0 Ratings

ID

45013

Description

Principal Investigator: William L. Lowe, Jr, MD, Northwestern University Feinberg School of Medicine, Chicago, IL, USA MeSH: Pregnancy https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000096 Low and high birth weight are not only major causes of neonatal morbidity and mortality, but epidemiological data have established an association between birth weight and later life risk of adult metabolic diseases. Fetal growth is determined by complex interactions between fetal genes and the maternal uterine environment. Subtle or overt variation in maternal glucose tolerance, which is, in part, genetically determined, is related to fetal size at birth. Moreover, new emerging data suggest that genetic variation in the fetus can impact maternal metabolism (e.g., blood pressure and glucose tolerance). Given the above, we are addressing the hypothesis that, during pregnancy, gene-environment interactions in the context of the maternal-fetal unit impact fetal size at birth and maternal metabolism. Genes that control fetal growth or maternal metabolism during pregnancy are largely unknown, so the first step to address our hypothesis will be to identify genetic variation that impacts fetal growth and maternal metabolism and to determine the interaction of that variation with the intrauterine and fetal environment. To accomplish this, we are performing genome wide association (GWA) mapping on a subset of ~37,000 DNA samples that were collected from mothers and their offspring as part of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study. HAPO is a multicenter, international study in which high quality phenotypic data related to fetal growth and maternal glucose metabolism has been collected from 25,000 pregnant women of varied racial and socio-demographic backgrounds using standardized protocols that were uniform across centers. For these studies, we are genotyping 1,500 infants and their mothers of European descent, 1,250 Afro-Caribbean infants and mothers, 800 Hispanic (Mexican-American) infants and mothers, and 1200 Thai infants and mothers. Genotyping is being performed using the Illumina Human610 Quad (European ancestry participants), Human1M Duo (Afro-Caribbean and Hispanic participants), and Omni1-Quad_v1-0_B (Thai participants). The specific aims for the project are as follows: (1) To apply analytic approaches for conducting GWA mapping studies on quantitative phenotypes related to offspring size at birth (birth weight, ponderal index, head circumference and adiposity) allowing for other known influences such as gestational age, parity, and maternal weight gain. (2) To apply the above approaches to identify genetic variation that impacts maternal glucose tolerance at ~28 weeks of gestation (fasting glucose, glucose during an oral glucose tolerance test, and insulin sensitivity expressed as quantitative traits) allowing for other known influences such as maternal weight gain, parity and age. (3) To examine the interaction between maternal genes, the intrauterine environment, and fetal genes to identify interactions that modulate genetic regulation of size at birth and fetal genetic variation that impacts on maternal glucose tolerance. GWA mapping will provide initial evidence for association of specific SNPs with the quantitative traits outlined above. As low and high birth weight are not only major causes of neonatal morbidity and mortality but have also been associated with increased risk of metabolic diseases in adults, identification of genes that regulate fetal growth and maternal metabolism will provide novel information about the pathways that regulate these processes as well as important insight into susceptibility genes for chronic diseases like type 2 diabetes. The Version 1 (v1) dbGaP release will include data only from the Hispanic study participants. The Version 2 (v2) dbGaP release will include data from the Hispanic and European ancestry study participants. The Version 3 (v3) dbGaP release will include data from the Afro-Caribbean, Hispanic and European ancestry participants. The Version 4 (v4) dbGaP release will include data from all participants (i.e., Afro-Caribbean, Hispanic, European ancestry, and Thai participants). This study is part of the Gene Environment Association Studies initiative (GENEVA, http://www.genevastudy.org) funded by the trans-NIH Genes, Environment, and Health Initiative (GEI). The overarching goal is to identify novel genetic factors that contribute to maternal metabolism and birthweight through large-scale genome-wide association studies of infants and their mothers at multiple international sites. Genotyping was performed at the Broad Institute of MIT and Harvard, and at CIDR of Johns Hopkins University, GENEVA genotyping centers. Data cleaning and harmonization was performed at the GEI-funded GENEVA Coordinating Center at the University of Washington.

Link

https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000096

Keywords

  1. 7/11/22 7/11/22 - Chiara Middel
  2. 10/12/22 10/12/22 - Adrian Schulz
  3. 1/29/25 1/29/25 - Akane Nishihara
Copyright Holder

William L. Lowe, Jr, MD, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Uploaded on

July 11, 2022

DOI

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License

Creative Commons BY 4.0

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    dbGaP phs000096 HAPO Maternal Glycemia and Birthweight GEI Study

    Eligibility Criteria

    Inclusion and exclusion criteria
    Description

    Inclusion and exclusion criteria

    Alias
    UMLS CUI [1,1]
    C1512693
    UMLS CUI [1,2]
    C0680251
    A pregnant woman was *ineligible* to participate in HAPO if any of the following exclusion criteria applied:
    Description

    Elig.phs000096.v4.p1.1

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0680251
    Age < 18 years, i.e., has not completed 18th year of life by the first interview.
    Description

    Elig.phs000096.v4.p1.2

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C1298908
    UMLS CUI [1,2]
    C0001675
    UMLS CUI [1,3]
    C0001779
    UMLS CUI [1,4]
    C0205435
    UMLS CUI [1,5]
    C0021822
    Planning to deliver at another hospital or location.
    Description

    Elig.phs000096.v4.p1.3

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C1301732
    UMLS CUI [1,2]
    C1384485
    UMLS CUI [1,3]
    C1547118
    Date of last menstrual period is not certain AND no ultrasound estimation from 6-24 weeks of gestational age is available or will be available.
    Description

    Elig.phs000096.v4.p1.4

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0425932
    UMLS CUI [1,2]
    C0087130
    UMLS CUI [1,3]
    C1298908
    UMLS CUI [1,4]
    C0470187
    UMLS CUI [1,5]
    C0041618
    UMLS CUI [1,6]
    C4323880
    UMLS CUI [1,7]
    C0730522
    Unable to complete OGTT within 32 weeks gestation, or currently > 31 weeks gestation.
    Description

    Elig.phs000096.v4.p1.5

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C1299582
    UMLS CUI [1,2]
    C0029161
    UMLS CUI [1,3]
    C0233039
    Known multiple pregnancy.
    Description

    Elig.phs000096.v4.p1.6

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0032989
    Became pregnant with assistance of advanced reproductive technology such as in vitro fertilization (IVF) or superovulation with gonadotropins.
    Description

    Elig.phs000096.v4.p1.7

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0032961
    UMLS CUI [1,2]
    C0015915
    UMLS CUI [1,3]
    C0842347
    Any unblinded blood glucose testing AND/OR diagnosis of GDM during this pregnancy prior to enrollment in this protocol.
    Description

    Elig.phs000096.v4.p1.8

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C4553913
    UMLS CUI [1,2]
    C0392201
    UMLS CUI [2,1]
    C0011900
    UMLS CUI [2,2]
    C0085207
    UMLS CUI [2,3]
    C0332152
    UMLS CUI [2,4]
    C1516879
    Previous diagnosis of diabetes requiring treatment with medication outside of pregnancy.
    Description

    Elig.phs000096.v4.p1.9

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0011900
    UMLS CUI [1,2]
    C0011849
    UMLS CUI [1,3]
    C3274787
    UMLS CUI [1,4]
    C0332152
    UMLS CUI [1,5]
    C0032961
    Currently receiving treatment with oral glucocorticoids, thiazide diuretics, -blockers, ACE inhibitors, oral -mimetics, dilantin, or antiretroviral agents.
    Description

    Elig.phs000096.v4.p1.10

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C5223764
    UMLS CUI [1,2]
    C0017710
    UMLS CUI [1,3]
    C0012802
    UMLS CUI [1,4]
    C0003015
    UMLS CUI [1,5]
    C0699512
    UMLS CUI [1,6]
    C0599685
    UMLS CUI [1,7]
    C0001645
    UMLS CUI [1,8]
    C3846158
    Participation in another study which may interfere with the HAPO Study.
    Description

    Elig.phs000096.v4.p1.11

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C2348568
    UMLS CUI [1,2]
    C0521102
    UMLS CUI [1,3]
    C2603343
    Known to be HIV positive or to have Hepatitis B or C.
    Description

    Elig.phs000096.v4.p1.12

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0019693
    UMLS CUI [1,2]
    C0019163
    UMLS CUI [1,3]
    C0019196
    Participation in the HAPO Study during a previous pregnancy.
    Description

    Elig.phs000096.v4.p1.13

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C2348568
    UMLS CUI [1,2]
    C0347984
    UMLS CUI [1,3]
    C0205156
    UMLS CUI [1,4]
    C0032961
    Inability to converse in language(s) used in field center forms without the aid of an interpreter.
    Description

    Elig.phs000096.v4.p1.14

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C4062227
    *Note:* Women with any of the exclusion criteria present (except 11) were excluded since any of these criteria may confound study results. Women with criterion 11 present were excluded for protection of others since blood samples were transported across international borders.
    Description

    Elig.phs000096.v4.p1.15

    Data type

    boolean

    Similar models

    Eligibility Criteria

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Inclusion and exclusion criteria
    C1512693 (UMLS CUI [1,1])
    C0680251 (UMLS CUI [1,2])
    Elig.phs000096.v4.p1.1
    Item
    A pregnant woman was *ineligible* to participate in HAPO if any of the following exclusion criteria applied:
    boolean
    C0680251 (UMLS CUI [1,1])
    Elig.phs000096.v4.p1.2
    Item
    Age < 18 years, i.e., has not completed 18th year of life by the first interview.
    boolean
    C1298908 (UMLS CUI [1,1])
    C0001675 (UMLS CUI [1,2])
    C0001779 (UMLS CUI [1,3])
    C0205435 (UMLS CUI [1,4])
    C0021822 (UMLS CUI [1,5])
    Elig.phs000096.v4.p1.3
    Item
    Planning to deliver at another hospital or location.
    boolean
    C1301732 (UMLS CUI [1,1])
    C1384485 (UMLS CUI [1,2])
    C1547118 (UMLS CUI [1,3])
    Elig.phs000096.v4.p1.4
    Item
    Date of last menstrual period is not certain AND no ultrasound estimation from 6-24 weeks of gestational age is available or will be available.
    boolean
    C0425932 (UMLS CUI [1,1])
    C0087130 (UMLS CUI [1,2])
    C1298908 (UMLS CUI [1,3])
    C0470187 (UMLS CUI [1,4])
    C0041618 (UMLS CUI [1,5])
    C4323880 (UMLS CUI [1,6])
    C0730522 (UMLS CUI [1,7])
    Elig.phs000096.v4.p1.5
    Item
    Unable to complete OGTT within 32 weeks gestation, or currently > 31 weeks gestation.
    boolean
    C1299582 (UMLS CUI [1,1])
    C0029161 (UMLS CUI [1,2])
    C0233039 (UMLS CUI [1,3])
    Elig.phs000096.v4.p1.6
    Item
    Known multiple pregnancy.
    boolean
    C0032989 (UMLS CUI [1,1])
    Elig.phs000096.v4.p1.7
    Item
    Became pregnant with assistance of advanced reproductive technology such as in vitro fertilization (IVF) or superovulation with gonadotropins.
    boolean
    C0032961 (UMLS CUI [1,1])
    C0015915 (UMLS CUI [1,2])
    C0842347 (UMLS CUI [1,3])
    Elig.phs000096.v4.p1.8
    Item
    Any unblinded blood glucose testing AND/OR diagnosis of GDM during this pregnancy prior to enrollment in this protocol.
    boolean
    C4553913 (UMLS CUI [1,1])
    C0392201 (UMLS CUI [1,2])
    C0011900 (UMLS CUI [2,1])
    C0085207 (UMLS CUI [2,2])
    C0332152 (UMLS CUI [2,3])
    C1516879 (UMLS CUI [2,4])
    Elig.phs000096.v4.p1.9
    Item
    Previous diagnosis of diabetes requiring treatment with medication outside of pregnancy.
    boolean
    C0011900 (UMLS CUI [1,1])
    C0011849 (UMLS CUI [1,2])
    C3274787 (UMLS CUI [1,3])
    C0332152 (UMLS CUI [1,4])
    C0032961 (UMLS CUI [1,5])
    Elig.phs000096.v4.p1.10
    Item
    Currently receiving treatment with oral glucocorticoids, thiazide diuretics, -blockers, ACE inhibitors, oral -mimetics, dilantin, or antiretroviral agents.
    boolean
    C5223764 (UMLS CUI [1,1])
    C0017710 (UMLS CUI [1,2])
    C0012802 (UMLS CUI [1,3])
    C0003015 (UMLS CUI [1,4])
    C0699512 (UMLS CUI [1,5])
    C0599685 (UMLS CUI [1,6])
    C0001645 (UMLS CUI [1,7])
    C3846158 (UMLS CUI [1,8])
    Elig.phs000096.v4.p1.11
    Item
    Participation in another study which may interfere with the HAPO Study.
    boolean
    C2348568 (UMLS CUI [1,1])
    C0521102 (UMLS CUI [1,2])
    C2603343 (UMLS CUI [1,3])
    Elig.phs000096.v4.p1.12
    Item
    Known to be HIV positive or to have Hepatitis B or C.
    boolean
    C0019693 (UMLS CUI [1,1])
    C0019163 (UMLS CUI [1,2])
    C0019196 (UMLS CUI [1,3])
    Elig.phs000096.v4.p1.13
    Item
    Participation in the HAPO Study during a previous pregnancy.
    boolean
    C2348568 (UMLS CUI [1,1])
    C0347984 (UMLS CUI [1,2])
    C0205156 (UMLS CUI [1,3])
    C0032961 (UMLS CUI [1,4])
    Elig.phs000096.v4.p1.14
    Item
    Inability to converse in language(s) used in field center forms without the aid of an interpreter.
    boolean
    C4062227 (UMLS CUI [1,1])
    Elig.phs000096.v4.p1.15
    Item
    *Note:* Women with any of the exclusion criteria present (except 11) were excluded since any of these criteria may confound study results. Women with criterion 11 present were excluded for protection of others since blood samples were transported across international borders.
    boolean

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