capillary plexus VD in the superior and inferior subregions after adjusting for covariates. CONCLUSIONS: Cg12869254 and cg04026387 hypermethylation may complement the known risk factors that contribute to the pathogenesis of DR and as novel biomarkers for disease prediction. CI - (c) 2022. The Author(s). FAU - Yang, Shaopeng AU - Yang S AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China. FAU - Guo, Xiao AU - Guo X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China. FAU - Cheng, Weijing AU - Cheng W AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China. FAU - Seth, Ishith AU - Seth I AD - Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Level 7, 32 Gisborne Street, East Melbourne, VIC, 3002, Australia. FAU - Bulloch, Gabriella AU - Bulloch G AD - Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Level 7, 32 Gisborne Street, East Melbourne, VIC, 3002, Australia. FAU - Chen, Yifan AU - Chen Y AD - John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. FAU - Shang, Xianwen AU - Shang X AD - Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Level 7, 32 Gisborne Street, East Melbourne, VIC, 3002, Australia. FAU - Zhu, Zhuoting AU - Zhu Z AD - Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Level 7, 32 Gisborne Street, East Melbourne, VIC, 3002, Australia. FAU - Huang, Wenyong AU - Huang W AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China. FAU - Wang, Wei AU - Wang W AUID- ORCID: 0000-0002-5273-3332 AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China. wangwei@gzzoc.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221031 PL - Germany TA - Clin Epigenetics JT - Clinical epigenetics JID - 101516977 RN - 0 (Biomarkers) SB - IM MH - Humans MH - *Diabetic Retinopathy/genetics MH - DNA Methylation MH - *Diabetes Mellitus, Type 2/genetics MH - Case-Control Studies MH - Cross-Sectional Studies MH - Longitudinal Studies MH - Epigenesis, Genetic MH - Biomarkers MH - Phenotype PMC - PMC9623976 OTO - NOTNLM OT - Biomarkers OT - DNA methylation OT - Diabetic retinopathy OT - Extreme phenotypes OT - Type 2 diabetes mellitus COIS- The authors declare that they have no competing interests. EDAT- 2022/11/02 06:00 MHDA- 2022/11/03 06:00 PMCR- 2022/10/31 CRDT- 2022/11/01 00:52 PHST- 2022/08/21 00:00 [received] PHST- 2022/10/11 00:00 [accepted] PHST- 2022/11/01 00:52 [entrez] PHST- 2022/11/02 06:00 [pubmed] PHST- 2022/11/03 06:00 [medline] PHST- 2022/10/31 00:00 [pmc-release] AID - 10.1186/s13148-022-01354-z [pii] AID - 1354 [pii] AID - 10.1186/s13148-022-01354-z [doi] PST - epublish SO - Clin Epigenetics. 2022 Oct 31;14(1):137. doi: 10.1186/s13148-022-01354-z.