Title Association of selected persistent organic pollutants in the placenta with the risk of neural tube defects
Authors Ren, Aiguo
Qiu, Xinghua
Jin, Lei
Ma, Jin
Li, Zhiwen
Zhang, Le
Zhu, Huiping
Finnell, Richard H.
Zhu, Tong
Affiliation Peking Univ, Inst Reprod & Child Hlth, Hlth Sci Ctr, Beijing 100191, Peoples R China.
Peking Univ, Minist Hlth, Key Lab Reprod Hlth, Beijing 100191, Peoples R China.
Peking Univ, State Key Joint Lab Environm Simulat & Pollut Con, Coll Environm Sci & Engn, Beijing 100871, Peoples R China.
Peking Univ, Ctr Environm & Hlth, Beijing 100871, Peoples R China.
Univ Texas Austin, Dell Pediat Res Inst, Dept Nutr Sci, Austin, TX 78723 USA.
Univ Texas Austin, Dept Chem & Biochem, Austin, TX 78723 USA.
Keywords congenital abnormalities
indoor air pollution
POLYCYCLIC AROMATIC-HYDROCARBONS
MATERNAL PESTICIDE EXPOSURE
CONGENITAL-ANOMALIES
OXIDATIVE STRESS
POPULATION
HYPERTHERMIA
CANCER
DAMAGE
FEVER
CHINA
Issue Date 2011
Publisher proceedings of the national academy of sciences of the united states of america
Citation PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA.2011,108,(31),12770-12775.
Abstract Persistent organic pollutants (POPs) have been associated with a wide range of adverse health effects. Our case-control study was performed to explore the association between placental levels of selected POPs and risks for neural tube defects (NTDs) in a Chinese population with a high prevalence of NTDs. Cases included 80 fetuses or newborns with NTDs, whereas the controls were 50 healthy, nonmalformed newborn infants. Placental concentrations of polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides, polychlorinated biphenyls, and polybrominated diphenyl ethers were analyzed by gas chromatography-mass spectrometry. The medians of PAHs, o,p'-isomers of dichlorodiphenyltrichloroethane (DDT) and metabolites, alpha- and gamma-hexachlorocyclohexane (HCH), and alpha-endosulfan were significantly higher in case placentas than in controls. PAH concentrations above the median were associated with a 4.52-fold (95% confidence interval (CI), 2.10-9.74) increased risk for any NTDs, and 5.84-(95% CI, 2.28-14.96) and 3.71-fold (95% CI, 1.57-8.79) increased risks for anencephaly and spina bifida, respectively. A dose-response relationship was observed between PAH levels and the risk of NTDs, with odds ratios for the second, third, and fourth quartiles, compared with the first, of 1.77-(95% CI, 0.66-4.76), 3.83-(95% CI, 1.37-10.75), and 11.67-fold (95% CI, 3.28-41.49), respectively. A dose-response relationship was observed for anencephaly and spina bifida subtypes. Similar results were observed for o,p'-DDT and metabolites, alpha-HCH, gamma-HCH, and alpha-endosulfan, whereas no dose-response relationship was observed for the last two pollutants. Elevated placental concentrations of PAHs, o,p'-DDT and metabolites, and alpha-HCH were associated with increased risks of NTDs in this population.
URI http://hdl.handle.net/20.500.11897/343644
ISSN 0027-8424
DOI 10.1073/pnas.1105209108
Indexed SCI(E)
PubMed
Appears in Collections: 公共卫生学院
环境科学与工程学院
环境模拟与污染控制国家重点联合实验室

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