Abstract
ABSTRACTAssisted reproductive technology (ART) has been associated with increased risk for growth disturbance and imprinting disorders, but the molecular mechanisms and whether they are a result of the ART procedures or the underlying subfertility are unknown. Here we performed genome-wide DNA methylation analysis by EPIC Illumina microarrays and gene expression analysis by mRNA sequencing for a total of 80 ART and 77 control placentas, including separate procedure- and sex-specific analyses. ART-associated changes enriched in the pathways of hormonal regulation, insulin resistance, neuronal development, and vascularization. Observed changes in the number of stromal cells as well asTRIM28andNOTCH3expressions in ART placentas indicated impaired angiogenesis and growth. The enrichment of DNA methylation changes in the imprinted regions and alterations inTRIM28, ZFP57, andNLRP5suggested defective stabilization of the imprinting. Furthermore, downregulated expression of imprinted endocrine signaling moleculeDLK1, associated with both ART and subfertility, provides a potential mechanism for the metabolic and phenotypic features associated with ART.
Publisher
Cold Spring Harbor Laboratory