دورية أكاديمية
Abnormal DNA methylation within HPA-axis genes years after paediatric critical illness
العنوان: | Abnormal DNA methylation within HPA-axis genes years after paediatric critical illness |
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المؤلفون: | Grégoire Coppens, Ilse Vanhorebeek, Fabian Güiza, Inge Derese, Pieter J. Wouters, Arno Téblick, Karolijn Dulfer, Koen F. Joosten, Sascha C. Verbruggen, Greet Van den Berghe |
المصدر: | Clinical Epigenetics, Vol 16, Iss 1, Pp 1-15 (2024) |
بيانات النشر: | BMC, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Medicine LCC:Genetics |
مصطلحات موضوعية: | Critical illness, Children, DNA methylation, HPA axis, Glucocorticoid, Long-term outcome, Medicine, Genetics, QH426-470 |
الوصف: | Abstract Background Critically ill children suffer from impaired physical/neurocognitive development 2 years later. Glucocorticoid treatment alters DNA methylation within the hypothalamus–pituitary–adrenal (HPA) axis which may impair normal brain development, cognition and behaviour. We tested the hypothesis that paediatric-intensive-care-unit (PICU) patients, sex- and age-dependently, show long-term abnormal DNA methylation within the HPA-axis layers, possibly aggravated by glucocorticoid treatment in the PICU, which may contribute to the long-term developmental impairments. Results In a pre-planned secondary analysis of the multicentre PEPaNIC-RCT and its 2-year follow-up, we identified differentially methylated positions and differentially methylated regions within HPA-axis genes in buccal mucosa DNA from 818 former PICU patients 2 years after PICU admission (n = 608 no glucocorticoid treatment; n = 210 glucocorticoid treatment) versus 392 healthy children and assessed interaction with sex and age, role of glucocorticoid treatment in the PICU and associations with long-term developmental impairments. Adjusting for technical variation and baseline risk factors and correcting for multiple testing (false discovery rate |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1868-7083 |
Relation: | https://doaj.org/toc/1868-7083 |
DOI: | 10.1186/s13148-024-01640-y |
URL الوصول: | https://doaj.org/article/47a59c8d1c894d999974022239e0fc52 |
رقم الأكسشن: | edsdoj.47a59c8d1c894d999974022239e0fc52 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 18687083 |
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DOI: | 10.1186/s13148-024-01640-y |