@article{0f57d39fb81c421eade1172934ce4246,
title = "Global Endometrial DNA Methylation Analysis Reveals Insights into mQTL Regulation and Associated Endometriosis Disease Risk and Endometrial Function",
abstract = "Endometriosis is a leading cause of pain and infertility affecting millions of women globally. Identifying biologic and genetic effects on DNA methylation (DNAm) in endometrium increases understanding of mechanisms that influence gene regulation predisposing to endometriosis and offers an opportunity for novel therapeutic target discovery. Herein, we characterize variation in endometrial DNAm and its association with menstrual cycle phase, endometriosis, and genetic variants through analysis of genome-wide genotype data and methylation at 759,345 DNAm sites in endometrial samples from 984 deeply-phenotyped participants. We identify significant differences in DNAm profiles between menstrual cycle phases and at four DNAm sites between stage III/IV endometriosis and controls. We estimate that 15.4\% of the variation in endometriosis is captured by DNAm, and identify DNAm networks associated with endometriosis. DNAm quantitative trait locus (mQTL) analysis identified 118,185 independent cis-mQTL including some tissue-specific effects. We find significant differences in DNAm profiles between endometriosis sub-phenotypes and a significant association between genetic regulation of methylation in endometrium and disease risk, providing functional evidence for genomic targets contributing to endometriosis risk and pathogenesis. ",
author = "Sally Mortlock and Sahar Houshdaran and Idit Kosti and Nilufer Rahmioglu and Camran Nezhat and Vitonis, \{Allison F\} and Andrews, \{Shan V\} and Parker Grosjean and Manish Paranjpe and Horne, \{Andrew W\} and Alison Jacoby and Jeannette Lager and Jessica Opoku-Anane and \{Chi Vo\}, Kim and Evelina Manvelyan and Sushmita Sen and Zhanna Ghukasyan and Frances Collins and Xavier Santamaria and Philippa Saunders and Kord Kober and McRae, \{Allan F.\} and Terry, \{Kathryn L\} and Julia Vallve-Juanico and Christian Becker and Rogers, \{Peter A.W.\} and Irwin, \{Juan C.\} and Krina Zondervan and Montgomery, \{Grant W\} and Stacey Missmer and Marina Sirota and Linda Giudice",
note = "Funding Information: This work has been supported by the National Institutes of Health (NIH) NICHD R01 HD089511. It was also supported, in part, by funding from Wellbeing of Women (through sponsorship from PwC) (R42533) and the Medical Research Council (MR/N024524/1 and MR/N022556/1) and NIH HD094842 (Harvard/MSU). K.K. was supported by NIH NCI R37 CA233774. A.F.M. was supported by an Australian Research Council Future Fellowship (FT200100837). G.W.M. was supported by NHMRC Fellowship (GNT1177194). Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
month = aug,
day = "16",
doi = "10.1038/s42003-023-05070-z",
language = "English",
volume = "6",
journal = "Communications Biology",
issn = "2399-3642",
publisher = "Springer Nature",
}