Background: Neonatal total parenteral nutrition (TPN) is associated with animals with low glucose tolerance, body weight, and physical activity at adulthood. The early life origin of adult metabolic perturbations suggests a reprogramming of metabolism following epigenetic modifications induced by a change in the pattern of DNA expression. We hypothesized that peroxides contaminating TPN inhibit the activity of DNA methyltransferase (DNMT), leading to a modified DNA methylation state. Methods: Three groups of 3-d-old guinea pigs with catheters in their jugular veins were compared: (i) control: enterally fed with regular chow; (ii) TPN: fed exclusively with TPN (dextrose, amino acids, lipids, multivitamins, contaminated with 350 ± 29 μmol/l peroxides); (iii) H 2 O 2 : control + 350 μmol/l H 2 O 2 intravenously. After 4 d, infusions were stopped and animals enterally fed. Half the animals were killed immediately after treatments and half were killed 8 wk later (n = 4-6 per group) for hepatic determination of DNMT activities and of 5′-methyl-2′-deoxycytidine (5MedCyd) levels, a marker of DNA methylation. results: At 1 wk, DNMT and 5MedCyd were lower in the TPN and H 2 O 2 groups as compared with controls. At 9 wk, DNMT remained lower in the TPN group, whereas 5MedCyd was lower in the TPN and H 2 O 2 groups. conclusion: Administration of TPN or H 2 O 2 early in life in guinea pigs induces a sustained hypomethylation of DNA following inhibition of DNMT activity. t otal parenteral nutrition (TPN) may be required in neonates with impaired oral feeding capability following intestinal surgery or in premature newborns with immature gastrointestinal tract. Even if this mode of nutrition enables sustained growth and development, its contamination by oxidant molecules such as peroxides (1) is associated with oxidative stress (2). The neonatal impacts of this stress have been demonstrated in an animal model of TPN (3) as well as in premature neonates (2). An oxidative stress early in life is also suspected to modulate the health status into adulthood (4,5).Administration of TPN or H 2 O 2 during the first week of life in guinea pig pups has been shown to induce, 3 mo later, a modification in energy metabolism that was associated with a phenotype of energy deficiency (6). As compared with orally fed controls, animals receiving TPN had a lower body weight, weaker spontaneous physical activity, and poorer glucose tolerance. These characteristics are also reported in young adults 20 y of age who were born very low birth weight (7-9) and in whom the use of TPN was a frequent occurrence. This early life origin of adult metabolic perturbations suggests a reprogramming of metabolism following epigenetic modifications induced by a change in the pattern of DNA expression. We suspect that this might take place through a permanent effect of TPN on DNA methylation.Metabolic activities are dependent of the expression of genes. Transcription of genes is dependent on their availability to interact with transcription factors and other componen...