The placental transcriptome serves as a mechanistic link between prenatal phthalate exposure and placental efficiency

Mariana Parenti1, Samantha Lapehn1, James MacDonald2

  • 1Seattle Children's Research Institute, Seattle, WA 98101, United States.

Environment International
|November 23, 2025
PubMed

Insights

Prenatal phthalate exposure can affect fetal growth. This study found that placental gene expression mediates the link between maternal phthalate levels and placental efficiency, impacting birth outcomes.

Area of Science:

  • Environmental Health
  • Genomics
  • Reproductive Biology

Background:

  • Phthalates are endocrine-disrupting chemicals linked to adverse child health outcomes like prematurity.
  • Placental transcriptomics offers insights into how environmental toxicants affect placental and fetal development.
  • Understanding these mechanisms is crucial for mitigating prenatal exposure risks.

Purpose of the Study:

  • To investigate the placental transcriptome's role in mediating the association between maternal urinary phthalate metabolites and placental efficiency.
  • To identify specific genes and gene modules involved in this mediation pathway.
  • To elucidate the biological processes affected by phthalate exposure during pregnancy.

Main Methods:

  • Analysis of maternal urinary phthalate metabolite concentrations.
  • Utilized placental transcriptomics data to identify gene and gene module expression.
  • Modeled placental efficiency using birthweight to placental weight ratio (BW:PW) and adjusted birthweight (BWadj).
  • Employed mediation analysis to assess the role of the placental transcriptome.

Main Results:

  • Significant associations were found between maternal phthalate metabolites and 132 genes/27 gene modules in the placenta.
  • Placental efficiency measures were significantly associated with 460 genes/11 gene modules.
  • Four genes and nine gene modules significantly mediated the relationship between phthalates and placental efficiency.
  • Mediating genes are involved in critical placental functions like syncytialization, metabolism, and steroid biosynthesis.

Conclusions:

  • The placental transcriptome plays a key mediating role in how phthalates disrupt fetal growth.
  • These findings highlight specific molecular pathways affected by prenatal phthalate exposure.
  • This research provides a mechanistic link between environmental toxicants and adverse birth outcomes.