1 2422 142 EPIGENETIC SIGNATURES DISCRIMINATE PATIENTS WITH PRIMARY SCLEROSING CHOLANGITIS AND ULCERATIVE COLITIS FROM PATIENTS WITH ULCERATIVE COLITIS. BACKGROUND: PRIMARY SCLEROSING CHOLANGITIS (PSC) IS A CHRONIC INFLAMMATORY LIVER DISEASE AFFECTING THE INTRA- AND EXTRAHEPATIC BILE DUCTS, AND IS STRONGLY ASSOCIATED WITH ULCERATIVE COLITIS (UC). IN THIS STUDY, WE EXPLORED THE PERIPHERAL BLOOD DNA METHYLOME AND ITS IMMUNE CELL COMPOSITION IN PATIENTS WITH PSC-UC, UC, AND HEALTHY CONTROLS (HC) WITH THE AIM TO DEVELOP A PREDICTIVE ASSAY IN DISTINGUISHING PATIENTS WITH PSC-UC FROM THOSE WITH UC ALONE. METHODS: THE PERIPHERAL BLOOD DNA METHYLOME OF MALE PATIENTS WITH PSC AND CONCOMITANT UC, UC AND HCS WAS PROFILED USING THE ILLUMINA HUMANMETHYLATION INFINIUM EPIC BEADCHIP (850K) ARRAY. DIFFERENTIALLY METHYLATED CPG POSITION (DMP) AND REGION (DMR) ANALYSES WERE PERFORMED ALONGSIDE GRADIENT BOOSTING CLASSIFICATION ANALYSES TO DISCERN PSC-UC FROM UC PATIENTS. AS OBSERVED DIFFERENCES IN THE DNA METHYLOME COULD BE THE RESULT OF DIFFERENCES IN CELLULAR POPULATIONS, WE ADDITIONALLY EMPLOYED MASS CYTOMETRY (CYTOF) TO CHARACTERIZE THE IMMUNE CELL COMPOSITIONS. RESULTS: GENOME WIDE METHYLATION ANALYSIS DID NOT REVEAL LARGE DIFFERENCES BETWEEN PSC-UC AND UC PATIENTS NOR HCS. NONETHELESS, USING GRADIENT BOOSTING WE WERE CAPABLE OF DISCERNING PSC-UC FROM UC WITH AN AREA UNDER THE RECEIVER OPERATOR CURVE (AUROC) OF 0.80. FOUR CPG SITES ANNOTATED TO THE NINJ2 GENE WERE FOUND TO STRONGLY CONTRIBUTE TO THE PREDICTIVE PERFORMANCE. WHILE CYTOF ANALYSES CORROBORATED THE LARGELY SIMILAR BLOOD CELL COMPOSITION AMONG PATIENTS WITH PSC-UC, UC AND HC, A HIGHER ABUNDANCE OF MYELOID CELLS WAS OBSERVED IN UC COMPARED TO PSC-UC PATIENTS. CONCLUSION: DNA METHYLATION ENABLES DISCERNING PSC-UC FROM UC PATIENTS, WITH A POTENTIAL FOR BIOMARKER DEVELOPMENT. 2022 2 5714 26 SIRT3 OVEREXPRESSION AND EPIGENETIC SILENCING OF CATALASE REGULATE ROS ACCUMULATION IN CLL CELLS ACTIVATING AXL SIGNALING AXIS. MITOCHONDRIAL METABOLISM IS THE KEY SOURCE FOR ABUNDANT ROS IN CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) CELLS. HERE, WE DETECTED SIGNIFICANTLY LOWER SUPEROXIDE ANION (O(2)(-)) LEVELS WITH INCREASED ACCUMULATION OF HYDROGEN PEROXIDE (H(2)O(2)) IN CLL CELLS VS. NORMAL B-CELLS. FURTHER ANALYSIS INDICATED THAT MITOCHONDRIAL SUPEROXIDE DISMUTASE (SOD)2, WHICH CONVERTS O(2)(-) INTO H(2)O(2) REMAINED DEACETYLATED IN CLL CELLS DUE TO SIRT3 OVEREXPRESSION RESULTING ITS CONSTITUTIVE ACTIVATION. IN ADDITION, CATALASE EXPRESSION WAS ALSO REDUCED IN CLL CELLS SUGGESTING IMPAIRMENT OF H(2)O(2)-CONVERSION INTO WATER AND O(2) WHICH MAY CAUSE H(2)O(2)-ACCUMULATION. IMPORTANTLY, WE IDENTIFIED TWO CPG-ISLANDS IN THE CATALASE PROMOTER AND DISCOVERED THAT WHILE THE DISTAL CPG-ISLAND (-3619 TO -3765) REMAINED METHYLATED IN BOTH NORMAL B-CELLS AND CLL CELLS, VARIABLE DEGREES OF METHYLATION WERE DISCERNIBLE IN THE PROXIMAL CPG-ISLAND (-174 TO -332) ONLY IN CLL CELLS. FINALLY, TREATMENT OF CLL CELLS WITH A DEMETHYLATING AGENT INCREASED CATALASE MRNA LEVELS. FUNCTIONALLY, ROS ACCUMULATION IN CLL CELLS ACTIVATED THE AXL SURVIVAL AXIS WHILE UPREGULATED SIRT3, SUGGESTING THAT CLL CELLS RAPIDLY REMOVE HIGHLY REACTIVE O(2)(-) TO AVOID ITS CYTOTOXIC EFFECT BUT MAINTAIN INCREASED H(2)O(2)-LEVEL TO PROMOTE CELL SURVIVAL. THEREFORE, ABROGATION OF ABERRANTLY ACTIVATED CELL SURVIVAL PATHWAYS USING ANTIOXIDANTS CAN BE AN EFFECTIVE INTERVENTION IN CLL THERAPY IN COMBINATION WITH CONVENTIONAL AGENTS. 2021 3 4343 20 MINIREVIEW: STRESS-RELATED PSYCHIATRIC DISORDERS WITH LOW CORTISOL LEVELS: A METABOLIC HYPOTHESIS. SEVERAL STRESS-ASSOCIATED NEUROPSYCHIATRIC DISORDERS, NOTABLY POSTTRAUMATIC STRESS DISORDER AND CHRONIC PAIN AND FATIGUE SYNDROMES, PARADOXICALLY EXHIBIT SOMEWHAT LOW PLASMA LEVELS OF THE STRESS HORMONE CORTISOL. THE EFFECTS APPEAR GREATEST IN THOSE INITIALLY TRAUMATIZED IN EARLY LIFE, IMPLYING A DEGREE OF DEVELOPMENTAL PROGRAMMING, PERHAPS OF BOTH LOWER CORTISOL AND VULNERABILITY TO PSYCHOPATHOLOGY. IN THESE CONDITIONS, LOWERED CORTISOL IS NOT DUE TO ANY ADRENAL OR PITUITARY INSUFFICIENCY. INSTEAD, TWO PROCESSES APPEAR INVOLVED. FIRST, THERE IS INCREASED TARGET CELL SENSITIVITY TO GLUCOCORTICOID ACTION, NOTABLY NEGATIVE FEEDBACK UPON THE HYPOTHALAMIC-PITUITARY-ADRENAL (STRESS) AXIS. ALTERED DENSITY OF THE GLUCOCORTICOID RECEPTOR IS INFERRED, SQUARING WITH MUCH PRECLINICAL DATA SHOWING EARLY LIFE CHALLENGES CAN PERMANENTLY PROGRAM GLUCOCORTICOID RECEPTORS IN A TISSUE-SPECIFIC MANNER. THESE EFFECTS INVOLVE EPIGENETIC MECHANISMS. SECOND, EARLY LIFE TRAUMA/STARVATION INDUCES LONG-LASTING LOWERING OF GLUCOCORTICOID CATABOLISM, SPECIFICALLY BY 5ALPHA-REDUCTASE TYPE 1 (PREDOMINANTLY A LIVER ENZYME) AND 11BETA-HYDROXYSTEROID DEHYDROGENASE TYPE 2 (IN KIDNEY), AN EFFECT ALSO SEEN IN MODEL SYSTEMS. THESE CHANGES REFLECT A PLAUSIBLE EARLY-LIFE ADAPTATION TO INCREASE THE PERSISTENCE OF ACTIVE CORTISOL IN LIVER (TO MAXIMIZE FUEL OUTPUT) AND KIDNEY (TO INCREASE SALT RETENTION) WITHOUT ELEVATION OF CIRCULATING LEVELS, THUS AVOIDING THEIR DELETERIOUS EFFECTS ON BRAIN AND MUSCLE. MODESTLY LOWERED CIRCULATING CORTISOL AND INCREASED VULNERABILITY TO STRESS-ASSOCIATED DISORDERS MAY BE THE OUTCOME. THIS NOTION IMPLIES A VULNERABLE EARLY-LIFE PHENOTYPE MAY BE DISCERNABLE AND INDICATES POTENTIAL THERAPY BY MODEST GLUCOCORTICOID REPLACEMENT. INDEED, EARLY CLINICAL TRIALS WITH CORTISOL HAVE SHOWN A MODICUM OF PROMISE. 2011 4 4632 20 NEUROIMAGING GENETIC APPROACHES TO POSTTRAUMATIC STRESS DISORDER. NEUROIMAGING GENETIC STUDIES THAT ASSOCIATE GENETIC AND EPIGENETIC VARIATION WITH NEURAL ACTIVITY OR STRUCTURE PROVIDE AN OPPORTUNITY TO LINK GENES TO PSYCHIATRIC DISORDERS, OFTEN BEFORE PSYCHOPATHOLOGY IS DISCERNABLE IN BEHAVIOR. HERE WE REVIEW NEUROIMAGING GENETICS STUDIES WITH PARTICIPANTS WHO HAVE POSTTRAUMATIC STRESS DISORDER (PTSD). RESULTS SHOW THAT GENES RELATED TO THE PHYSIOLOGICAL STRESS RESPONSE (E.G., GLUCOCORTICOID RECEPTOR AND ACTIVITY, NEUROENDOCRINE RELEASE), LEARNING AND MEMORY (E.G., PLASTICITY), MOOD, AND PAIN PERCEPTION ARE TIED TO NEURAL INTERMEDIATE PHENOTYPES ASSOCIATED WITH PTSD. THESE GENES ARE ASSOCIATED WITH AND SOMETIMES PREDICT NEURAL STRUCTURE AND FUNCTION IN AREAS INVOLVED IN ATTENTION, EXECUTIVE FUNCTION, MEMORY, DECISION-MAKING, EMOTION REGULATION, SALIENCE OF POTENTIAL THREATS, AND PAIN PERCEPTION. EVIDENCE SUGGESTS THESE RISK POLYMORPHISMS AND NEURAL INTERMEDIATE PHENOTYPES ARE VULNERABILITIES TOWARD DEVELOPING PTSD IN THE AFTERMATH OF TRAUMA, OR VULNERABILITIES TOWARD PARTICULAR SYMPTOMS ONCE PTSD HAS DEVELOPED. WORK DISTINGUISHING BETWEEN THE RE-EXPERIENCING AND DISSOCIATIVE SUB-TYPES OF PTSD, AND EXAMINING OTHER PTSD SYMPTOM CLUSTERS IN ADDITION TO THE RE-EXPERIENCING AND HYPERAROUSAL SYMPTOMS, WILL FURTHER CLARIFY NEUROBIOLOGICAL MECHANISMS AND INCONSISTENT FINDINGS. FURTHERMORE, AN EXCITING POSSIBILITY IS THAT GENETIC ASSOCIATIONS WITH PTSD MAY EVENTUALLY BE UNDERSTOOD THROUGH DIFFERENTIAL INTERMEDIATE PHENOTYPES OF NEURAL CIRCUIT STRUCTURE AND FUNCTION, POSSIBLY UNDERLYING THE DIFFERENT SYMPTOM CLUSTERS SEEN WITHIN PTSD. 2016 5 2943 20 GENETIC AND EPIGENETIC ALTERATIONS OF TUMOR SUPPRESSOR AND TUMOR-RELATED GENES IN GASTRIC CANCER. BOTH GENETIC AND EPIGENETIC ALTERATIONS OF TUMOR SUPPRESSOR AND TUMOR-RELATED GENES INVOLVED IN THE PATHOGENESIS OF GASTRIC CANCER ARE REVIEWED HERE, AND MOLECULAR PATHWAYS OF GASTRIC CARCINOGENESIS ARE PROPOSED. GASTRIC CARCINOMAS ARE BELIEVED TO EVOLVE FROM NATIVE GASTRIC MUCOSA OR INTESTINAL METAPLASTIC MUCOSA THAT UNDERGOES GENETIC AND EPIGENETIC ALTERATIONS INVOLVING EITHER THE SUPPRESSOR PATHWAY (DEFECTS IN TUMOR SUPPRESSOR GENES) OR MUTATOR PATHWAY (DEFECTS IN DNA MISMATCH REPAIR GENES). METHYLATION OF E-CADHERIN IN NATIVE GASTRIC MUCOSA RESULTS IN UNDIFFERENTIATED CARCINOMAS (SUPPRESSOR PATHWAY), WHILE METHYLATION OF HMLHI RESULTS IN DIFFERENTIATED FOVEOLAR-TYPE CARCINOMAS (MUTATOR PATHWAY). THE MAJORITY OF DIFFERENTIATED GASTRIC CARCINOMAS HOWEVER, ARISE FROM INTESTINAL METAPLASTIC MUCOSA AND EXHIBIT STRUCTURAL ALTERATIONS OF TUMOR SUPPRESSOR GENES, ESPECIALLY P53. THEY APPEAR TO BE RELATED TO CHRONIC INJURY, PERHAPS DUE TO HELICOBACTER PYLORI INFECTION. APPROXIMATELY 20% OF DIFFERENTIATED CARCINOMAS (ORDINARY-TYPE) HAVE EVIDENCE OF MUTATOR PATHWAY TUMORIGENESIS. MUTATIONS OF E-CADHERIN ARE MAINLY INVOLVED IN THE PROGRESSION OF DIFFERENTIATED CARCINOMAS TO UNDIFFERENTIATED TUMORS. THE MOLECULAR PATHWAYS OF GASTRIC CARCINOGENESIS DEPEND ON THE HISTOLOGICAL BACKGROUND, AND GASTRIC CARCINOMAS SHOW DISTINCT BIOLOGICAL BEHAVIORS AS A RESULT OF DISCERNIBLE CELLULAR GENETIC AND EPIGENETIC ALTERATIONS. 2002 6 3014 26 GENETICS AND EPIGENETICS OF CHRONIC RHINOSINUSITIS. DISCERNING THE GENETICS AND EPIGENETICS OF CHRONIC RHINOSINUSITIS (CRS) MAY OPTIMIZE OUTCOMES THROUGH EARLY DIAGNOSTICS, PERSONALIZED AND NOVEL THERAPEUTICS, AND EARLY PROGNOSTICATION. CRS ASSOCIATED WITH CYSTIC FIBROSIS AND PRIMARY CILIARY DYSKINESIA HAS WELL-CHARACTERIZED GENETIC MUTATIONS. MOST CRS SUBJECTS, HOWEVER, DO NOT EXHIBIT IDENTIFIABLE MONOGENIC ALTERATIONS. CLUSTERING IN RELATED INDIVIDUALS IS SEEN IN CRS WITH NASAL POLYPS. SPOUSES OF SUBJECTS WITH CRS WITHOUT NASAL POLYPS ALSO MAY BE AT INCREASED RISK OF THE SAME DISEASE. THESE OBSERVATIONS GENERATE QUESTIONS ON GENETIC AND ENVIRONMENTAL INFLUENCES IN CRS. GENOME-WIDE ASSOCIATION STUDIES HAVE IDENTIFIED VARIATIONS AND POLYMORPHISMS BETWEEN CRS AND CONTROL SUBJECTS IN GENES RELATED TO INNATE AND ADAPTIVE IMMUNITY. CANDIDATE GENE AND TRANSCRIPTOMICS STUDIES HAVE INVESTIGATED AND IDENTIFIED GENETIC VARIATIONS RELATED TO IMMUNITY, INFLAMMATION, EPITHELIAL BARRIER FUNCTION, STRESS-RESPONSE, ANTIGEN PROCESSING, T-CELL REGULATION, AND CYTOKINES IN CRS. EPIGENETIC STUDIES HAVE IDENTIFIED MECHANISMS THROUGH WHICH ENVIRONMENTAL FACTORS MAY AFFECT THESE GENE FUNCTIONS. HOWEVER, CAUSALITY IS NOT DETERMINED FOR MOST VARIATIONS. INFERENCES DRAWN FROM THESE DATA MUST BE MEASURED BECAUSE MOST INVESTIGATIONS REPORT UNREPLICATED RESULTS FROM SMALL STUDY POPULATIONS. LARGE, REPLICATED STUDIES IN TIGHT COHORTS ACROSS DIVERSE POPULATIONS REMAIN A PRESSING NEED IN STUDYING CRS GENETICS. 2023 7 2630 36 EPIGENOME-WIDE ASSOCIATION STUDY OF POSTTRAUMATIC STRESS DISORDER IDENTIFIES NOVEL LOCI IN U.S. MILITARY VETERANS. POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC AND DISABLING PSYCHIATRIC DISORDER PREVALENT IN MILITARY VETERANS. EPIGENETIC MECHANISMS HAVE BEEN IMPLICATED IN THE ETIOLOGY OF PTSD, WITH DNA METHYLATION BEING THE MOST STUDIED TO IDENTIFY NOVEL MOLECULAR BIOMARKERS ASSOCIATED WITH THIS DISORDER. WE PERFORMED ONE OF THE LARGEST SINGLE-SAMPLE EPIGENOME-WIDE ASSOCIATION STUDIES (EWAS) OF PTSD TO DATE. OUR SAMPLE INCLUDED 1135 MALE EUROPEAN-AMERICAN U.S. VETERANS WHO PARTICIPATED IN THE NATIONAL HEALTH AND RESILIENCE IN VETERANS STUDY (NHRVS). DNA WAS COLLECTED FROM SALIVA SAMPLES AND THE ILLUMINA HUMANMETHYLATION EPIC BEADCHIP WAS USED FOR THE METHYLATION ANALYSIS. PTSD WAS ASSESSED USING THE PTSD CHECKLIST. AN EWAS WAS CONDUCTED USING LINEAR REGRESSION ADJUSTED FOR AGE, CELL-TYPE PROPORTIONS, FIRST 10 PRINCIPAL COMPONENTS, AND SMOKING STATUS. AFTER BONFERRONI CORRECTION, WE IDENTIFIED SIX GENOME-WIDE SIGNIFICANT (GWS) CPG SITES ASSOCIATED WITH PAST-MONTH PTSD AND THREE CPGS WITH LIFETIME PTSD (P(RANGE) = 10(-10)-10(-8)). THESE CPG SITES MAP TO GENES INVOLVED IN IMMUNE FUNCTION, TRANSCRIPTION REGULATION, AXONAL GUIDANCE, CELL SIGNALING, AND PROTEIN BINDING. AMONG THESE, SENP7, WHICH IS INVOLVED IN TRANSCRIPTION REGULATION AND HAS BEEN LINKED TO RISK-TAKING BEHAVIOR AND ALCOHOL CONSUMPTION IN GENOME-WIDE ASSOCIATION STUDIES, REPLICATED IN AN INDEPENDENT VETERAN COHORT AND WAS DOWNREGULATED IN MEDIAL ORBITOFRONTAL CORTEX OF PTSD POSTMORTEM BRAIN TISSUE. THESE FINDINGS SUGGEST POTENTIAL EPIGENETIC BIOMARKERS OF PTSD THAT MAY HELP INFORM THE PATHOPHYSIOLOGY OF THIS DISORDER IN VETERANS AND OTHER TRAUMA-AFFECTED POPULATIONS. 2022 8 2366 30 EPIGENETIC REGULATION OF STEROIDOGENIC ENZYMES EXPRESSED IN PERIPHERAL BLOOD MONONUCLEAR CELLS FROM HEALTHY INDIVIDUALS AND FROM PATIENTS WITH CHRONIC LYMPHOCYTIC LEUKEMIA. SEX HORMONE SYNTHESIS OCCURS IN VARIOUS ORGANS AND TISSUES BESIDES THE GONADS, SUCH AS ADRENAL GLANDS, BRAIN, INTESTINES, SKIN, FAT, BONE, AND CELLS OF THE IMMUNE SYSTEM. REGARDING THE LATTER, IT IS STILL NOT CLEAR WHICH PATHWAYS ARE ACTIVE, AND IF THEY ARE MODIFIED IN CASE OF ILLNESS OF THE IMMUNE SYSTEM. OUR GOAL IN THIS STUDY WAS TO DETERMINE MRNA EXPRESSION OF DIFFERENT STEROIDOGENIC ENZYMES IN PERIPHERAL BLOOD MONONUCLEAR CELLS (PBMCS) FROM HEALTHY INDIVIDUALS OF BOTH SEXES AND OF DIFFERENT AGES, AND THEN TO COMPARE THEIR EXPRESSION BETWEEN HEALTHY INDIVIDUALS AND PATIENTS WITH CHRONIC LYMPHOCYTIC LEUKEMIA (CLL). FURTHERMORE, TO ELUCIDATE POSSIBLE MECHANISMS THAT REGULATE ENZYME EXPRESSION, WE ANALYZED EPIGENETIC EVENTS LIKE PROMOTER METHYLATION. WE DETERMINED THAT NORMAL CELLS OF THE IMMUNE SYSTEM, REGARDLESS OF SEX AND AGE, EXPRESSED P450 SIDE CHAIN CLEAVAGE (P450SCC), CYTOCHROME P450 17ALPHA-HYDROXYLASE/C17,20-LYASE (P45017ALPHA), 3BETA-HYDROXYSTEROID DEHYDROGENASE/DELTA5-DELTA4-ISOMERASE (3BETA-HSD), STEROID 5 ALPHA REDUCTASE (5ALPHA-R) TYPES 1, 2 AND 3, 3ALPHA-HYDROXYSTEROID DEHYDROGENASE (3ALPHA-HSD) TYPE 3, AND 17BETA-HYDROXYSTEROID DEHYDROGENASE (17BETA-HSD) TYPES 1, 3 AND 5. WE ALSO ESTABLISHED THAT 5ALPHA-R 1, 5ALPHA-R 3, 3ALPHA-HSD 3, 17BETA-HSD 1 AND 17BETA-HSD 5 EXPRESSION WAS ALTERED IN CLL PATIENTS, AND THAT PROMOTER REGIONS OF 5ALPHA-R 1, 17BETA-HSD 1 AND 17BETA-HSD 5 WERE DIFERENTIALLY METHYLATED. THESE RESULTS SUGGEST THAT STEROIDOGENIC PATHWAYS MAY BE AFFECTED IN CLL CELLS, AND THIS COULD BE RELATED TO DISEASE PATHOGENESIS. 2020 9 1750 15 EARLY LIFE STRESS AND PEDIATRIC POSTTRAUMATIC STRESS DISORDER. TRAUMATIC STRESS EXPOSURE DURING CRITICAL PERIODS OF DEVELOPMENT MAY HAVE ESSENTIAL AND LONG-LASTING EFFECTS ON THE PHYSICAL AND MENTAL HEALTH OF INDIVIDUALS. TWO THIRDS OF YOUTH ARE EXPOSED TO POTENTIALLY TRAUMATIC EXPERIENCES BY THE AGE OF 17, AND APPROXIMATELY 5% OF ADOLESCENTS MEET LIFETIME CRITERIA FOR POSTTRAUMATIC STRESS DISORDER (PTSD). THE ROLE OF THE STRESS SYSTEM IS THE MAINTENANCE OF HOMEOSTASIS IN THE PRESENCE OF REAL/PERCEIVED AND ACUTE/CHRONIC STRESSORS. EARLY-LIFE STRESS (ELS) HAS AN IMPACT ON NEURONAL BRAIN NETWORKS INVOLVED IN STRESS REACTIONS, AND COULD EXERT A PROGRAMMING EFFECT ON GLUCOCORTICOID SIGNALING. STUDIES ON PEDIATRIC PTSD REVEAL DIVERSE NEUROENDOCRINE RESPONSES TO ADVERSE EVENTS AND RELATED LONG-TERM NEUROENDOCRINE AND EPIGENETIC ALTERATIONS. NEUROENDOCRINE, NEUROIMAGING, AND GENETIC STUDIES IN CHILDREN WITH PTSD AND ELS EXPERIENCES ARE CRUCIAL IN UNDERSTANDING RISK AND RESILIENCE FACTORS, AND ALSO THE NATURAL HISTORY OF PTSD. 2020 10 1513 26 DNA METHYLATION AND PSYCHOTHERAPY RESPONSE IN TRAUMA-EXPOSED MEN WITH APPETITIVE AGGRESSION. EXPOSURE TO VIOLENCE CAN LEAD TO APPETITIVE AGGRESSION (AA), THE POSITIVE FEELING AND FASCINATION ASSOCIATED WITH VIOLENCE, AND POSTTRAUMATIC STRESS DISORDER (PTSD), CHARACTERISED BY HYPERAROUSAL, REEXPERIENCE AND FEELINGS OF ONGOING THREAT. PSYCHOTHERAPEUTIC INTERVENTIONS MAY ACT VIA DNA METHYLATION, AN ENVIRONMENTALLY SENSITIVE EPIGENETIC MECHANISM THAT CAN INFLUENCE GENE EXPRESSION. WE INVESTIGATED EPIGENETIC SIGNATURES OF PSYCHOTHERAPY FOR PTSD AND AA SYMPTOMS IN SOUTH AFRICAN MEN WITH CHRONIC TRAUMA EXPOSURE. PARTICIPANTS WERE ASSIGNED TO ONE OF THREE GROUPS: NARRATIVE EXPOSURE THERAPY FOR FORENSIC OFFENDER REHABILITATION (FORNET), COGNITIVE BEHAVIOURAL THERAPY OR WAITING LIST CONTROL (N = 9-10/GROUP). PARTICIPANTS PROVIDED SALIVA AND COMPLETED THE APPETITIVE AGGRESSION SCALE AND PTSD SYMPTOM SEVERITY INDEX AT BASELINE, 8-MONTH AND 16-MONTH FOLLOW-UP. THE RELATIONSHIP, OVER TIME, BETWEEN METHYLATION IN 22 GENE PROMOTER REGION SITES, SYMPTOM SCORES, AND TREATMENT WAS ASSESSED USING LINEAR MIXED MODELS. COMPARED TO BASELINE, PTSD AND AA SYMPTOM SEVERITY WERE SIGNIFICANTLY REDUCED AT 8 AND 16 MONTHS, RESPECTIVELY, IN THE FORNET GROUP. INCREASED METHYLATION OF GENES IMPLICATED IN DOPAMINERGIC NEUROTRANSMISSION (NR4A2) AND SYNAPTIC PLASTICITY (AUTS2) WAS ASSOCIATED WITH REDUCED PTSD SYMPTOM SEVERITY IN PARTICIPANTS RECEIVING FORNET. ANALYSES ACROSS PARTICIPANTS REVEALED A PROPORTIONAL RELATIONSHIP BETWEEN AA AND METHYLATION OF TFAM, A GENE INVOLVED IN MITOCHONDRIAL BIOSYNTHESIS. 2021 11 3412 34 HPA AXIS REGULATION AND EPIGENETIC PROGRAMMING OF IMMUNE-RELATED GENES IN CHRONICALLY STRESSED AND NON-STRESSED MID-LIFE WOMEN. HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS DYSREGULATION HAS BEEN ASSOCIATED WITH ALTERED IMMUNE FUNCTION, BUT THE UNDERLYING MOLECULAR MECHANISMS ARE UNCLEAR. EPIGENETIC PROCESSES, INCLUDING DNA METHYLATION, RESPOND TO THE GLUCOCORTICOID END-PRODUCTS OF THE HPA AXIS (CORTISOL IN HUMANS) AND COULD BE INVOLVED IN THIS NEUROENDOCRINE-IMMUNE CROSSTALK. HERE WE EXAMINED THE EXTENT TO WHICH VARIATIONS IN HPA AXIS REGULATION ARE ASSOCIATED WITH PERIPHERAL BLOOD DNA (CPG) METHYLATION CHANGES IN 57 CHRONICALLY STRESSED CAREGIVERS AND 67 CONTROL WOMEN. DNA METHYLATION WAS DETERMINED WITH THE ILLUMINA 450K ARRAY FOR A PANEL OF GENES INVOLVED IN HPA AXIS AND IMMUNE FUNCTION. HPA AXIS FEEDBACK WAS ASSESSED WITH THE LOW-DOSE DEXAMETHASONE SUPPRESSION TEST (DST), MEASURING THE EXTENT TO WHICH CORTISOL SECRETION IS SUPPRESSED BY THE SYNTHETIC GLUCOCORTICOID DEXAMETHASONE. AFTER MULTIPLE TESTING CORRECTION IN THE ENTIRE COHORT, HIGHER POST-DST CORTISOL, REFLECTING BLUNTED HPA AXIS NEGATIVE FEEDBACK, BUT NOT BASELINE WAKING CORTISOL, WAS ASSOCIATED WITH LOWER DNA METHYLATION AT EIGHT TNF AND TWO FKBP5 CPG SITES. CAREGIVER GROUP STATUS WAS ASSOCIATED WITH LOWER METHYLATION AT TWO IL6 CPG SITES. SINCE ASSOCIATIONS WERE MOST ROBUST WITH TNF METHYLATION (32% OF THE 450K-COVERED SITES), WE FURTHER EXAMINED FUNCTIONALITY OF THIS EPIGENETIC SIGNATURE IN CULTURED PERIPHERAL BLOOD MONONUCLEAR CELLS IN 33 PARTICIPANTS; INTRIGUINGLY, LOWER TNF METHYLATION RESULTED IN HIGHER EX VIVO TNF MRNA FOLLOWING IMMUNE STIMULATION. TAKEN TOGETHER, OUR FINDINGS LINK CHRONIC STRESS AND HPA AXIS REGULATION WITH EPIGENETIC SIGNATURES AT IMMUNE-RELATED GENES, THEREBY PROVIDING NOVEL INSIGHTS INTO HOW ABERRANT HPA AXIS FUNCTION MAY CONTRIBUTE TO HEIGHTENED INFLAMMATION AND DISEASE RISK. 2021 12 4222 20 METHYLATION AT THE CPG ISLAND SHORE REGION UPREGULATES NR3C1 PROMOTER ACTIVITY AFTER EARLY-LIFE STRESS. EARLY-LIFE STRESS (ELS) INDUCES LONG-LASTING CHANGES IN GENE EXPRESSION CONFERRING AN INCREASED RISK FOR THE DEVELOPMENT OF STRESS-RELATED MENTAL DISORDERS. GLUCOCORTICOID RECEPTORS (GR) MEDIATE THE NEGATIVE FEEDBACK ACTIONS OF GLUCOCORTICOIDS (GC) IN THE PARAVENTRICULAR NUCLEUS (PVN) OF THE HYPOTHALAMUS AND ANTERIOR PITUITARY AND THEREFORE PLAY A KEY ROLE IN THE REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS AND THE ENDOCRINE RESPONSE TO STRESS. WE HERE SHOW THAT ELS PROGRAMS THE EXPRESSION OF THE GR GENE (NR3C1) BY SITE-SPECIFIC HYPERMETHYLATION AT THE CPG ISLAND (CGI) SHORE IN HYPOTHALAMIC NEURONS THAT PRODUCE CORTICOTROPIN-RELEASING HORMONE (CRH), THUS PREVENTING CRH UPREGULATION UNDER CONDITIONS OF CHRONIC STRESS. CPGS MAPPING TO THE NR3C1 CGI SHORE REGION ARE DYNAMICALLY REGULATED BY ELS AND UNDERPIN METHYLATION-SENSITIVE CONTROL OF THIS REGION'S INSULATION-LIKE FUNCTION VIA YING YANG 1 (YY1) BINDING. OUR RESULTS PROVIDE NEW INSIGHT INTO HOW A GENOMIC ELEMENT INTEGRATES EXPERIENCE-DEPENDENT EPIGENETIC PROGRAMMING OF THE COMPOSITE PROXIMAL NR3C1 PROMOTER, AND ASSIGNS AN INSULATING ROLE TO THE CGI SHORE. 2015 13 325 43 ALLELE-SPECIFIC DNA METHYLATION LEVEL OF FKBP5 IS ASSOCIATED WITH POST-TRAUMATIC STRESS DISORDER. BACKGROUND: FK506-BINDING PROTEIN 5 (FKBP5) BINDS TO GLUCOCORTICOID RECEPTORS AND MODULATES GLUCOCORTICOID SENSITIVITY. THE FKBP5 GENE HAS BEEN IMPLICATED IN THE DYSREGULATION OF HUMAN STRESS RESPONSES, CONTRIBUTING TO THE RISK AND TREATMENT RESPONSE OF STRESS-RELATED DISORDERS. THE PRESENT STUDY EXAMINED WHETHER EPIGENETIC CHANGES IN FKBP5 ARE ASSOCIATED WITH CHRONIC POST-TRAUMATIC STRESS DISORDER (PTSD) STATUS IN THE CONTEXT OF FKBP5 GENETIC VARIATION (RS1360780 POLYMORPHISM) AMONG MALE VETERANS EXPOSED TO COMBAT TRAUMA. METHODS: KOREAN MALE VETERANS WHO SERVED ON ACTIVE DUTY DURING THE VIETNAM WAR WERE CATEGORIZED INTO 2 GROUPS: WITH PTSD (N = 123) AND WITHOUT PTSD (N = 116). THE GENOTYPE OF FKBP5 RS1360780 AND DNA METHYLATION LEVELS OF TWO CPG SITES AT THE FKBP5 INTRON 7 REGION WERE ASSESSED IN PERIPHERAL BLOOD. ANALYSIS OF COVARIANCE WAS PERFORMED TO EXAMINE MAIN AND INTERACTION EFFECTS OF PTSD STATUS AND FKBP5 GENOTYPE ON FKBP5 DNA METHYLATION LEVEL, WITH AGE, TRAUMA LEVELS, AND ALCOHOL USE AS COVARIATES. RESULTS: A SIGNIFICANT MAIN EFFECT OF FKBP5 RS1360780 AND PTSD AND AN INTERACTION EFFECT BETWEEN GENOTYPE AND PTSD STATUS WERE FOUND ON MEAN FKBP5 DNA METHYLATION LEVEL. THE T ALLELE OF RS1360780 WAS ASSOCIATED WITH LOWER FKBP5 METHYLATION LEVEL. IN ADDITION, THE PTSD GROUP SHOWED SIGNIFICANTLY HIGHER METHYLATION THAN DID THE NON-PTSD GROUP AMONG VETERANS CARRYING THE RISK T ALLELE (N = 96), WHILE NO GROUP DIFFERENCE WAS OBSERVED ON METHYLATION LEVELS AMONG VETERANS WITH THE CC GENOTYPE (N = 143). AMONG VETERANS CARRYING THE T ALLELE, FKBP5 METHYLATION LEVELS WERE POSITIVELY CORRELATED WITH THE SEVERITY OF PTSD SYMPTOMS. CONCLUSIONS: THE PRESENT STUDY DEMONSTRATED DIFFERENT FKBP5 METHYLATION LEVELS IN PTSD DEPENDING ON FKBP5 GENETIC VARIATION AMONG VETERANS EXPOSED TO COMBAT TRAUMA. THE PRESENT FINDING SUGGESTS THAT THE GENETIC AND EPIGENETIC MODULATION OF FKBP5 IS INVOLVED IN THE PATHOPHYSIOLOGY OF PTSD. FURTHER LONGITUDINAL RESEARCH INVOLVING PEOPLE EXPOSED TO TRAUMA IS REQUIRED TO UNDERSTAND CAUSAL RELATIONSHIPS OF FKBP5 IN THE DEVELOPMENT AND RECOVERY OF PTSD. 2019 14 6871 22 [PATHOGENETIC IMPORTANCE OF HELICOBACTER PYLORI INFECTION]. H. PYLORI ARE ETIOLOGICAL FACTOR OF HUMAN ACUTE AND CHRONIC GASTRITIS. DEPENDING ON PATHOGENIC FACTORS OF MICROORGANISM AND POLYMORPHISM OF HUMAN GENES, CHRONIC GASTRITIS CAN BE A CAUSE FOR ULCERATIVE ENTERITIS OF THE DUODENUM OR STOMACH, GASTRIC ADENOCARCINOMA AND MALT-LYMPHOMA DEVELOPMENT. WE REVEALED GENETIC FEATURES OF BACTERIA, DETERMINED THE INTENSITY OF INFLAMMATION, SUCH AS PATHOGENIC FACTORS--CAG, PLASTIC REGION OF THE GENOME AND ADHESIN CODING GENES. EPIGENETIC CHANGES, FOR EXAMPLE THE METHYLATION OF E-CADHERIN GENE ASSOCIATED WITH H PYLORI, ARE CRUCIAL FOR CARCINOGENESIS. THEREBY, PREDISPOSITION OF CHRONIC GASTRITIS ASSOCIATED WITH H. PYLORI TO ULCERATIVE ENTERITIS OF THE DUODENUM, ULCERATIVE STOMACH DISEASE OR GASTRIC ADENOCARCINOMA DEPENDS ON TOPOGRAPHY, THE INTENSITY OF INFLAMMATION AND CHANGES OF ACID PRODUCTION IN THE STOMACH. 2012 15 6167 34 THE GODDESS WHO SPINS THE THREAD OF LIFE: KLOTHO, PSYCHIATRIC STRESS, AND ACCELERATED AGING. BACKGROUND: LONGEVITY GENE KLOTHO (KL) IS ASSOCIATED WITH AGE-RELATED PHENOTYPES BUT HAS NOT BEEN EVALUATED AGAINST A DIRECT HUMAN BIOMARKER OF CELLULAR AGING. WE EXAMINED KL AND PSYCHIATRIC STRESS, INCLUDING POSTTRAUMATIC STRESS DISORDER (PTSD), WHICH IS THOUGHT TO POTENTIATE ACCELERATED AGING, IN ASSOCIATION WITH BIOMARKERS OF CELLULAR AGING. METHODS: THE SAMPLE COMPRISED 309 WHITE, NON-HISPANIC GENOTYPED VETERANS WITH MEASURES OF EPIGENETIC AGE (DNA METHYLATION AGE), TELOMERE LENGTH (N = 252), INFLAMMATION (C-REACTIVE PROTEIN), PSYCHIATRIC SYMPTOMS, METABOLIC FUNCTION, AND WHITE MATTER NEURAL INTEGRITY (DIFFUSION TENSOR IMAGING; N = 185). GENOTYPING AND DNA METHYLATION WERE OBTAINED ON EPI/GENOME-WIDE BEADCHIPS. RESULTS: IN GENE BY ENVIRONMENT ANALYSES, TWO KL VARIANTS (RS9315202 AND RS9563121) INTERACTED WITH PTSD SEVERITY (PEAK CORRECTED P = 0.044) AND SLEEP DISTURBANCE (PEAK CORRECTED P = 0.034) TO PREDICT ADVANCED EPIGENETIC AGE. KL VARIANT, RS398655, INTERACTED WITH SELF-REPORTED PAIN IN ASSOCIATION WITH SLOWED EPIGENETIC AGE (CORRECTED P = 0.048). A WELL-STUDIED PROTECTIVE VARIANT, RS9527025, WAS ASSOCIATED WITH SLOWED EPIGENETIC AGE (P = 0.046). THE PEAK PTSD INTERACTION TERM (WITH RS9315202) ALSO PREDICTED C-REACTIVE PROTEIN (P = 0.049), AND WHITE MATTER MICROSTRUCTURAL INTEGRITY IN TWO TRACTS (CORRECTED PS = 0.005 - 0.035). THIS SNP EVIDENCED A MAIN EFFECT WITH AN INDEX OF METABOLIC SYNDROME SEVERITY (P = 0.015). EFFECTS WERE GENERALLY ACCENTUATED IN OLDER SUBJECTS. CONCLUSIONS: RS9315202 PREDICTED MULTIPLE BIOMARKERS OF CELLULAR AGING SUCH THAT PSYCHIATRIC STRESS WAS MORE STRONGLY ASSOCIATED WITH CELLULAR AGING IN THOSE WITH THE MINOR ALLELE. KL GENOTYPE MAY CONTRIBUTE TO A SYNCHRONIZED PATHOLOGICAL AGING RESPONSE TO STRESS AND COULD BE A THERAPEUTIC TARGET TO ALTER THE PACE OF CELLULAR AGING. 2019 16 5705 28 SINGLE-CELL TRANSCRIPTIONAL CHANGES IN HYPOTHALAMIC CORTICOTROPIN-RELEASING FACTOR-EXPRESSING NEURONS AFTER EARLY-LIFE ADVERSITY INFORM ENDURING ALTERATIONS IN VULNERABILITIES TO STRESS. BACKGROUND: MENTAL HEALTH AND VULNERABILITIES TO NEUROPSYCHIATRIC DISORDERS INVOLVE THE INTERPLAY OF GENES AND ENVIRONMENT, PARTICULARLY DURING SENSITIVE DEVELOPMENTAL PERIODS. EARLY-LIFE ADVERSITY (ELA) AND STRESS PROMOTE VULNERABILITIES TO STRESS-RELATED AFFECTIVE DISORDERS, YET IT IS UNKNOWN HOW TRANSIENT ELA DICTATES LIFELONG NEUROENDOCRINE AND BEHAVIORAL REACTIONS TO STRESS. THE POPULATION OF HYPOTHALAMIC CORTICOTROPIN-RELEASING FACTOR (CRF)-EXPRESSING NEURONS THAT REGULATE STRESS RESPONSES IS A PROMISING CANDIDATE TO MEDIATE THE LONG-LASTING INFLUENCES OF ELA ON STRESS-RELATED BEHAVIORAL AND HORMONAL RESPONSES VIA ENDURING TRANSCRIPTIONAL AND EPIGENETIC MECHANISMS. METHODS: CAPITALIZING ON A WELL-CHARACTERIZED MODEL OF ELA, WE EXAMINED ELA-INDUCED CHANGES IN GENE EXPRESSION PROFILES OF CRF-EXPRESSING NEURONS IN THE HYPOTHALAMIC PARAVENTRICULAR NUCLEUS OF DEVELOPING MALE MICE. WE USED SINGLE-CELL RNA SEQUENCING ON ISOLATED CRF-EXPRESSING NEURONS. WE DETERMINED THE ENDURING FUNCTIONAL CONSEQUENCES OF TRANSCRIPTIONAL CHANGES ON STRESS REACTIVITY IN ADULT ELA MICE, INCLUDING HORMONAL RESPONSES TO ACUTE STRESS, ADRENAL WEIGHTS AS A MEASURE OF CHRONIC STRESS, AND BEHAVIORS IN THE LOOMING SHADOW THREAT TASK. RESULTS: SINGLE-CELL TRANSCRIPTOMICS IDENTIFIED DISTINCT AND NOVEL CRF-EXPRESSING NEURONAL POPULATIONS, CHARACTERIZED BY BOTH THEIR GENE EXPRESSION REPERTOIRE AND THEIR NEUROTRANSMITTER PROFILES. ELA-PROVOKED EXPRESSION CHANGES WERE SELECTIVE TO SPECIFIC SUBPOPULATIONS AND AFFECTED GENES INVOLVED IN NEURONAL DIFFERENTIATION, SYNAPSE FORMATION, ENERGY METABOLISM, AND CELLULAR RESPONSES TO STRESS AND INJURY. IMPORTANTLY, THESE EXPRESSION CHANGES WERE IMPACTFUL, APPARENT FROM ADRENAL HYPERTROPHY AND AUGMENTED BEHAVIORAL RESPONSES TO STRESS IN ADULTHOOD. CONCLUSIONS: WE UNCOVER A NOVEL REPERTOIRE OF STRESS-REGULATING CRF CELL TYPES DIFFERENTIALLY AFFECTED BY ELA AND RESULTING IN AUGMENTED STRESS VULNERABILITY, WITH RELEVANCE TO THE ORIGINS OF STRESS-RELATED AFFECTIVE DISORDERS. 2023 17 1534 24 DNA METHYLATION DYNAMICS IN A COASTAL FOUNDATION SEAGRASS SPECIES UNDER ABIOTIC STRESSORS. DNA METHYLATION (DNAM) HAS BEEN INTENSIVELY STUDIED IN TERRESTRIAL PLANTS IN RESPONSE TO ENVIRONMENTAL CHANGES, BUT ITS DYNAMIC CHANGES IN A TEMPORAL SCALE REMAIN UNEXPLORED IN MARINE PLANTS. THE SEAGRASS POSIDONIA OCEANICA RANKS AMONG THE SLOWEST-GROWING AND LONGEST-LIVING PLANTS ON EARTH, AND IS PARTICULARLY VULNERABLE TO SEA WARMING AND LOCAL ANTHROPOGENIC PRESSURES. HERE, WE ANALYSED THE DYNAMICS OF DNAM CHANGES IN PLANTS COLLECTED FROM COASTAL AREAS DIFFERENTIALLY IMPACTED BY EUTROPHICATION (I.E. OLIGOTROPHIC, OL; EUTROPHIC, EU) AND EXPOSED TO ABIOTIC STRESSORS (NUTRIENTS, TEMPERATURE INCREASE AND THEIR COMBINATION). LEVELS OF GLOBAL DNAM (% 5-MC) AND THE EXPRESSION OF KEY GENES INVOLVED IN DNAM WERE ASSESSED AFTER ONE, TWO AND FIVE WEEKS OF EXPOSURE. RESULTS REVEALED A CLEAR DIFFERENTIATION BETWEEN PLANTS, DEPENDING ON ENVIRONMENTAL STIMULI, TIME OF EXPOSURE AND PLANTS' ORIGIN. % 5-MC LEVELS WERE HIGHER DURING THE INITIAL STRESS EXPOSURE ESPECIALLY IN OL PLANTS, WHICH UPREGULATED ALMOST ALL GENES INVOLVED IN DNAM. CONTRARILY, EU PLANTS SHOWED LOWER EXPRESSION LEVELS, WHICH INCREASED UNDER CHRONIC EXPOSURE TO STRESSORS, PARTICULARLY TO TEMPERATURE. THESE FINDINGS SHOW THAT DNAM IS DYNAMIC IN P. OCEANICA DURING STRESS EXPOSURE AND UNDERLINED THAT ENVIRONMENTAL EPIGENETIC VARIATIONS COULD BE IMPLICATED IN THE REGULATION OF ACCLIMATION AND PHENOTYPIC DIFFERENCES DEPENDING ON LOCAL CONDITIONS. 2023 18 1834 27 EFFECTS OF MINDFULNESS-BASED THERAPY ON CLINICAL SYMPTOMS AND DNA METHYLATION IN PATIENTS WITH POLYCYSTIC OVARY SYNDROME AND HIGH METABOLIC RISK. POLYCYSTIC OVARY SYNDROME (PCOS) IS AN ENDOCRINE AND METABOLIC DISORDER AFFECTING WOMEN OF REPRODUCTIVE AGE. RESEARCH HAS SHOWN THAT EPIGENETIC ALTERATIONS SUCH AS DNA METHYLATION MAY PLAY A ROLE IN THE DEVELOPMENT AND PROGRESSION OF ABNORMAL OVARIAN FUNCTION AND METABOLIC DISORDERS IN PCOS. STUDIES HAVE IDENTIFIED SPECIFIC GENES (RELATED WITH INSULIN SIGNALING AND STEROID HORMONE METABOLISM) THAT ARE METHYLATED IN WOMEN WITH PCOS. DNA METHYLATION APPEARS TO RESPOND TO VARIOUS INTERVENTIONS AIMED AT ALTERING HEALTH AND LIFESTYLE FACTORS. WE TESTED THE EFFICACY OF A MINDFULNESS-BASED STRESS REDUCTION PROGRAM (MBSR) IN PCOS PATIENTS. WE EXAMINED ITS EFFECTS ON ANTHROPOMETRIC MEASUREMENTS, MENTAL HEALTH AND WELLBEING, AND ALTERATIONS IN DNA METHYLATION IN PERIPHERAL BLOOD. MBSR WAS ASSOCIATED WITH A REDUCTION IN BODY MASS INDEX, WAIST CIRCUMFERENCE AND BLOOD GLUCOSE LEVEL, AN IMPROVEMENT IN SUBJECTIVELY PERCEIVED GENERAL HEALTH, EMOTIONAL ROLE LIMITATION, AND LEVELS OF PAIN, AS WELL AS MINDFULNESS-LIKE TRAITS. MBSR REDUCED THE EXPRESSION OF ANXIOUS SYMPTOMATOLOGY AND SUBJECTIVELY PERCEIVED STRESS. METHYLATION CHANGES WERE OBSERVED IN FOUR GENES: COMT, FST, FKBP51, AND MAOA. WE CONCLUDE THAT MBSR MAY BE A USEFUL SUPPLEMENTARY THERAPY TO MITIGATE THE DELETERIOUS EFFECTS OF PCOS ON MENTAL HEALTH. 2023 19 6315 35 THE RELATIONSHIP OF MATERNAL AND CHILD METHYLATION OF THE GLUCOCORTICOID RECEPTOR NR3C1 DURING EARLY CHILDHOOD AND SUBSEQUENT CHILD PSYCHOPATHOLOGY AT SCHOOL-AGE IN THE CONTEXT OF MATERNAL INTERPERSONAL VIOLENCE-RELATED POST-TRAUMATIC STRESS DISORDER. INTRODUCTION: INTERPERSONAL VIOLENT (IPV) EXPERIENCES WHEN THEY BEGIN IN CHILDHOOD AND CONTINUE IN VARIOUS FORMS DURING ADULTHOOD OFTEN LEAD TO CHRONIC POST-TRAUMATIC STRESS DISORDER (PTSD) THAT IS ASSOCIATED IN MULTIPLE STUDIES WITH HYPOCORTISOLISM AND LOWER PERCENTAGE OF METHYLATION OF THE PROMOTER REGION OF THE GENE CODING FOR THE GLUCOCORTICOID RECEPTOR (NR3C1). THIS PROSPECTIVE, LONGITUDINAL STUDY EXAMINED THE RELATIONSHIP OF NR3C1 METHYLATION AMONG MOTHERS WITH IPV-RELATED PTSD AND THEIR TODDLERS AND THEN LOOKED AT THE RELATIONSHIP OF MATERNAL NR3C1 METHYLATION AND CHILD PSYCHOPATHOLOGY AT SCHOOL AGE. METHODS: FORTY-EIGHT MOTHERS WERE EVALUATED FOR LIFE-EVENTS HISTORY AND POST-TRAUMATIC STRESS DISORDER VIA STRUCTURED CLINICAL INTERVIEW WHEN THEIR CHILDREN WERE AGES 12-42 MONTHS (MEAN AGE 26.7 MONTHS, SD 8.8). THEIR CHILDREN'S PSYCHOPATHOLOGY IN TERMS OF INTERNALIZING SYMPTOMS AND EXTERNALIZING BEHAVIORS WAS EVALUATED USING THE CHILD BEHAVIOR CHECKLIST AT AGES 5-9 YEARS (MEAN AGE 7 YEARS, SD 1.1). PERCENTAGE OF METHYLATION FOR THE NR3C1 GENE PROMOTER REGION WAS ASSESSED FROM DNA EXTRACTED FROM MATERNAL AND CHILD SALIVA USING BISULFITE PYROSEQUENCING. DATA ANALYSIS INVOLVED PARAMETRIC AND NON-PARAMETRIC CORRELATIONS AND MULTIPLE LINEAR AND LOGISTIC REGRESSION MODELING. RESULTS: LOGISTIC REGRESSION MODELS USING CHILD NR3C1 METHYLATION AS THE DEPENDENT VARIABLE AND MATERNAL NR3C1 METHYLATION AND PTSD GROUP STATUS AS PREDICTORS, AS WELL AS THE INTERACTION INDICATED THAT ALL THREE OF THESE SIGNIFICANTLY PREDICTED CHILD NR3C1 METHYLATION. THESE FINDINGS REMAINED SIGNIFICANT WHEN CONTROLLING FOR CHILD AGE, SEX AND MATERNAL CHILD ABUSE HISTORY. OVERALL, MATERNAL NR3C1 METHYLATION WHEN CHILDREN WERE TODDLERS WAS NEGATIVELY AND SIGNIFICANTLY ASSOCIATED WITH CHILD EXTERNALIZING BEHAVIOR SEVERITY AT SCHOOL AGE. DISCUSSION: WE FOUND THAT CORRELATIONS BETWEEN MOTHERS AND THEIR CHILDREN OF NR3C1 METHYLATION LEVELS OVERALL AND AT ALL INDIVIDUAL CPG SITES OF INTEREST WERE SIGNIFICANT ONLY IN THE IPV-PTSD GROUP. THE LATTER FINDINGS SUPPORT THAT NR3C1 METHYLATION IN MOTHERS POSITIVELY AND STATISTICALLY SIGNIFICANTLY CORRELATES WITH NR3C1 METHYLATION IN THEIR CHILDREN ONLY IN PRESENCE OF IPV-PTSD IN THE MOTHERS. THIS MATERNAL EPIGENETIC SIGNATURE WITH RESPECT TO THIS GLUCOCORTICOID RECEPTOR IS SIGNIFICANTLY ASSOCIATED WITH CHILD BEHAVIOR THAT MAY WELL POSE A RISK FOR INTERGENERATIONAL TRANSMISSION OF VIOLENCE AND RELATED PSYCHOPATHOLOGY. 2022 20 5883 30 SYSTEMIC AND AIRWAY EPIGENETIC DISRUPTIONS ARE ASSOCIATED WITH HEALTH STATUS IN COPD. EPIGENETIC MODIFICATIONS ARE COMMON IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); HOWEVER, THEIR CLINICAL RELEVANCE IS LARGELY UNKNOWN. WE HYPOTHESIZED THAT EPIGENETIC DISRUPTIONS ARE ASSOCIATED WITH SYMPTOMS AND HEALTH STATUS IN COPD. WE PROFILED THE BLOOD (N = 57) AND AIRWAYS (N = 62) OF COPD PATIENTS FOR DNA METHYLATION (N = 55 PAIRED). THE PATIENTS' HEALTH STATUS WAS ASSESSED USING THE ST. GEORGE'S RESPIRATORY QUESTIONNAIRE (SGRQ). WE CONDUCTED DIFFERENTIAL METHYLATION ANALYSES AND IDENTIFIED PATHWAYS CHARACTERIZED BY EPIGENETIC DISRUPTIONS ASSOCIATED WITH SGRQ SCORES AND ITS INDIVIDUAL DOMAINS. 29,211 AND 5044 DIFFERENTIALLY METHYLATED POSITIONS (DMPS) WERE ASSOCIATED WITH TOTAL SGRQ SCORES IN BLOOD AND AIRWAY SAMPLES, RESPECTIVELY. THE ACTIVITY, IMPACT, AND SYMPTOM DOMAINS WERE ASSOCIATED WITH 9161, 25,689 AND 17,293 DMPS IN BLOOD, RESPECTIVELY; AND 4674, 3730 AND 5063 DMPS IN AIRWAYS, RESPECTIVELY. THERE WAS A SUBSTANTIAL OVERLAP OF DMPS BETWEEN AIRWAY AND BLOOD. DMPS WERE ENRICHED FOR PATHWAYS RELATED TO COMMON CO-MORBIDITIES OF COPD (E.G., AGEING, CANCER AND NEUROLOGICAL) IN BOTH TISSUES. HEALTH STATUS IN COPD IS ASSOCIATED WITH AIRWAY AND SYSTEMIC EPIGENETIC CHANGES ESPECIALLY IN PATHWAYS RELATED TO CO-MORBIDITIES OF COPD. THERE ARE MORE BLOOD DMPS THAN IN THE AIRWAYS SUGGESTING THAT BLOOD EPIGENOME IS A PROMISING SOURCE TO DISCOVER BIOMARKERS FOR CLINICAL OUTCOMES IN COPD. 2023