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Pregnancy by Assisted Reproductive Technology Is Associated with Shorter Telomere Length in Neonates
Authors:Toshiko Minamoto  Kentaro Nakayama  Tomoka Ishibashi  Masako Ishikawa  Kohei Nakamura  Hitomi Yamashita  Kamrunnahar Shanta  Hossain Mohammad Mahmud  Sultana Razia  Kouji Iida  Gyosuke Sakashita  Tsukasa Nakamura  Hideyuki Kanda  Satoru Kyo
Abstract:Telomere length (TL) influences the development of lifestyle-related diseases, and neonatal TL may influence their prevalence. Various factors have been reported to affect neonatal TL. Although the fetus is exposed to multiple conditions in utero, the main factors affecting the shortening of neonatal TL are still not known. In this study, we sought to identify factors that influence fetal TL. A total of 578 mother-newborn pairs were included for TL analysis. TL was measured in genomic DNA extracted from cord blood samples using quantitative PCR. The clinical factors examined at enrollment included the following intrauterine environmental factors: maternal age, assisted reproductive technology (ART) used, body mass index (BMI), gestational diabetes mellitus (GDM), maternal stress, smoking, alcohol consumption, preterm delivery, small-for-gestational-age, neonatal sex, and placental weight. Univariate and multivariate regression analyses were used to verify the relationship between neonatal TL and these clinical factors. The median neonatal TL to single-copy gene ratio was 1.0. Pregnancy with ART was among the 11 factors associated with shorter neonatal TL. From multiple regression analysis, we determined that neonatal TL was significantly shorter for pregnancies in the ART group than in the other groups. We conclude that pregnancy with ART is associated with shorter neonatal TL.
Keywords:assisted reproductive technology  developmental origins of health and disease  pregnancy  lifestyle  neonates  telomere length
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