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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Prenatal exposure to organohalogens, including brominated flame retardants, influences motor, cognitive, and
Elise Roze1, Lisethe Meijer, Attie Bakker
1Division of Neonatology, Beatrix Children's Hospital, University Medical Center Groningen, the Netherlands. e.roze@bkk.umcg.nl
Insights
Prenatal exposure to organohalogen compounds (OHCs) impacts school-aged children's neurodevelopment. Brominated flame retardants, in particular, were linked to altered motor skills and attention, raising concerns due to widespread use.
Area of Science:
- Environmental Health
- Neurotoxicology
- Developmental Pediatrics
Background:
- Organohalogen compounds (OHCs) are recognized for their potential neurotoxic effects on the developing brain.
- Prenatal exposure to OHCs can disrupt critical developmental processes.
Purpose of the Study:
- To investigate the impact of prenatal exposure to various OHCs, including brominated flame retardants, on motor, cognitive, and behavioral outcomes in school-aged children.
- To assess the relationship between specific OHCs and neuropsychological functioning in children.
Main Methods:
- Prospective study of 62 children within the Groningen infant COMPARE cohort.
- Maternal blood samples (35th week of pregnancy) analyzed for OHCs (e.g., BDEs, PCBs, PCP).
- Umbilical cord blood analyzed for thyroid hormones; children assessed at 5-6 years for motor, cognitive, and behavioral functions.
Main Results:
- Brominated flame retardants (BFRs) associated with poorer fine motor skills and attention, but better coordination and visual perception.
- Chlorinated OHCs linked to reduced choreiform dyskinesia.
- Hydroxylated PCBs correlated with worse fine motor skills but better attention and visual perception.
- Pentachlorophenol (PCP) associated with poorer coordination, sensory integrity, attention, and visuomotor integration.
Conclusions:
- Transplacental transfer of polybrominated flame retardants is demonstrably associated with developmental outcomes in school-aged children.
- Widespread use of BFRs, particularly in the US, warrants significant concern given these findings.
- Further research is needed to understand the full impact of OHCs on child neurodevelopment.
Background:
Organohalogen compounds (OHCs) are known to have neurotoxic effects on the developing brain.
Objective:
We investigated the influence of prenatal exposure to OHCs, including brominated flame retardants, on motor, cognitive, and behavioral outcome in healthy children of school age.
Methods:
This study was part of the prospective Groningen infant COMPARE (Comparison of Exposure-Effect Pathways to Improve the Assessment of Human Health Risks of Complex Environmental Mixtures of Organohalogens) study. It included 62 children in whose mothers the following compounds had been determined in the 35th week of pregnancy: 2,2'-bis-(4 chlorophenyl)-1,1'-dichloroethene, pentachlorophenol (PCP), polychlorinated biphenyl congener 153 (PCB-153), 4-hydroxy-2,3,3',4',5-pentachlorobiphenyl (4OH-CB-107), 4OH-CB-146, 4OH-CB-187, 2,2',4,4'-tetrabromodiphenyl ether (BDE-47), BDE-99, BDE-100, BDE-153, BDE-154, and hexabromocyclododecane. Thyroid hormones were determined in umbilical cord blood. When the children were 5-6 years of age, we assessed their neuropsychological functioning: motor performance (coordination, fine motor skills), cognition (intelligence, visual perception, visuomotor integration, inhibitory control, verbal memory, and attention), and behavior.
Results:
Brominated flame retardants correlated with worse fine manipulative abilities, worse attention, better coordination, better visual perception, and better behavior. Chlorinated OHCs correlated with less choreiform dyskinesia. Hydroxylated polychlorinated biphenyls correlated with worse fine manipulative abilities, better attention, and better visual perception. The wood protective agent (PCP) correlated with worse coordination, less sensory integrity, worse attention, and worse visuomotor integration.
Conclusions:
Our results demonstrate for the first time that transplacental transfer of polybrominated flame retardants is associated with the development of children at school age. Because of the widespread use of these compounds, especially in the United States, where concentrations in the environment are four times higher than in Europe, these results cause serious concern.
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