DNA methylation landscape in pregnancy-induced hypertension: progress and challenges
Open accessAbstract
Gestational hypertension (PIH), especially pre-eclampsia (PE), is a common complication of pregnancy. This condition poses significant risks to the health of both the mother and the fetus. Emerging evidence suggests that epigenetic modifications, particularly DNA methylation, may play a role in initiating the earliest pathophysiology of PIH. This article describes the relationship between DNA methylation and placental trophoblast function, genes associated with the placental microenvironment, the placental vascular system, and maternal blood and vascular function, abnormalities of umbilical cord blood and vascular function in the onset and progression of PIH, as well as changes in DNA methylation in the progeny of PIH, in terms of maternal, fetal, and offspring. We also explore the latest research on DNA methylation-based early detection, diagnosis and potential therapeutic strategies for PIH. This will enable the field of DNA methylation research to continue to enhance our understanding of the epigenetic regulation of PIH genes and identify potential therapeutic targets.
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Human pregnancy complications such as gestational hypertension, gestational diabetes, and preeclampsia have been associated with altered DNA methylation patterns in maternal and fetal tissues, particularly in pathways related to placental function, vascular regulation, and fetal growth.
“Human pregnancy complications such as gestational hypertension, gestational diabetes, and preeclampsia have been associated with altered DNA methylation patterns in maternal and fetal tissues, particularly in pathways related to placental function, vascular regulation, and fetal growth (51).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [51]
The Introduction and Conclusion and outlook link altered DNA methylation in gestational hypertension and preeclampsia to placental function, maternal and fetal tissues, vascular function, and fetal growth. The review does not substantively address gestational diabetes as part of that finding; it appears in reference titles, but those titles do not support extending the review’s account to that condition. The supplied passages have no page numbers. (LLM, conf=0.86)
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Barwon Infant Study Investigator Team, Mansell, T., Ponsonby, A., Collier, F., Burgner, D. P., Vuillermin, P., Lange, K., Ryan, J. L., & Saffery, R. (2019) · International Journal of Obesity · doi:10.1038/s41366-019-0472-3 · Cited by 10 · see citing works
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Self-citationCorrelation of amniotic fluid index and placental aquaporin 1 levels in terms of preeclampsia
Ding, H., Ding, Z., Zhao, M., Ji, B., Lei, J., Chen, J., Li, M., Li, M., Chen, Y., & Gao, Q. (2021) · Placenta · doi:10.1016/j.placenta.2021.12.010 · Cited by 9 · see citing works
Self-citationComprehensive Analysis of Differently Expressed and Methylated Genes in Preeclampsia
Xu, W., Ru, P., Gu, Z., Zhang, R., Pang, X., Huang, Y., Liu, Z., & Liu, M. (2020) · Computational and Mathematical Methods in Medicine · doi:10.1155/2020/2139270 · Cited by 8 · see citing works
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HOXD8/DIAPH2-AS1 epigenetically regulates PAX3 and impairs HTR-8/SVneo cell function under hypoxia
Feng, Y., Wang, J., He, Y., Zhang, H., Jiang, M., Cao, D., & Wang, A. (2019) · Bioscience Reports · doi:10.1042/bsr20182022 · Cited by 8 · see citing works
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Hypomethylation of CTGF Promoter in Placenta and Peripheral Blood of Pre-eclampsia Women
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Effect of 14-3-3 tau protein on differentiation in BeWo choriocarcinoma cells
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Immunological dysregulation in preeclampsia: Pathogenesis and clinical implications
Qin, Z., & Long, Y. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.115314 · Cited by 25 · see citing works
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From Pregnancy to Breastfeeding: The Role of Maternal Exercise in Preventing Childhood Obesity
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Reassessing the Role of Tissue Factor Pathway Inhibitor 2 in Neoplastic and Non-Neoplastic Lesions
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Self-citationMonroy-Muñoz, I. E., Torres‐Torres, J., Rojas‐Zepeda, L., Villafán-Bernal, J. R., y Sosa, S. E., Baca, D., Camacho‐Martinez, Z. A., Duran, J. P., Solis‐Paredes, J. M., Estrada‐Gutiérrez, G., et al. (2025) · Diagnostics · doi:10.3390/diagnostics15162056 · Cited by 4 · see citing works
First Trimester Ultrasound Soft Markers in a Fetus: Genetic Associations and Diagnostic Implications
Mangla, M., & Kumar, N. (2025) · Maternal-Fetal Medicine · doi:10.1097/fm9.0000000000000301 · Cited by 4 · see citing works
The Role of microRNA-210 in the Pathogenesis and Diagnosis of Preeclampsia—A Systematic Review
Cretu, O.-E., Dîrlău, A.-A., Neacşu, A., Nenciu, A. E., & Ceauşu, I. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14217593 · Cited by 3 · see citing works
TET1 modulates trophoblast function by regulation of ODC1 in preeclampsia
Fan, C., Kang, Y., Fang, Z., Liu, L., Wang, C., Zhao, M., Xiao, L., & Zhang, C. (2025) · Scientific Reports · doi:10.1038/s41598-025-22116-w · Cited by 3 · see citing works
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Impacts of PM 2.5 on stillbirth and the potential mechanism: a narrative review
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Kac, E., Qi, Q., & Ryznar, R. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1769422 · Cited by 1 · see citing works
“Human pregnancy complications such as gestational hypertension, gestational diabetes, and preeclampsia have been associated with altered DNA methylation patterns in maternal and fetal tissues, particularly in pathways related to placental function, vascular regulation, and fetal growth (51).”
MeCP2 attenuates inflammation and regulates T cell phenotype via SFRP4 suppression in preeclampsia
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Correction: DNA methylation landscape in pregnancyinduced hypertension: progress and challenges
Deng, F., Lei, J., Qiu, J., Zhao, C., Wang, X., Li, M., Sun, M., Zhang, M., & Gao, Q. (2024) · Reproductive Biology and Endocrinology · doi:10.1186/s12958-024-01270-2 · Cited by 1 · see citing works
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Circulating cell-free DNA in preeclampsia: predictive potential and insights into pathogenesis
Dong, H., Zhang, Y., & Zhang, B. (2026) · European journal of medical research · doi:10.1186/s40001-026-04238-7
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Epigenome-wide placental methylation landscapes in relation to antenatal depressive symptoms
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- Authors
- Deng, F., Lei, J., Qiu, J., Zhao, C., Wang, X., Li, M., Sun, M., Zhang, M., & Gao, Q.
- Affiliations
- Qingdao University (CN)
- Nanjing University (CN)
- First Affiliated Hospital of Soochow University (CN)
- Corresponding author
- Sun, Miao
- Zhang, Meihua
- Gao, Qinqin
- ORCID
- Venue
- Reproductive Biology and Endocrinology
- Published
- 2024-07-08
- Volume
- 22
- Issue
- 1
- Pages
- 77-77
- ISSN
- 1477-7827 (ISSN-L)
- PMC
- PMC11229300
- OpenAlex
- W4400422202
- Cited by
- 25
- References
- 199
- Citations by year
- 2026: 12 · 2025: 12 · 2024: 1
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Update notices
- correction (2024-08-07)
- Open access
- gold
- doi.org
- Locations
- Reproductive Biology and Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Jiangsu Commission of Health
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- DNA methylation, gestational hypertension, preeclampsia, epigenetics, placental microenvironment, placental vascular dysfunction, umbilical cord blood, early diagnosis, therapeutic target
- MeSH terms
- Female, Humans, Placenta, Pre-Eclampsia, Pregnancy, Trophoblasts, DNA Methylation, Epigenesis, Genetic, Hypertension, Pregnancy-Induced
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