Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator

Abstract Background The human ZFP57 gene is a major regulator of imprinted genes, maintaining DNA methylation marks that distinguish parent-of-origin-specific alleles. DNA methylation of the gene itself has shown sensitivity to environmental stimuli, particularly folate status. However, the role of...

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Main Authors: L. Hilman, M. Ondičová, A. Caffrey, M. Clements, C. Conway, M. Ward, K. Pentieva, R. E. Irwin, H. McNulty, C. P. Walsh
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Medicine
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Online Access:https://doi.org/10.1186/s12916-024-03804-2
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author L. Hilman
M. Ondičová
A. Caffrey
M. Clements
C. Conway
M. Ward
K. Pentieva
R. E. Irwin
H. McNulty
C. P. Walsh
author_facet L. Hilman
M. Ondičová
A. Caffrey
M. Clements
C. Conway
M. Ward
K. Pentieva
R. E. Irwin
H. McNulty
C. P. Walsh
author_sort L. Hilman
collection DOAJ
description Abstract Background The human ZFP57 gene is a major regulator of imprinted genes, maintaining DNA methylation marks that distinguish parent-of-origin-specific alleles. DNA methylation of the gene itself has shown sensitivity to environmental stimuli, particularly folate status. However, the role of DNA methylation in ZFP57’s own regulation has not been fully investigated. Methods We used samples and data from our previously described randomised controlled trial (RCT) in pregnancy called Folic Acid Supplementation in the Second and Third Trimester (FASSTT), including follow-up of the children at age 11. Biometric and blood biochemistry results were examined for mothers and children. Methylation of ZFP57 was analysed by EPIC arrays, pyrosequencing and clonal analysis, and transcription assessed by PCR-based methods. Functional consequences of altered methylation were examined in cultured cells with mutations or by inhibition of the main DNA methyltransferases. DNA variants were examined using pyrosequencing and Sanger sequencing, with results compared to published studies using bioinformatic approaches. Cognitive outcomes were assessed using the Wechsler Intelligence Scale for Children 4th UK Edition (WISC-IV), with neural activity during language tasks quantified using magnetoencephalography (MEG). Results Here we show that methylation at an alternative upstream promoter of ZFP57 is controlled in part by a quantitative trait locus (QTL). By altering DNA methylation levels, we demonstrate that this in turn controls the expression of the ZFP57 isoforms. Methylation at this region is also sensitive to folate levels, as we have previously shown in this cohort. Fully methylated alleles were associated with poorer performance in the Symbol Search and Cancellation subtests of WISC-IV in the children at age 11 years. There were also differences in neural activity during language tasks, as measured by MEG. Analysis of published genome-wide studies indicated other SNPs in linkage disequilibrium with the mQTL were also associated with neurodevelopmental outcomes. Conclusions While numbers in the current RCT were small and require further validation in larger cohorts, the results nevertheless suggest a molecular mechanism by which maternal folic acid supplementation during pregnancy may help to counteract the effects of folate depletion and positively influence cognitive development in the offspring.
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spelling doaj-art-9ecb6a7c35ad42589e2e65fa96ff33de2025-08-20T02:39:50ZengBMCBMC Medicine1741-70152024-12-0122112010.1186/s12916-024-03804-2Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulatorL. Hilman0M. Ondičová1A. Caffrey2M. Clements3C. Conway4M. Ward5K. Pentieva6R. E. Irwin7H. McNulty8C. P. Walsh9School of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster UniversitySchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster UniversityNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, Ulster UniversityNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, Ulster UniversitySchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster UniversityNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, Ulster UniversityNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, Ulster UniversitySchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster UniversityNutrition Innovation Centre for Food and Health (NICHE), School of Biomedical Sciences, Ulster UniversitySchool of Biomedical Sciences, Biomedical Sciences Research Institute, Ulster UniversityAbstract Background The human ZFP57 gene is a major regulator of imprinted genes, maintaining DNA methylation marks that distinguish parent-of-origin-specific alleles. DNA methylation of the gene itself has shown sensitivity to environmental stimuli, particularly folate status. However, the role of DNA methylation in ZFP57’s own regulation has not been fully investigated. Methods We used samples and data from our previously described randomised controlled trial (RCT) in pregnancy called Folic Acid Supplementation in the Second and Third Trimester (FASSTT), including follow-up of the children at age 11. Biometric and blood biochemistry results were examined for mothers and children. Methylation of ZFP57 was analysed by EPIC arrays, pyrosequencing and clonal analysis, and transcription assessed by PCR-based methods. Functional consequences of altered methylation were examined in cultured cells with mutations or by inhibition of the main DNA methyltransferases. DNA variants were examined using pyrosequencing and Sanger sequencing, with results compared to published studies using bioinformatic approaches. Cognitive outcomes were assessed using the Wechsler Intelligence Scale for Children 4th UK Edition (WISC-IV), with neural activity during language tasks quantified using magnetoencephalography (MEG). Results Here we show that methylation at an alternative upstream promoter of ZFP57 is controlled in part by a quantitative trait locus (QTL). By altering DNA methylation levels, we demonstrate that this in turn controls the expression of the ZFP57 isoforms. Methylation at this region is also sensitive to folate levels, as we have previously shown in this cohort. Fully methylated alleles were associated with poorer performance in the Symbol Search and Cancellation subtests of WISC-IV in the children at age 11 years. There were also differences in neural activity during language tasks, as measured by MEG. Analysis of published genome-wide studies indicated other SNPs in linkage disequilibrium with the mQTL were also associated with neurodevelopmental outcomes. Conclusions While numbers in the current RCT were small and require further validation in larger cohorts, the results nevertheless suggest a molecular mechanism by which maternal folic acid supplementation during pregnancy may help to counteract the effects of folate depletion and positively influence cognitive development in the offspring.https://doi.org/10.1186/s12916-024-03804-2DNA methylationZFP57Methylation quantitative trait lociLinkage disequilibriumFolic acid
spellingShingle L. Hilman
M. Ondičová
A. Caffrey
M. Clements
C. Conway
M. Ward
K. Pentieva
R. E. Irwin
H. McNulty
C. P. Walsh
Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
BMC Medicine
DNA methylation
ZFP57
Methylation quantitative trait loci
Linkage disequilibrium
Folic acid
title Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
title_full Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
title_fullStr Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
title_full_unstemmed Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
title_short Cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
title_sort cognitive benefits of folic acid supplementation during pregnancy track with epigenetic changes at an imprint regulator
topic DNA methylation
ZFP57
Methylation quantitative trait loci
Linkage disequilibrium
Folic acid
url https://doi.org/10.1186/s12916-024-03804-2
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