Prenatal exposure to benzotriazoles and benzothiazoles and child neurodevelopment: A longitudinal study

Shuting Cao1, Jiangtao Liu1, Ling Yu1

  • 1State Key Laboratory of Environment Health (Incubation), Key Laboratory of Environment and Health, Ministry of Education, Key Laboratory of Environment and Health (Wuhan), Ministry of Environmental Protection, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, #13 Hangkong Road, Wuhan 430030, Hubei, China.

Insights

Prenatal exposure to benzotriazoles (BTRs) and benzothiazoles (BTHs) was linked to lower neurodevelopmental scores in boys, but not girls. This study highlights potential risks of these emerging compounds on child development.

Area of Science:

  • Environmental Health
  • Developmental Toxicology
  • Neuroscience

Background:

  • Benzotriazoles (BTRs) and benzothiazoles (BTHs) are emerging benzo-heterocyclic compounds with potential neurotoxic effects.
  • The impact of prenatal exposure to BTRs and BTHs on child neurodevelopment remains largely uninvestigated.
  • Understanding these associations is crucial for public health and developmental guidance.

Purpose of the Study:

  • To investigate the association between maternal urinary concentrations of BTRs and BTHs during pregnancy and neurodevelopmental outcomes in children at two years of age.
  • To examine the effects of single compounds and mixtures of BTRs and BTHs on child neurodevelopment.
  • To explore potential sex-specific differences in these associations.

Main Methods:

  • A prospective birth cohort study involving 513 mother-child pairs in Wuhan (2014-2015).
  • Maternal urinary concentrations of eight BTRs and BTHs were measured across three trimesters.
  • Child neurodevelopment was assessed at two years using the Bayley Scales of Infant and Toddler Development, measuring Mental Development Index (MDI) and Psychomotor Development Index (PDI).

Main Results:

  • Prenatal exposure to tolyltriazole (TTR) and 1-H-benzotriazole (1-H-BTR) was associated with lower MDI and PDI scores in boys, respectively.
  • Maternal urinary benzothiazole (BTH) concentrations during the first, second, and average prenatal periods were negatively associated with boys' PDI scores.
  • No significant negative associations were observed for girls, and mixture analysis indicated a negative association between overall BTs and boys' PDI, with BTH being a major contributor.

Conclusions:

  • Prenatal exposure to benzotriazoles and benzothiazoles is negatively associated with neurodevelopmental outcomes in boys.
  • The findings suggest that infant sex may modify the association between prenatal BT exposure and neurodevelopment.
  • This is the first study to demonstrate a link between prenatal exposure to BTs and adverse child neurodevelopment, emphasizing the need for further research and potential risk assessment.

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