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Updated: Sep 11, 2025

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Prenatal pyrethroid exposure, placental gene network modules, and neonatal neurobehavior
Yewei Wang1, Jacqueline Holstein1, Karen Hermetz1
1Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
International Journal of Hygiene and Environmental Health
|August 11, 2025
Summary
Prenatal pesticide exposure, specifically pyrethroids, can negatively impact infant neurodevelopment by altering placental gene expression. These effects vary by trimester, highlighting critical windows for intervention.
Area of Science:
- Environmental Health
- Developmental Neuroscience
- Molecular Biology
Background:
- Prenatal pesticide exposure is a potential risk factor for adverse child neurodevelopment.
- Placental function is crucial for fetal development and may be a target for pesticide-induced neurotoxicity.
Purpose of the Study:
- To investigate the association between prenatal pyrethroid pesticide exposure, placental gene expression, and newborn neurobehavior.
- To identify specific placental gene networks and critical exposure periods linking pyrethroids to neurodevelopmental outcomes.
Main Methods:
- A cohort of 248 pregnant farmworkers in Thailand was studied.
- Urinary pyrethroid metabolites, placental transcriptome sequencing, and NICU Network Neurobehavioral Scales (NNNS) were analyzed.
- Weighted Gene Co-expression Network Analysis (WGCNA) identified gene modules associated with exposure and neurobehavior.
Main Results:
- Pyrethroid metabolites were linked to nine placental gene network modules, and thirteen modules correlated with NNNS scores, with eight overlapping modules.
- Specific modules, including interferon alpha response and Myc targets, were associated with neonatal stress, attention, arousal, and movement quality.
- Early pregnancy exposure was linked to the protein secretion module, while late pregnancy exposure affected oxidative phosphorylation (OXPHOS) and DNA repair modules.
Conclusions:
- Prenatal pyrethroid exposure may affect neonatal neurobehavior via placental gene expression changes in metabolic and response pathways.
- The timing of pyrethroid exposure during pregnancy is critical, influencing distinct placental functions.
- Findings support targeted risk assessment and interventions to mitigate neurodevelopmental risks from pesticide exposure.

