Impact of lactational per- and polyfluoroalkyl substances exposure on infant gut microbiota and potential mediating effects on infant neurodevelopment
View abstract on PubMed
Summary
This summary is machine-generated.Exposure to per- and polyfluorinated substances (PFAS) in breast milk is linked to lower infant neurodevelopmental scores. Gut bacteria disruption by PFAS may explain these delays, suggesting a potential therapeutic target for infant health.
Area Of Science
- Environmental Health
- Neurodevelopmental Science
- Microbiome Research
Background
- Per- and polyfluorinated substances (PFAS) exposure is linked to adverse maternal and infant health outcomes.
- The impact of PFAS on infant neurodevelopmental trajectories is not well understood.
- Human milk and infant gut microbiome are critical for early development.
Purpose Of The Study
- To investigate the association between lactational PFAS exposure and infant neurodevelopment.
- To explore the role of the infant gut microbiome as a mediator in PFAS-induced neurodevelopmental effects.
- To identify specific PFAS compounds and microbial species involved in these associations.
Main Methods
- Longitudinal study of 114 mother-infant pairs with sample collection at 0.5, 1, and 3 months postpartum.
- Analysis of human milk and infant fecal samples for PFAS concentrations and gut microbiome composition.
- Infant neurodevelopmental assessment at 6 months using Ages & Stages Questionnaires Third Edition and Social-Emotional scales.
Main Results
- Higher concentrations of specific PFAS (PFOS, PFOA) in human milk correlated with lower infant scores across multiple neurodevelopmental domains (communication, motor skills, problem-solving, social-personal).
- PFAS exposure, particularly long-chain variants and PFOS, altered the infant gut microbiome, increasing harmful bacteria (e.g., Klebsiella variicola, Enterococcus faecium, Clostridium perfringens) and decreasing beneficial ones (e.g., Bifidobacterium breve, Streptococcus).
- Mediation analysis indicated that gut bacteria like Clostridium perfringens and Streptococcus partially explained the link between PFAS exposure and fine motor/gross motor deficits, respectively.
Conclusions
- Lactational exposure to PFAS is associated with impaired infant neurodevelopmental outcomes.
- The infant gut microbiome acts as a mechanistic link between PFAS exposure and neurodevelopmental delays.
- Targeting the gut microbiota may offer a novel therapeutic strategy to mitigate the adverse neurodevelopmental effects of PFAS exposure in infants.
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