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Prenatal polycyclic aromatic hydrocarbon (PAH) exposure, antioxidant levels and behavioral development of children
Jeanine M Genkinger1, Laura Stigter2, Wieslaw Jedrychowski3
1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA; Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, USA; Columbia Center for Children's Environmental Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
Insights
Lower levels of certain micronutrients like alpha-tocopherol, gamma-tocopherol, and carotenoids may negatively impact child neurodevelopment. These findings suggest potential protective roles for these nutrients against environmental exposures.
Area of Science:
- Environmental Health
- Neurodevelopmental Science
- Nutritional Epidemiology
Background:
- Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is linked to increased DNA adducts and adverse neurodevelopmental outcomes.
- Micronutrients are hypothesized to modify the detrimental effects of PAHs on child development.
Purpose of the Study:
- To investigate whether prenatal micronutrient concentrations modify the association between PAH exposure and neurodevelopmental outcomes in children.
- To assess the relationship between specific micronutrient levels and behavioral problems in children exposed prenatally to PAHs.
Main Methods:
- A cohort of 151 children aged 6-9 years was evaluated using the Child Behavioral Checklist (CBCL).
- Micronutrient concentrations (alpha-tocopherol, gamma-tocopherol, carotenoids, retinol) were measured in cord blood.
- Prenatal airborne PAH exposure was assessed via personal air monitoring; statistical models estimated associations with CBCL outcomes.
Main Results:
- Lower concentrations of alpha-tocopherol and gamma-tocopherol were associated with increased thought problems, aggressive behavior, and externalizing problems.
- Reduced carotenoid levels correlated with more thought and externalizing problems.
- No significant associations were found for retinol concentrations or consistent interaction patterns between antioxidants and PAH exposure.
Conclusions:
- Low levels of alpha-tocopherol, gamma-tocopherol, and carotenoids may adversely affect neurodevelopment, independent of PAH exposure.
- Identifying modifiable factors like micronutrient status is crucial for mitigating harmful environmental effects on child development.
- Further research is warranted to confirm these findings and explore interventions.
Purpose:
Prenatal polycyclic aromatic hydrocarbon (PAH) exposure has been shown to increase DNA adduct levels and to affect neurodevelopment. Micronutrients may modify the adverse effect of PAH on neurodevelopment. Thus, we examined if micronutrient concentrations modified the association between PAH exposure and neurodevelopmental outcomes.
Methods:
151 children from a birth cohort who had micronutrient concentrations measured in cord blood and completed the Child Behavioral Checklist (CBCL), between the ages of 6 and 9 years, were evaluated. Prenatal airborne PAH exposure was measured by personal air monitoring. The betas and 95% CI for the associations of antioxidant concentrations and PAH exposure with each of the outcomes of CBCL raw score and dichotomized standardized T-score (based on clinical cutpoints) were estimated, respectively, by multivariable poisson and logistic models.
Results:
Children below the median for alpha-tocopherol and gamma-tocopherol concentrations, compared to those above, were more likely to have thought problems, aggressive behavior and externalizing problems (p<0.05). Lower carotenoid concentration was associated with more thought problems (MVβ=0.60, p<0.001) and externalizing problems (MVβ=0.13, p<0.05) for the same contrast. No statistically significant associations were observed between retinol concentrations and neurodevelopmental symptoms. Overall, no consistent patterns were observed when we examined the interaction between antioxidants (e.g., alpha-tocopherol) and PAH in relation to CBCL symptoms (e.g., internalizing and externalizing problems, p<0.05).
Conclusions:
Lower alpha-tocopherol, gamma-tocopherol and carotenoid levels may adversely affect healthy neurodevelopment, even after accounting for PAH exposure. Future research to confirm these findings are warranted given the importance of identifying modifiable factors for reducing harmful PAH effects.
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