<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-08-29T09:10:47Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/26055" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/26055</identifier><datestamp>2025-12-18T13:01:52Z</datestamp><setSpec>com_20.500.12105_19604</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19605</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Marotta, Annalisa</subfield>
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      <subfield code="a">Noro, Fabrizia</subfield>
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      <subfield code="a">Parisi, Roberta</subfield>
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      <subfield code="a">Gialluisi, Alessandro</subfield>
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      <subfield code="a">Tirozzi, Alfonsina</subfield>
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      <subfield code="a">De Curtis, Amalia</subfield>
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      <subfield code="a">Costanzo, Simona</subfield>
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      <subfield code="a">Di Castelnuovo, Augusto</subfield>
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      <subfield code="a">Cerletti, Chiara</subfield>
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      <subfield code="a">Donati, Maria Benedetta</subfield>
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      <subfield code="a">de Gaetano, Giovanni</subfield>
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      <subfield code="a">Iacoviello, Licia</subfield>
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      <subfield code="a">Izzi, Benedetta</subfield>
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      <subfield code="a">Gianfagna, Francesco</subfield>
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      <subfield code="c">2021-12</subfield>
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      <subfield code="a">Neuromedin U (NMU) is a neuropeptide involved in gut-brain axis, energy balance and immune response. We aimed at analysing the association between  epigenetic variability and metabolic indices and the potential mediating role of low-grade inflammation in a general population of Italian adults. Blood DNA methylation levels at two CpG islands ( and ) were analysed using pyrosequencing in a randomly selected sub-cohort of 1,160 subjects from the Moli-sani study (≥35years; 49.20% men). Multivariable regressions adjusted for age, sex, smoking, alcohol and vegetable consumption were performed to estimate the associations between methylation and metabolic phenotypes (BMI, waist-to-hip ratio, blood pressure, glucose, HOMA-IR, lipids, lipoprotein(a) and apolipoproteins). Mediation analysis was performed to identify the influence of low-grade inflammation in the association using a composite index based on C reactive protein, granulocyte-to-lymphocyte ratio (GLR), platelet and white blood cell counts (INFLA-score).Using principal component analysis four methylation factors were identified:  and .  was FDR significantly associated with total cholesterol (for 1 SD increase: β = 4.5 ± 1.4 mg/dL of, R = 10.8%, p = 0.001), ApoB (0.03 ± 0.01 g/L, 12.2%, p = 0.0004), with INFLA-score (1.05 ± 0.22,  = 2.7E-6) and GLR (-0.27 ± 0.03, 30.4%,  = 1.3E-20). GLR and lymphocyte numbers mediate the association of  with cholesterol (24.0% of total effect, Sobel p = 0.013) and ApoB (42.6%, p = 9E-7), respectively.These findings suggest that  promoter methylation patterns could mark a pathway linking lipids with haematopoiesis and systemic inflammation.</subfield>
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      <subfield code="a">Epigenetics. 2021 Dec;16(12):1347-1360.</subfield>
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      <subfield code="a">Epigenetics</subfield>
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      <subfield code="a">33393847</subfield>
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      <subfield code="a">https://hdl.handle.net/20.500.12105/26055</subfield>
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      <subfield code="a">DNA methylation</subfield>
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      <subfield code="a">apolipoprotein B</subfield>
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      <subfield code="a">cardiovascular risk</subfield>
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      <subfield code="a">granulocyte-to-lymphocyte ratio</subfield>
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      <subfield code="a">low-grade inflammation</subfield>
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      <subfield code="a">metabolic indices</subfield>
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      <subfield code="a">neuromedin U</subfield>
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      <subfield code="a">white blood cell count</subfield>
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      <subfield code="a">DNA methylation in blood is associated with metabolic and inflammatory indices: results from the Moli-sani study.</subfield>
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