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Updated: Apr 21, 2026

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Prenatal phthalate exposure, infant growth, and global DNA methylation of human placenta
Yan Zhao1, Hui-jing Shi, Chang-ming Xie
1Department of Environmental Health, School of Public Health, Fudan University, Shanghai, China.
Insights
Prenatal exposure to phthalates may impact fetal growth. This study found placental DNA methylation changes, specifically LINE-1 methylation, might mediate the link between phthalate exposure and reduced fetal growth.
Area of Science:
- Environmental Epigenetics
- Developmental Toxicology
- Reproductive Health
Background:
- Prenatal exposure to phthalates is linked to adverse fetal growth outcomes.
- Epigenetic modifications, such as DNA methylation, are potential molecular mechanisms mediating these effects.
- Understanding these pathways is crucial for identifying interventions to improve fetal development.
Purpose of the Study:
- To investigate the association between prenatal phthalate exposure, global DNA methylation in the placenta, and infant growth.
- To explore placental long interspersed nuclear element-1 (LINE-1) methylation as a mediator of phthalate-induced effects on fetal growth.
Main Methods:
- Quantified global DNA methylation (LINE-1 methylation) in placental samples from 119 subjects (55 fetal growth restriction cases, 64 controls) using quantitative polymerase chain reaction-pyrosequencing.
- Measured maternal urinary phthalate metabolite concentrations via high-performance liquid chromatography-tandem mass spectrometry.
- Analyzed associations between phthalate metabolites, LINE-1 methylation, and birth weight standard deviation scores.
Main Results:
- Significantly higher concentrations of specific phthalate metabolites (MEHHP, MEOHP, SumDEHP) were observed in fetal growth restriction cases compared to controls.
- Placental LINE-1 methylation positively correlated with birth weight standard deviation scores.
- LINE-1 methylation was negatively associated with urinary phthalate metabolite concentrations (MEHHP, SumDEHP).
Conclusions:
- Placental LINE-1 methylation may act as a mediator in the pathway linking prenatal phthalate exposure to reduced fetal growth.
- These findings highlight the role of epigenetic alterations in phthalate-induced developmental toxicity.
- Further research is warranted to confirm these epigenetic mechanisms and inform public health strategies.
Abstract:
Prenatal phthalate exposure has been shown to be associated with reduced fetal growth. Epigenetic changes such as DNA methylation might be a molecular mechanism through which phthalate exposure affects fetal growth. In this study, we examined associations between prenatal phthalate exposure, infant growth, and global DNA methylation in human placenta samples. We measured global DNA methylation of 119 subjects [55 fetal growth restriction (FGR) cases and 64 normal controls], as assessed by long interspersed nuclear element-1 (LINE-1) methylation, via quantitative polymerase chain reaction-pyrosequencing. Prenatal phthalate exposure was assessed by measuring maternal urinary phthalate metabolites concentrations using high-performance liquid chromatography-tandem mass spectrometry. Concentrations of mono (2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), mono (2-ethyl-5-oxohexyl) phthalate (MEOHP), and SumDEHP (molar sum of MEHP, MEHHP, and MEOHP) were significantly higher in FGR cases than those in normal controls (P = 0.002, 0.003, and 0.002, respectively). Placental LINE-1 methylation were found to be positively associated with fetal birth weight standard deviation scores, and negatively associated with urinary phthalate metabolites concentrations (MEHHP and SumDEHP). Every natural-log unit increase in urinary concentrations of MEHHP and SumDEHP was associated with 0.015 (β = -0.015, P = 0.150) and 0.012 kg (β = -0.012, P = 0.167) decrease in birth weight mediated through LINE-1 methylation. These findings suggest that changes in placental LINE-1 methylation might be part of the underlying biological pathway between prenatal phthalate exposure and adverse fetal growth.
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