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Updated: Sep 25, 2025

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Phthalate Exposure, PPARα Variants, and Neurocognitive Development of Children at Two Years
Ling Yu1, Hongling Zhang2, Tongzhang Zheng3
1Key Laboratory of Environment and Health, Ministry of Education and Ministry of Environmental Protection, State Key Laboratory of Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
Prenatal exposure to mono-n-butyl phthalate (MnBP) is linked to lower neurocognitive development in children. The PPARα gene rs1800246 may modify this association, increasing the risk of developmental delays.
Area of Science:
- Environmental Health
- Neuroscience
- Genetics
Background:
- Phthalates are environmental contaminants with potential neurotoxic effects.
- The role of genetic susceptibility, specifically the PPARα gene, in phthalate-induced neurodevelopmental issues is understudied.
- Limited epidemiological data exists on the interaction between phthalate exposure and genetic factors influencing child neurocognition.
Purpose of the Study:
- To investigate the association between prenatal phthalate metabolite exposure and children's neurocognitive development.
- To explore the potential modifying role of the PPARα gene in the relationship between phthalates and neurodevelopment.
- To assess the synergistic effects of phthalates and genetic variations on neurocognitive outcomes.
Main Methods:
- Analysis of phthalate metabolites in maternal urine from 961 mother-infant pairs.
- Neurocognitive development assessed using the Bailey Infant Development Inventory (BSID).
- Genotyping of PPARα gene variations (rs1800246) using Illumina Asian Screening Array and statistical analysis with generalized linear regression models.
Main Results:
- Mono-n-butyl phthalate (MnBP) exposure was negatively associated with the Psychomotor Development Index (PDI).
- The PPARα rs1800246 polymorphism significantly modified the association between MnBP and neurocognitive development.
- High MnBP exposure combined with specific PPARα genotypes (AG + AA) increased the risk of neurocognitive developmental delay (OR=2.76).
Conclusions:
- Prenatal MnBP exposure is correlated with adverse neurocognitive development in children.
- The PPARα rs1800246 gene variant may act as a modifier, influencing the impact of MnBP on neurodevelopment.
- These findings highlight the importance of considering gene-environment interactions in understanding phthalate-related neurodevelopmental risks.
Abstract:
Background: The PPARα gene may be crucial to the neurotoxic effect of phthalates. However, epidemiological studies considering the neurodevelopmental influence of phthalates interacting with genetic susceptibility are limited. We hypothesized phthalates could interact with the PPARα gene, synergistically affecting neurocognitive development. Methods: A total of 961 mother-infant pairs were involved in this study. The concentrations of phthalate metabolites in maternal urine during pregnancy were detected. Children's neurocognitive development was estimated with the Bailey Infant Development Inventory (BSID). Genetic variations in PPARα were genotyped with the Illumina Asian Screening Array. We applied generalized linear regression models to estimate genotypes and phthalate metabolites' association with children's neurocognitive development. Results: After adjusting for potential confounders, the mono-n-butyl phthalate (MnBP) concentration was negatively associated with Psychomotor Development Index (PDI) (β = -0.86, 95% CI: -1.67, -0.04). The associations between MnBP and neurocognitive development might be modified by PPARα rs1800246. Compared with low-MnBP individuals carrying rs1800246 GG genotypes, high-MnBP individuals with the AG + AA genotype had a higher risk of neurocognitive developmental delay, with the odds ratio of 2.76 (95% CI:1.14, 6.24). Conclusions: Our current study revealed that prenatal exposure to MnBP was negatively correlated with children's neurocognitive development, and PPARα rs1800246 might modify the association.
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