ICU sedation, delirium & recovery

Genome-Wide DNA Methylation Profiles of Long-Term Cognitive Decline after Delirium in Intensive Care Unit Patients

Anesth AnalgPublished Epigenome-wide association study

Authors' conclusion

This genome-wide DNAm analysis focused on LTCD after delirium highlights differentiating epigenetic signals related to MHC class II and immune processes.

Study context

Population
Intensive care unit (ICU) patients with and without delirium
Participants
104 patients
Comparison
Delirium patients with vs without long-term cognitive decline
  • Deliriumn = 86
  • Nondeliriumn = 18
Outcome
Differences in genome-wide DNA methylation associated with LTCD after delirium
Methodological detailsgenome-wide DNA methylation (Illumina EPIC array), gene ontology (GO) and KEGG enrichment analyses
  • Genome-wide DNA methylation (Illumina EPIC array)
  • GO and KEGG enrichment analyses

Main finding

As reported in the abstract

Differentially methylated CpG sites associated with LTCD in delirium patients
Cytosine-phosphate-guanine (CpG) in major histocompatibility complex (MHC) region on chromosome 6 (cg11103845) significantly associated with long-term cognitive decline (LTCD) after false discovery rate (FDR) correction
FDR-adjusted P = .034

Original publication

Genome-Wide DNA Methylation Profiles of Long-Term Cognitive Decline after Delirium in Intensive Care Unit Patients. Anesth Analg. Published 16 September 2025. doi:10.1213/ane.0000000000007749

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