Title First Evidence on the Adverse Effect of Maternal Germanium Exposure on Fetal Neural Tube Defects
Authors Wang, Bin
Pang, Yiming
Li, Kexin
Jiang, Jianjun
Zhu, Yibing
Li, Zhenjiang
Pan, Bo
Zhang, Le
Zhang, Yali
Ye, Rongwei
Li, Zhiwen
Affiliation Peking Univ, Inst Reprod & Child Hlth, Key Lab Reprod Hlth, Natl Hlth Commiss Peoples Republ China, Beijing 100191, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100191, Peoples R China
Binzhou Med Univ, Sch Publ Hlth & Management, Dept Epidemiol, Yantai 264003, Peoples R China
Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, Beijing 100101, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Toxicol, Beijing 100191, Peoples R China
Fujian Med Univ, Affiliated Hosp, Fujian Prov Matern & Childrens Hosp, Fuzhou 350005, Peoples R China
Kunming Univ Sci & Technol, Dept Environm Sci & Engn, Kunming 650500, Peoples R China
Keywords OXIDATIVE STRESS
SHANXI PROVINCE
RISK
ASSOCIATION
PREVALENCE
FEVER
GENE
Issue Date Jan-2023
Publisher ENVIRONMENTAL SCIENCE & TECHNOLOGY LETTERS
Abstract Germanium (Ge) can induce certain neurotoxic effects and may affect the fetal neural tube development. We aimed to investigate its association with the risk of neural tube defects (NTDs) by adopting integrated evidence. The potential associations between maternal hair Ge concentrations were explored using a relatively large case-control study of 285 NTD cases (women delivering a birth affected by NTDs) and 543 controls (those delivering healthy fetus without NTDs). The potential toxicological pathways and the reliability of the exposure biomarker of hair Ge were confirmed using additional population study and rat model, respectively. The epidemiological study showed that there was a significantly positive association between maternal hair Ge and NTD risk, with odds ratios (95% confidence interval) of 1.91 (1.24- 2.94) and 1.42 (1.00-2.00) for two concerned time-windows covering the early pregnancy period. Likewise, we found a significantly positive dose-response relationship between Ge intake and its concentration in rats' fur sample. By using a birth cohort, we found that maternal Ge exposure may increase oxidation stress and the likelihood of fever or flu among pregnant women, which were both related to NTD risk. We first concluded that maternal Ge exposure was positively associated with NTD risk with integrated evidence.
URI http://hdl.handle.net/20.500.11897/672776
ISSN 2328-8930
DOI 10.1021/acs.estlett.2c00964
Indexed SCI(E)
Appears in Collections: 公共卫生学院

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