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Phthalate exposure profiles during baby delivery and their association with reproductive hormone changes and newborn
Khelfi Abderrezak1, Fesraoui Chakib2, Fara Iyad2
1University of Algiers, 1, 2 Didouche Mourad Street, Algiers, 16000, Algeria; National Center of Toxicology, Petit Staouali Street, Delly Brahim, Algiers, 16062, Algeria.
Insights
Perinatal phthalate exposure in Algiers was linked to altered reproductive hormones in newborns. Consumption of bottled water may also impact infant endocrine health, raising concerns for child development.
Area of Science:
- Environmental Health
- Endocrinology
- Reproductive Toxicology
Background:
- Phthalates are emerging environmental pollutants with potential endocrine-disrupting effects.
- Pregnancy is a critical window of vulnerability for fetal development, making exposure to phthalates a significant health concern.
Purpose of the Study:
- To characterize perinatal phthalate exposure profiles in pregnant women in Algiers.
- To investigate associations between umbilical cord blood phthalate levels and reproductive hormone concentrations.
- To explore potential sources of phthalate exposure and their link to exposure profiles.
Main Methods:
- A descriptive study involving 154 mother-newborn pairs.
- Umbilical cord blood samples were collected for analysis.
- Phthalate metabolites were quantified using LC-MS/MS, and reproductive hormones were measured via electrochemiluminescence.
Main Results:
- MEHP, MEP, and MnBP were frequently detected in umbilical cord blood. High MEP and MEHP levels correlated with lower testosterone, progesterone, and estradiol.
- MnBP showed a positive association with luteinizing hormone (LH). MEHP levels were linked to altered anogenital distance (AGD) in newborns.
- Bottled water consumption was significantly associated with higher MnBP levels.
Conclusions:
- Perinatal phthalate exposure is associated with altered reproductive hormone levels in umbilical cord plasma.
- These hormonal changes may adversely affect child development.
- Bottled water consumption emerges as a potential source impacting newborn endocrine integrity.
Background:
Phthalates are organic compounds and emerging pollutants of health concern. Exposure to phthalates may have an impact on hormone physiology, especially during pregnancy, as it represents a period of heightened vulnerability to disruptions for the newborn.
Objective:
The aim of this study was to identify perinatal exposure profiles to phthalates in pregnant women living in Algiers and to explore associations between umbilical cord blood levels of phthalates and reproductive hormone concentrations. The aim also extends to explore the link that could exist between potential sources and the exposure profiles to phthalates.
Methods:
This descriptive study was carried out on 154 couples of women-newborns. After gathering necessary information, umbilical cord blood samples were collected. Reproductive hormones were measured by electrochemiluminescence, while phthalate metabolites were detected using LC-MS/MS.
Results:
The results showed that MEHP, MEP, and MnBP were detected in 97.4%, 74.7%, and 53.9% of samples. Mean concentrations were 18.680, 11.805, and 7.151 ng/mL for MEHP, MEP, and MnBP, respectively. High concentrations of MEP and MEHP were associated with low umbilical cord levels of testosterone, progesterone, and estradiol. A positive and meaningful association between MnBP and LH levels was found as well. The results indicated that MEHP was associated with changes in the anogenital distance (AGD) in both male and female newborns, as positive significant correlation has been found between MEHP levels and female AGD as well as an inverse correlation between the same metabolite and male AGD. The evaluation of exposure sources revealed a significant association between the consumption of bottled water and levels of MnBP.
Conclusions:
In this study, phthalates were associated with altered levels of reproductive hormones in umbilical cord plasma. These changes may have adverse effects on children development. Results also suggest that the consumption of bottled water may impact the newborns' endocrine integrity.
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