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Table 2 Summary of findings in the evaluation of PlaNET package epiphenotyping tools for genetic ancestry, gestational age, and placental cell type composition

From: The application of epiphenotyping approaches to DNA methylation array studies of the human placenta

 

PlaNET Epiphenotype variable

Ancestry

Gestational age (refined-robust clock, RRPC)

Cell composition

Validation

PlaNET ancestry is highly correlated with independent SNP genotype-derived ancestry-informative markers (AIMs)

The refined-robust placenta clock (RRPC) is less accurate than clinically reported gestational age for term placentas, but predicts gestational age on average within 4 days

Cell composition results as expected for term chorionic villi: e.g., 70–90% total trophoblast; < 2% nucleated red blood cells

Calculation considerations

PlaNET ancestry estimates are affected by normalization; data must be BMIQ + noob normalized prior to estimation [29]

Accuracy of placenta epigenetic clocks likely depends on data quality and uniformity of bulk tissue sampling

Recommended to estimate cell composition on BMIQ + noob normalized data [29]

Epiphenotype variation by:

Cohort of origin

QF2011 has predominant European ancestry, while V-NORM and V-SSRI are more diverse

Similar across cohorts

Altered trophoblast ratio in QF2011 cohort

Processing time

No association

No association

Slight decrease in stromal cell composition at high processing times

Sampling method

Not evaluated

Not evaluated

Yes, previously reported [15], though not able to be evaluated in the present similarly-sampled cohorts

Sex

No association

No association

No association

Ethnicity

Correlated with maternal ethnicity; but ancestry includes paternal contribution and is continuous not categorical

No association

Possibly higher ratio of cytotrophoblast: syncytiotrophoblast in placentas with Asian ancestry

Reported gestational age

N/A

Accelerated epigenetic gestational age is reported in preeclampsia [18], though this work was conducted with an earlier placental epigenetic clock (not the RRPC)

Decrease in cytotrophoblast: syncytiotrophoblast ratio with increasing gestational age

Cell composition

No association

Decrease in the ratio of cytotrophoblast:syncytiotrophoblast with increasing gestational age, but RRPC gestational age is robust to cell composition

N/A