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Phthalates, bisphenols, and childhood allergic Phenotypes: Findings from two birth cohort studies
Thomas Boissiere-O'Neill1, Nina Lazarevic2, Anne-Louise Ponsonby3
1The University of Queensland, Child Health Research Centre, The Children's Health and Environment Program QLD, 4101, Australia.
Insights
Early-life exposure to phthalates may increase the risk of non-atopic asthma in children. This study found differential associations between phthalate exposure and atopic versus non-atopic asthma phenotypes.
Area of Science:
- Environmental Health
- Pediatric Allergy
- Toxicology
Background:
- Childhood allergic diseases are a growing concern.
- Phthalates and bisphenols are common environmental chemicals.
- Their differential impact on atopic versus non-atopic asthma is unclear.
Purpose of the Study:
- To investigate if early-life exposure to phthalates and bisphenols differentially affects atopic and non-atopic asthma.
- To examine both prenatal and postnatal exposure windows.
Main Methods:
- Utilized two birth cohorts (Australia and Canada) with detailed exposure data.
- Assessed urinary phthalate and bisphenol metabolites during pregnancy and early childhood.
- Diagnosed asthma, wheeze, eczema, and rhinitis at 4-5 years, with atopy assessed via skin prick tests.
- Employed quantile G-computation and Bayesian Kernel Machine Regression, stratified by atopy.
Main Results:
- Prenatal phthalate mixtures were strongly associated with non-atopic asthma, with evidence of effect modification by atopy.
- Postnatal phthalate mixtures were also linked to non-atopic asthma.
- Phthalate mixtures showed distinct association patterns (U-shaped, inverse U-shaped, linear) for atopic versus non-atopic asthma.
- Prenatal bisphenol A showed an inverse association with overall wheeze.
Conclusions:
- Early-life phthalate exposure appears to differentially influence the risk of childhood asthma.
- Findings suggest phthalates may play a more significant role in the development of non-atopic asthma.
- Further research is needed to elucidate specific mechanisms and chemical impacts.
Abstract:
Phthalates and bisphenols may contribute to childhood allergic outcomes, but whether these are differentially associated with atopic or non-atopic phenotypes is uncertain. We investigated whether early-life exposure to these chemicals differentially impacts atopic and non-atopic allergic outcomes. We used two birth cohorts to investigate late pregnancy and early childhood exposure windows. The Barwon Infant Study (n = 797) in Australia measured urinary phthalate and bisphenol metabolites at 36 weeks' gestation. The Canadian Healthy Infant Longitudinal Development Study (n = 993) measured phthalate metabolites at 3, 12, and 36 months. Atopy was assessed using skin prick tests at 4-5 years. Outcomes included asthma, wheeze, eczema, and rhinitis at 4-5 years. Models were stratified by atopy. We modelled exposure mixtures using quantile G-computation and Bayesian Kernel Machine Regression. Prenatal mono-carboxy-propyl phthalate was suggestively associated with non-atopic asthma (adjusted risk ratio [aRR] = 1.12; 95 % confidence interval [CI]: 0.99-1.27) with evidence of effect modification by atopy (p for interaction = 0.02). Prenatal bisphenol A was inversely associated with overall wheeze (aRR = 0.64; 95 % CI: 0.44-0.94). In the postnatal period, diethyl and dibutyl phthalates were associated with non-atopic asthma, but not with atopic asthma, though estimates did not differ substantially by atopic status. Prenatal phthalate mixtures were more strongly associated with non-atopic asthma (aRR = 1.83; 95 % CI: 1.10-3.04), with evidence of effect modification by atopy (p = 0.02 for interaction). Postnatal phthalate mixtures were associated with non-atopic asthma (aRR = 1.82, 95 % CI: 1.19-2.78), but not atopic asthma, though the association did not differ by phenotype (p for interaction = 0.45). Phthalate mixtures showed U-shaped (prenatal) and inverse U-shaped (postnatal) associations with atopic asthma, and linear positive associations with non-atopic asthma. There was little evidence of associations for other allergic outcomes. Early-life exposure to phthalates may differentially influence the risk of childhood atopic and non-atopic asthma.
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