RT Journal Article SR Electronic T1 Global Endometrial DNA Multi-omics Analysis Reveals Insights into mQTL Regulation and Associated Endometriosis Disease Risk JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.11.27.518106 DO 10.1101/2022.11.27.518106 A1 Sally Mortlock A1 Sahar Houshdaran A1 Idit Kosti A1 Nilufer Rahmioglu A1 Camran Nezhat A1 Allison F. Vitonis A1 Shan V. Andrews A1 Parker Grosjean A1 Manish Paranjpe A1 Andrew W. Horne A1 Alison Jacoby A1 Jeannette Lager A1 Jessica Opoku-Anane A1 Kim Chi Vo A1 Evelina Manvelyan A1 Sushmita Sen A1 Zhanna Ghukasyan A1 Frances Collins A1 Xavier Santamaria A1 Philippa Saunders A1 Kord Kober A1 Allan F. McRae A1 Kathryn L. Terry A1 Júlia Vallvé-Juanico A1 Christian Becker A1 Peter A.W. Rogers A1 Juan C. Irwin A1 Krina Zondervan A1 Grant W. Montgomery A1 Stacey Missmer A1 Marina Sirota A1 Linda Giudice YR 2022 UL http://biorxiv.org/content/early/2022/11/28/2022.11.27.518106.abstract AB Endometriosis is a leading cause of pain and infertility affecting millions of women globally. Identifying biologic and genetic effects on DNA methylation (DNAm) in endometrium increases understanding of mechanisms that influence gene regulation predisposing to endometriosis and offers an opportunity for novel therapeutic target discovery. Herein, we characterize variation in endometrial DNAm and its association with menstrual cycle phase, endometriosis, and genetic variants through analysis of genome-wide genotype data and methylation at 759,345 DNAm sites in endometrial samples from 984 deeply-phenotyped participants. We identify significant differences in DNAm profiles between menstrual cycle phases and at four DNAm sites between stage III/IV endometriosis and controls. We estimate that 15.4% of the variation in endometriosis is captured by DNAm, and identify DNAm networks associated with endometriosis. DNAm quantitative trait locus (mQTL) analysis identified 118,185 independent cis-mQTL including some tissue-specific effects. We find significant differences in DNAm profiles between endometriosis sub- phenotypes and a significant association between genetic regulation of methylation in endometrium and disease risk, providing functional evidence for genomic targets contributing to endometriosis risk and pathogenesis.Competing Interest StatementThe authors have declared no competing interest.