RT Journal Article T1 DNA Methylation Signature in Mononuclear Cells and Proinflammatory Cytokines May Define Molecular Subtypes in Sporadic Meniere Disease. A1 Flook, Marisa A1 Escalera-Balsera, Alba A1 Gallego-Martinez, Alvaro A1 Espinosa-Sanchez, Juan Manuel A1 Aran, Ismael A1 Soto-Varela, Andres A1 Lopez-Escamez, Jose Antonio K1 DNA methylation K1 Meniere Disease K1 WGBS K1 cytokines K1 hearing loss AB Meniere Disease (MD) is a multifactorial disorder of the inner ear characterized by vertigo attacks associated with sensorineural hearing loss and tinnitus with a significant heritability. Although MD has been associated with several genes, no epigenetic studies have been performed on MD. Here we performed whole-genome bisulfite sequencing in 14 MD patients and six healthy controls, with the aim of identifying an MD methylation signature and potential disease mechanisms. We observed a high number of differentially methylated CpGs (DMC) when comparing MD patients to controls (n= 9545), several of them in hearing loss genes, such as PCDH15, ADGRV1 and CDH23. Bioinformatic analyses of DMCs and cis-regulatory regions predicted phenotypes related to abnormal excitatory postsynaptic currents, abnormal NMDA-mediated receptor currents and abnormal glutamate-mediated receptor currents when comparing MD to controls. Moreover, we identified various DMCs in genes previously associated with cochleovestibular phenotypes in mice. We have also found 12 undermethylated regions (UMR) that were exclusive to MD, including two UMR in an inter CpG island in the PHB gene. We suggest that the DNA methylation signature allows distinguishing between MD patients and controls. The enrichment analysis confirms previous findings of a chronic inflammatory process underlying MD. SN 2227-9059 YR 2021 FD 2021-10-25 LK https://hdl.handle.net/10668/26463 UL https://hdl.handle.net/10668/26463 LA en DS RISalud RD Apr 7, 2025