This is an epidemiological study on the epigenetic origins of asthma in children and young adulthood. It has been
increasingly recognized that asthma is a consequence of joint activities among genes rather than of individual genes’
independent contributions. Examining individual contributions of CpGs on asthma development is biologically
ungrounded and we take a high risk of concluding incomplete and/or misleading findings. Such limitations have been
widely agreed upon, and methods to address joint activities among genes have been proposed, including approaches
to identify differentially methylated regions (DMRs) and those for detection of gene networks. However, the DMR
approach is potentially flawed, since almost all DMRs are inferred based on effects of each individual CpG rather
than joint effects of CpGs. Defining networks amongst genes or CpGs allow better understanding of their concerted
effects. Current network constructions, however, either focus on a population as a whole or on a specific group.
Constructing one network for a general population lacks purity, since it overlooks underlying heterogeneity among
subjects (e.g., heterogeneity in asthma risk). Whilst building a network for a group of disease patients will substantially
limit the ability to predict and prevent disease, due to potential reverse-causation on gene activities. Currently, no
methods are available that address heterogeneity while building networks. We propose an approach to detect distinct
epigenetic networks (DENs) with each unique to a group of subjects via network clustering using DNA methylation
(DNAm) data before disease manifestation, e.g., at-birth DNAm and childhood asthma. The constructed network in
each cluster will represent unique epigenetic features of a homogeneous group of subjects. Differentiation between
networks constructed under different conditions support the feasibility of network clustering in a general population.
In addition, in asthma studies, we will study the longitudinal association of DENs at birth with asthma incidence in
children, post-adolescence, and young adulthood, assess the role of age, sex, and race in this association, and examine
the benefit of evaluating joint rather than individual activities of CpGs on asthma incidence. The findings of this study
will inform to what extent CpGs work jointly and contribute to the development of asthma, and will benefit future
studies on early prediction of asthma acquisition for each sex and different races. Furthermore, the method to be
developed will be readily applied to other health conditions with other omics data different from DNAm. We will carry
out this important study in three birth cohorts, two cohorts with whites (the IOWBC and ALSPAC birth cohorts focusing
on asthma history) and one cohort with both white and black participants (the NEST birth cohort). These three birth
cohorts will allow us to discover, replicate, and assess region and race specificity of DENs and their epidemiological
association with asthma incidence. For CpGs in modules of a network or networks showing association with
asthma incidence at one or more stages of life, we will evaluate the potential causality of the CpGs via Mendelian
randomization (MR) tests using the MR-base webtool. For the statistical methods to detect DENs, we will build the
method into a publicly available R package accompanied by a detailed manual with concrete examples.