1. Cell-free DNA Methylation and Transcriptomic Signature Prediction of Pregnancies with Adverse Outcomes
- Author
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Giorgia Del Vecchio, Xianghong Zhou, Sherin U. Devaskar, Qingjiao Li, Anela Tosevska, Shanthie Thamotharan, Marco Morselli, Wenyuan Li, Kyunghyun Sung, Carla Janzen, and Matteo Pellegrini
- Subjects
0301 basic medicine ,Gestational hypertension ,Cancer Research ,Placenta ,Reproductive health and childbirth ,Medical Biochemistry and Metabolomics ,Bioinformatics ,Transcriptome ,Cell-free DNA ,0302 clinical medicine ,Pre-Eclampsia ,Pregnancy ,2.1 Biological and endogenous factors ,Aetiology ,Pediatric ,Pregnancy Outcome ,Methylation ,Gestational diabetes ,Cell-free fetal DNA ,030220 oncology & carcinogenesis ,Female ,gestational diabetes ,Cell-Free Nucleic Acids ,Research Paper ,Pediatric Research Initiative ,Adverse outcomes ,cell-free RNA ,high-risk pregnancy ,Biology ,Preeclampsia ,preeclampsia ,03 medical and health sciences ,Clinical Research ,medicine ,gestational hypertension ,Genetics ,Humans ,Conditions Affecting the Embryonic and Fetal Periods ,Molecular Biology ,Contraception/Reproduction ,Prevention ,DNA Methylation ,Perinatal Period - Conditions Originating in Perinatal Period ,medicine.disease ,030104 developmental biology ,Good Health and Well Being ,Biochemistry and Cell Biology ,Developmental Biology - Abstract
Although analysis of maternal plasma cell-free content has been employed for screening of genetic abnormalities within a pregnancy, limited attention has been paid to its use for the detection of adverse pregnancy outcomes (APOs) based on placental function. Here we investigated cell-free DNA and RNA content of 102 maternal and 25 cord plasma samples. Employing a novel deconvolution methodology, we found that during the first trimester, placenta-specific DNA increased prior to the subsequent development of gestational diabetes with no change in patients with preeclampsia while decreasing with maternal obesity. Moreover, using cell-free RNA sequencing, APOs revealed 71 differentially expressed genes early in pregnancy. We noticed the upregulation of S100A8, MS4A3, and MMP8 that have been already associated with APOs but also the upregulation of BCL2L15 and the downregulation of ALPL that have never been associated with APOs. We constructed a classifier with a positive predictive ability (AUC) of 0.91 for APOs, 0.86 for preeclampsia alone and 0.64 for GDM. We conclude that placenta-specific cell-free nucleic acids during early gestation provide the possibility of predicting APOs prior to the emergence of characteristic clinical features.
- Published
- 2021