Predictive value and mediating effect analysis of the AHR-ARNT-CYP1A1 axis for missed abortion related to polycyclic aromatic hydrocarbons exposure

  • 0Department of Epidemiology, School of Public Health, Shanxi Medical University, No. 56 Xinjian South Road, Taiyuan, 030001, Shanxi, China.

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Summary

This summary is machine-generated.

Polycyclic aromatic hydrocarbons (PAHs) exposure is linked to missed abortion through aryl hydrocarbon receptor (AHR) signaling. The AHR-ARNT-CYP1A1 gene axis shows good predictive value for missed abortion risk.

Area Of Science

  • Environmental Toxicology
  • Reproductive Biology
  • Molecular Genetics

Background

  • Polycyclic aromatic hydrocarbons (PAHs) are environmental pollutants linked to adverse health outcomes.
  • The aryl hydrocarbon receptor (AHR) signaling pathway plays a crucial role in mediating the toxic effects of PAHs.
  • Missed abortion is a pregnancy complication with multifactorial causes, including environmental exposures.

Purpose Of The Study

  • To evaluate the predictive value of AHR signaling pathway genes for missed abortion.
  • To investigate the mediating role of AHR in the association between PAHs exposure and missed abortion.

Main Methods

  • A 1:2 matched case-control study involving 94 women with missed abortion and 188 controls.
  • Measurement of PAH-DNA adducts and gene expression levels (AHR, ARNT, AHRR, CYP1A1, GSTP1).
  • Receiver Operating Characteristic (ROC) curve analysis and mediation analysis using R language.

Main Results

  • PAH-DNA adduct levels were significantly higher in the missed abortion group.
  • Significant differences in AHR, ARNT, AHRR, CYP1A1, and GSTP1 gene expression between groups.
  • High PAH exposure increased AHR and CYP1A1 expression.
  • The AHR-ARNT-CYP1A1 axis demonstrated good predictive performance (AUC=0.931) for missed abortion risk.
  • AHR partially mediated the effect of PAHs on missed abortion (36.56% mediation).

Conclusions

  • AHR signaling pathway genes, particularly the AHR-ARNT-CYP1A1 axis, are valuable predictors of missed abortion risk.
  • AHR plays a significant mediating role in the pathway linking PAHs exposure to missed abortion.
  • These findings highlight the impact of environmental pollutants on reproductive health and suggest potential therapeutic targets.