# Integrative DNA methylation and transcriptome analysis reveal cell-type specific patterns in response to elevated allostatic load

## TL;DR

This study combines DNA methylation and gene expression data to explore how different blood cell types respond to high physiological stress, called allostatic load.

## Contribution

The study identifies cell-type-specific DNA methylation and gene expression changes associated with elevated allostatic load using integrative analysis.

## Key findings

- 263 CpG-gene pairs were identified across six blood cell types in high vs low allostatic load groups.
- Immune processes were enriched among downregulated genes in CD8 T and B cells under high allostatic load.
- The findings suggest impaired immune response and highlight the importance of cell-type-specific analysis in understanding stress-related biological processes.

## Abstract

Allostatic load (AL) is a measure of the body’s multi-systemic physiological dysregulation in response to chronic stress and life events. High AL has been associated with poor long-term health outcomes such as cardiovascular disease and mortality. DNA methylation (DNAm) is an epigenetic mechanism involving both genes and environmental factors and contributes to gene expression regulation. Hence, changes in AL can possibly be reflected in DNAm and gene expression differences and leveraging epigenetic and transcriptomic data together can help elucidate the underlying biological processes involved. To assess differential DNAm and gene expression between high and low AL in a cell-type specific manner, bulk DNAm and transcriptome signals from whole blood samples of 429 individuals from the Swiss Kidney Project On Genes in Hypertension (SKIPOGH) cohort were first deconvoluted into cell-type specific signals for six blood cell types using tensor composition analysis (TCA) and the software CIBERSORTx. For each cell type, DNAm associated with gene expression changes was then determined in high (N = 126) vs low (N = 303) AL groups. A total of 263 CpG-gene pairs were identified across all cell types, corresponding to 250 unique CpGs and 138 unique differentially methylated genes (DMGs). Several immune processes were enriched among downregulated genes of CD8 T and B cells, suggesting an impairment of the immune response, which is compatible with high AL. These findings highlight the importance of using cell-specific signals in DNAm and transcriptome analyses and may contribute to identify AL biomarkers and/or potential therapeutic targets.