Page 1 of 53 Diabetes Title: Interplay of placental DNA methylation and maternal insulin sensitivity in pregnancy Short title: Placental epigenetics of insulin sensitivity Authors: Marie-France Hivert1,2,3; Andres Cardenas4; Catherine Allard5; Myriam Doyon5; Camille E Powe2; Patrick M Catalano6; Patrice Perron3,5; Luigi Bouchard5,7,8 Affiliations 1- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA 2- Diabetes Unit, Massachusetts General Hospital, and Harvard Medical School, Boston, MA USA 3- Department of Medicine, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada 4- Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, CA, USA 5- Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada 6- Mother Infant Research Institute, Department of Obstetrics and Gynecology, Tufts Medical Center, Tufts University School of Medicine and Friedman School of Nutrition and Science Policy, Boston, MA, USA 7- Department of Biochemistry, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada 8- Department of Medical Biology, CIUSSS Saguenay-Lac-Saint-Jean — Hôpital de Chicoutimi, Saguenay, QC, Canada *Corresponding Author: Marie-France Hivert, MD Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute 401 Park Drive, Suite 401 Boston, MA 02215 Phone: (617) 867-4505; Fax: (617) 867-4845 Email:
[email protected] Word count: 3,996 Number of tables: 1 Number of figures: 2 Supplementary Tables: 11 Supplementary Figures 3 Diabetes Publish Ahead of Print, published online December 27, 2019 Diabetes Page 2 of 53 Abstract: The placenta participates in maternal insulin sensitivity changes during pregnancy, however mechanisms remain unclear.