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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Associations of birth outcomes with maternal polybrominated diphenyl ethers and thyroid hormones during pregnancy
Marie Lynn Miranda1, Rebecca Anthopolos2, Amy Wolkin3
1School of Natural Resources and Environment, University of Michigan, Ann Arbor, MI 48109, USA; Department of Pediatrics, University of Michigan, Ann Arbor, MI 48109, USA; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA.
Insights
Maternal exposure to polybrominated diphenyl ethers (PBDEs) may be linked to smaller infant head circumference. Thyroid hormones did not appear to mediate this association in this study of PBDEs and birth outcomes.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Pediatric Health
Background:
- Polybrominated diphenyl ethers (PBDEs) are flame retardants with known associations with adverse birth outcomes and thyroid disruption.
- Understanding the impact of prenatal exposure to PBDEs on infant development is crucial for public health.
Purpose of the Study:
- To investigate the association between maternal serum PBDE levels and infant anthropometric measurements including birth weight, head circumference, and length.
- To explore the potential mediating role of maternal thyroid hormone levels in these associations.
Main Methods:
- A cohort of 140 pregnant women was recruited during their third trimester.
- Maternal serum was analyzed for PBDEs and thyroid hormones; infant birth outcomes were collected from medical records.
Main Results:
- Maternal BDE 153 showed a potential association with reduced infant head circumference, though this was attenuated after adjusting for covariates.
- Other PBDE congeners (BDE 47, 99) showed non-significant negative associations with infant measurements.
- Thyroid hormone levels did not appear to mediate the relationship between PBDEs and infant outcomes.
Conclusions:
- Maternal PBDE exposure may be associated with decreased infant head circumference, warranting further investigation in larger populations.
- The data did not support a mediating role for thyroid hormones in the observed associations.
Background:
Previous research has linked polybrominated diphenyl ether (PBDE) exposure to poor birth outcomes and altered thyroid hormone levels.
Objectives:
We examined whether maternal PBDE serum levels were associated with infant birth weight (g), head circumference (cm), birth length (cm), and birth weight percentile for gestational age. We explored the potential for a mediating role of thyroid hormone levels.
Methods:
During 2008-2010, we recruited 140 pregnant women in their third trimester as part of a larger clinical obstetrics study known as Healthy Pregnancy, Healthy Baby. Blood samples were collected during a routine prenatal clinic visit. Serum was analyzed for PBDEs, phenolic metabolites, and thyroid hormones. Birth outcome information was abstracted from medical records.
Results:
In unadjusted models, a two-fold increase in maternal BDE 153 was associated with an average decrease in head circumference of 0.32cm (95% CI: -0.53, -0.12); however, this association was attenuated after control for maternal risk factors. BDE 47 and 99 were similarly negatively associated but with 95% confidence intervals crossing the null. Associations were unchanged in the presence of thyroid hormones.
Conclusions:
Our data suggest a potential deleterious association between maternal PBDE levels and infant head circumference; however, confirmatory studies are needed in larger sample sizes. A mediating role of thyroid hormones was not apparent.
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