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In utero arsenic exposure is associated with impaired thymic function in newborns possibly via oxidative stress and
Sultan Ahmed1, Khalid Bin Ahsan, Maria Kippler
1Institute of Environmental Medicine, Karolinska Institutet, 17177 Stockholm, Sweden.
Insights
Prenatal arsenic exposure harms infant immune development by reducing thymus function. This study in Bangladesh found arsenic exposure linked to lower T-cell receptor excision circles (TRECs), indicating impaired thymic activity and potential childhood immunosuppression.
Area of Science:
- Environmental Health
- Immunotoxicology
- Developmental Pediatrics
Background:
- Prenatal exposure to arsenic is linked to infant morbidity and reduced thymus size, suggesting developmental immunotoxicity.
- The thymus is crucial for T-cell maturation and immune system development.
- Understanding the impact of environmental toxins on fetal immune development is critical for public health.
Purpose of the Study:
- To evaluate the effects of prenatal arsenic exposure on thymic function at birth.
- To investigate the underlying mechanisms, including oxidative stress and apoptosis, linking arsenic exposure to immune dysfunction.
Main Methods:
- A cohort study in Bangladesh measured arsenic levels in maternal urine and blood during pregnancy.
- Infant thymic index was assessed by sonography at birth, and thymic function was measured by signal-joint T-cell receptor-rearrangement excision circles (sjTRECs) in cord blood.
- Gene expression, arsenic concentrations in placenta/cord blood, and oxidative stress markers were analyzed in a subsample.
Main Results:
- Higher prenatal arsenic exposure (urine and blood) was inversely associated with sjTRECs in cord blood mononuclear cells (CBMC), indicating reduced thymic function.
- These associations were also observed in isolated CD4(+) and CD8(+) T cells.
- Arsenic exposure was positively associated with 8-hydroxy-2'-deoxyguanosine in cord blood, a marker of oxidative stress, which was inversely linked to sjTRECs.
Conclusions:
- Prenatal arsenic exposure is associated with impaired thymic function at birth in a Bangladeshi cohort.
- The findings suggest that arsenic may induce thymic dysfunction through oxidative stress and apoptosis.
- This prenatal immunotoxicity could lead to increased susceptibility to infections and immune-related diseases in childhood.
Abstract:
Prenatal arsenic exposure is associated with increased infant morbidity and reduced thymus size, indicating arsenic-related developmental immunotoxicity. We aimed to evaluate effects of prenatal arsenic exposure on thymic function at birth and related mechanisms of action. In a Bangladeshi cohort, arsenic was measured in urine (U-As, gestational week (GW) 8 and 30) and blood (B-As, GW14) in 130 women. Child thymic index was measured by sonography at birth and thymic function by signal-joint T-cell receptor-rearrangement excision circles (sjTRECs) in cord blood mononuclear cells (CBMC). In a subsample (n = 44), sjTRECs content in isolated CD4(+) and CD8(+) T cells, expression of oxidative-stress defense and apoptosis-related genes in CBMC, arsenic concentrations (urine, placenta, and cord blood), and oxidative stress markers in placenta and cord blood were measured. In multivariable-adjusted regression, ln U-As (GW8) was inversely associated with ln sjTRECs in CBMC (B = -0.25; 95% confidence interval [CI] -0.48 to -0.01). Using multivariable-adjusted spline regression, ln U-As (GW30) and ln B-As (GW14) were inversely associated with ln sjTRECs in CBMC (B = -0.53; 95% CI -0.93 to -0.13 and B = -1.27; 95% CI -1.89 to -0.66, respectively) below spline knots at U-As 150 µg/l and B-As 6 µg/kg. Similar inverse associations were observed in separated CD4(+) and CD8(+) T cells. Arsenic was positively associated with 8-hydroxy-2'-deoxyguanosine in cord blood (B = 0.097; 95% CI 0.05 to 0.13), which was inversely associated with sjTRECs in CD4(+) and CD8(+) T cells. In conclusion, prenatal arsenic exposure was associated with reduced thymic function, possibly via induction of oxidative stress and apoptosis, suggesting subsequent immunosuppression in childhood.
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