1 1214 163 CPG METHYLATION LEVELS IN HPA AXIS GENES PREDICT CHRONIC PAIN OUTCOMES FOLLOWING TRAUMA EXPOSURE. CHRONIC POST-TRAUMATIC MUSCULOSKELETAL PAIN (CPTP) IS A COMMON OUTCOME OF TRAUMATIC STRESS EXPOSURE. BIOLOGICAL FACTORS THAT INFLUENCE THE DEVELOPMENT OF CPTP ARE POORLY UNDERSTOOD, THOUGH CURRENT EVIDENCE INDICATES THAT THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS PLAYS A CRITICAL ROLE IN ITS DEVELOPMENT. LITTLE IS KNOWN ABOUT MOLECULAR MECHANISMS UNDERLYING THIS ASSOCIATION, INCLUDING EPIGENETIC MECHANISMS. HERE, WE ASSESSED WHETHER PERITRAUMATIC DNA METHYLATION LEVELS AT 248 5'-C-PHOSPHATE-G-3' (CPG) SITES IN HPA AXIS GENES (FKBP5, NR3C1, CRH, CRHR1, CRHR2, CRHBP, POMC) PREDICT CPTP AND WHETHER IDENTIFIED CPTP-ASSOCIATED METHYLATION LEVELS INFLUENCE EXPRESSION OF THOSE GENES. USING PARTICIPANT SAMPLES AND DATA COLLECTED FROM TRAUMA SURVIVORS ENROLLED INTO LONGITUDINAL COHORT STUDIES (N = 290), WE USED LINEAR MIXED MODELING TO ASSESS THE RELATIONSHIP BETWEEN PERITRAUMATIC BLOOD-BASED CPG METHYLATION LEVELS AND CPTP. A TOTAL OF 66 (27%) OF THE 248 CPG SITES ASSESSED IN THESE MODELS STATISTICALLY SIGNIFICANTLY PREDICTED CPTP, WITH THE THREE MOST SIGNIFICANTLY ASSOCIATED CPG SITES ORIGINATING FROM THE POMC GENE REGION (IE, CG22900229 [BETA = .124, P < .001], CG16302441 [BETA = .443, P < .001], CG01926269 [BETA = .130, P < .001]). AMONG THE GENES ANALYZED, BOTH POMC (Z = 2.36, P = .018) AND CRHBP (Z = 4.89, P < .001) WERE ENRICHED IN CPG SITES SIGNIFICANTLY ASSOCIATED WITH CPTP. FURTHER, POMC EXPRESSION WAS INVERSELY CORRELATED WITH METHYLATION LEVELS IN A CPTP-DEPENDENT MANNER (6-MONTHS NRS<4: R = -.59, P < .001; 6-MONTHS NRS >/= 4: R = -.18, P = .2312). OUR RESULTS SUGGEST THAT METHYLATION OF HPA AXIS GENES INCLUDING POMC AND CRHBP PREDICT RISK FOR AND MAY CONTRIBUTE TO VULNERABILITY TO CPTP. PERSPECTIVE: PERITRAUMATIC BLOOD LEVELS OF CPG METHYLATION SITES IN HPA AXIS GENES, PARTICULARLY CPG SITES IN THE POMC GENE, PREDICT CPTP DEVELOPMENT. THIS DATA SUBSTANTIALLY ADVANCES OUR UNDERSTANDING OF EPIGENETIC PREDICTORS AND POTENTIAL MEDIATORS OF CPTP, A HIGHLY COMMON, MORBID, AND HARD-TO-TREAT FORM OF CHRONIC PAIN. 2023 2 2987 27 GENETIC EPIDEMIOLOGY IN KIDNEY DISEASE. FAMILIAL AGGREGATION OF CHRONIC KIDNEY DISEASE AND ITS COMPONENT PHENOTYPES-REDUCED GLOMERULAR FILTRATION RATE, PROTEINURIA AND RENAL HISTOLOGIC CHANGES-HAS LONG BEEN RECOGNIZED. RATES OF SEVERE KIDNEY DISEASE ARE ALSO KNOWN TO DIFFER MARKEDLY BETWEEN POPULATIONS BASED ON ANCESTRY. THESE EPIDEMIOLOGIC OBSERVATIONS SUPPORT THE EXISTENCE OF NEPHROPATHY SUSCEPTIBILITY GENES. SEVERAL MOLECULAR GENETIC TECHNOLOGIES ARE NOW AVAILABLE TO IDENTIFY CAUSATIVE LOCI. THE PRESENT ARTICLE SUMMARIZES AVAILABLE STRATEGIES USEFUL FOR IDENTIFYING NEPHROPATHY SUSCEPTIBILITY GENES, INCLUDING CANDIDATE GENE ASSOCIATION, FAMILY-BASED LINKAGE, GENOME-WIDE ASSOCIATION AND ADMIXTURE MAPPING (MAPPING BY ADMIXTURE LINKAGE DISEQUILIBRIUM) APPROACHES. EXAMPLES OF LOCI DETECTED USING THESE TECHNIQUES ARE PROVIDED. EPIGENETIC STUDIES AND FUTURE DIRECTIONS ARE ALSO DISCUSSED. THE IDENTIFICATION OF NEPHROPATHY SUSCEPTIBILITY GENES, COUPLED WITH MODIFIABLE ENVIRONMENTAL TRIGGERS IMPACTING THEIR FUNCTION, IS LIKELY TO IMPROVE RISK PREDICTION AND TRANSFORM CARE. DEVELOPMENT OF NOVEL THERAPIES TO PREVENT PROGRESSION OF KIDNEY DISEASE WILL FOLLOW. 2017 3 2643 37 EPIGENOMIC ASSOCIATION ANALYSIS IDENTIFIES SMOKING-RELATED DNA METHYLATION SITES IN AFRICAN AMERICANS. CIGARETTE SMOKING IS AN ENVIRONMENTAL RISK FACTOR FOR MANY CHRONIC DISEASES, AND DISEASE RISK CAN OFTEN BE MANAGED BY SMOKING CONTROL. SMOKING CAN INDUCE CELLULAR AND MOLECULAR CHANGES, INCLUDING EPIGENETIC MODIFICATION, BUT THE SHORT- AND LONG-TERM EPIGENETIC MODIFICATIONS CAUSED BY CIGARETTE SMOKING AT THE GENE LEVEL HAVE NOT BEEN WELL UNDERSTOOD. RECENT STUDIES HAVE IDENTIFIED SMOKING-RELATED DNA METHYLATION (DNAM) SITES IN CAUCASIANS. TO DETERMINE WHETHER THE SAME DNAM SITES ASSOCIATE WITH SMOKING IN AFRICAN AMERICANS, AND TO IDENTIFY NOVEL SMOKING-RELATED DNAM SITES, WE CONDUCTED A METHYLOME-WIDE ASSOCIATION STUDY OF CIGARETTE SMOKING USING A DISCOVERY SAMPLE OF 972 AFRICAN AMERICANS, AND A REPLICATION SAMPLE OF 239 AFRICAN AMERICANS WITH TWO ARRAY-BASED METHODS. AMONG 15 DNAM SITES SIGNIFICANTLY ASSOCIATED WITH SMOKING AFTER CORRECTION FOR MULTIPLE TESTING IN OUR DISCOVERY SAMPLE, 5 DNAM SITES ARE REPLICATED IN AN INDEPENDENT COHORT, AND 14 SITES IN THE REPLICATION SAMPLE HAVE EFFECTS IN THE SAME DIRECTION AS IN THE DISCOVERY SAMPLE. THE TOP TWO SMOKING-RELATED DNAM SITES IN F2RL3 (FACTOR II RECEPTOR-LIKE 3) AND GPR15 (G-PROTEIN-COUPLED RECEPTOR 15) OBSERVED IN AFRICAN AMERICANS ARE CONSISTENT WITH PREVIOUS FINDINGS IN CAUCASIANS. THE ASSOCIATIONS BETWEEN THE REPLICATED DNAM SITES AND SMOKING REMAIN SIGNIFICANT AFTER ADJUSTING FOR GENETIC BACKGROUND. DESPITE THE DISTINCT GENETIC BACKGROUND BETWEEN AFRICAN AMERICANS AND CAUCASIANS, THE DNAM FROM THE TWO ETHNIC GROUPS SHARES COMMON ASSOCIATIONS WITH CIGARETTE SMOKING, WHICH SUGGESTS A COMMON MOLECULAR MECHANISM OF EPIGENETIC MODIFICATION INFLUENCED BY ENVIRONMENTAL EXPOSURE. 2013 4 3056 37 GENOME-WIDE DNA METHYLATION ANALYSIS IMPLICATES ENRICHMENT OF INTERFERON PATHWAY IN AFRICAN AMERICAN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS AND EUROPEAN AMERICANS WITH LUPUS NEPHRITIS. SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) IS A CHRONIC, MULTISYSTEM, INFLAMMATORY AUTOIMMUNE DISEASE THAT DISPROPORTIONATELY AFFECTS WOMEN. TRENDS IN SLE PREVALENCE AND CLINICAL COURSE DIFFER BY ANCESTRY, WITH THOSE OF AFRICAN AMERICAN ANCESTRY PRESENTING WITH MORE ACTIVE, SEVERE AND RAPIDLY PROGRESSIVE DISEASE THAN EUROPEAN AMERICANS. PREVIOUS RESEARCH ESTABLISHED ALTERED EPIGENETIC SIGNATURES IN SLE PATIENTS COMPARED TO CONTROLS. HOWEVER, THE CONTRIBUTION OF ABERRANT DNA METHYLATION (DNAM) TO THE RISK OF SLE BY ANCESTRY AND DIFFERENCES AMONG PATIENTS WITH SLE-ASSOCIATED LUPUS NEPHRITIS (LN) HAS NOT BEEN WELL DESCRIBED. WE EVALUATED THE DNA METHYLOMES OF 87 INDIVIDUALS INCLUDING 41 SLE PATIENTS, WITH AND WITHOUT LN, AND 46 CONTROLS ENROLLED IN AN ANCESTRY DIVERSE, WELL-CHARACTERIZED COHORT STUDY OF ESTABLISHED SLE (41 SLE PATIENTS [20 SLE-LN+, 21 SLE-LN-] AND 46 SEX-, RACE- AND AGE-MATCHED CONTROLS; 55% AFRICAN AMERICAN, 45% EUROPEAN AMERICAN). PARTICIPANTS WERE GENOTYPED USING THE INFINIUM GLOBAL DIVERSITY ARRAY (GDA), AND GENETIC ANCESTRY WAS ESTIMATED USING PRINCIPAL COMPONENTS. GENOME-WIDE DNA METHYLATION WAS INITIALLY MEASURED USING THE ILLUMINA METHYLATIONEPIC 850K BEADCHIP ARRAY FOLLOWED BY METHYLATION-SPECIFIC QPCR TO VALIDATE THE METHYLATION STATUS AT PUTATIVE LOCI. DIFFERENTIALLY METHYLATED POSITIONS (DMP) WERE IDENTIFIED USING A CASE-CONTROL APPROACH ADJUSTED FOR ANCESTRY. WE IDENTIFIED A TOTAL OF 51 DMPS IN CPGS AMONG SLE PATIENTS COMPARED TO CONTROLS. GENES PROXIMAL TO THESE CPGS WERE HIGHLY ENRICHED FOR INVOLVEMENT IN TYPE I INTERFERON SIGNALING. DMPS AMONG EUROPEAN AMERICAN SLE PATIENTS WITH LN WERE SIMILAR TO AFRICAN AMERICAN SLE PATIENTS WITH AND WITHOUT LN. OUR FINDINGS WERE VALIDATED USING AN ORTHOGONAL, METHYL-SPECIFIC PCR FOR THREE SLE-ASSOCIATED DMPS NEAR OR PROXIMAL TO MX1, USP18, AND IFITM1. OUR STUDY CONFIRMS PREVIOUS REPORTS THAT DMPS IN CPGS ASSOCIATED WITH SLE ARE ENRICHED IN TYPE I INTERFERON GENES. HOWEVER, WE SHOW THAT EUROPEAN AMERICAN SLE PATIENTS WITH LN HAVE SIMILAR DNAM PATTERNS TO AFRICAN AMERICAN SLE PATIENTS IRRESPECTIVE OF LN, SUGGESTING THAT ABERRANT DNAM ALTERS ACTIVITY OF TYPE I INTERFERON PATHWAY LEADING TO MORE SEVERE DISEASE INDEPENDENT OF ANCESTRY. 2023 5 3063 49 GENOME-WIDE DNA METHYLATION AND LONG-TERM AMBIENT AIR POLLUTION EXPOSURE IN KOREAN ADULTS. BACKGROUND: AMBIENT AIR POLLUTION IS ASSOCIATED WITH NUMEROUS ADVERSE HEALTH OUTCOMES, BUT THE UNDERLYING MECHANISMS ARE NOT WELL UNDERSTOOD; EPIGENETIC EFFECTS INCLUDING ALTERED DNA METHYLATION COULD PLAY A ROLE. TO EVALUATE ASSOCIATIONS OF LONG-TERM AIR POLLUTION EXPOSURE WITH DNA METHYLATION IN BLOOD, WE CONDUCTED AN EPIGENOME-WIDE ASSOCIATION STUDY IN A KOREAN CHRONIC OBSTRUCTIVE PULMONARY DISEASE COHORT (N = 100 INCLUDING 60 CASES) USING ILLUMINA'S INFINIUM HUMANMETHYLATION450K BEADCHIP. ANNUAL AVERAGE CONCENTRATIONS OF PARTICULATE MATTER