Longnecker Matthew P, Wolff Mary S, Gladen Beth C, Brock John W, Grandjean Philippe, Jacobson Joseph L, Korrick Susan A, Rogan Walter J, Weisglas-Kuperus Nynke, Hertz-Picciotto Irva, Ayotte Pierre, Stewart Paul, Winneke Gerhard, Charles M Judith, Jacobson Sandra W, Dewailly Eric, Boersma E Rudy, Altshul Larisa M, Heinzow Birger, Pagano James J, Jensen Allan A
Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709, USA.
Environ Health Perspect. 2003 Jan;111(1):65-70. doi: 10.1289/ehp.5463.
Polychlorinated biphenyls (PCBs) are persistent pollutants that are ubiquitous in the food chain, and detectable amounts are in the blood of almost every person in most populations that have been examined. Extensive evidence from animal studies shows that PCBs are neurotoxins, even at low doses. Interpretation of human data regarding low-level, early-life PCB exposure and subsequent neurodevelopment is problematic because levels of exposure were not similarly quantified across studies. We expressed the exposure levels from 10 studies of PCB and neurodevelopment in a uniform manner using a combination of data from original investigators, laboratory reanalyses, calculations based on published data, and expert opinion. The mainstay of our comparison was the median level of PCB 153 in maternal pregnancy serum. The median concentration of PCB 153 in the 10 studies ranged from 30 to 450 ng/g serum lipid, and the median of the 10 medians was 110 ng/g. We found that (a)) the distribution of PCB 153 exposure in most studies overlapped substantially, (b)) exposure levels in the Faroe Islands study were about 3-4-fold higher than in most other studies, and (c)) the exposure levels in the two recent U.S. studies were about one-third of those in the four earlier U.S. studies or recent Dutch, German, and northern Québec studies. Our results will facilitate a direct comparison of the findings on PCBs and neurodevelopment when they are published for all 10 studies.
多氯联苯(PCBs)是持久性污染物,在食物链中普遍存在,在大多数接受检测的人群中,几乎每个人的血液中都能检测到一定含量。动物研究的大量证据表明,即使是低剂量的多氯联苯也是神经毒素。关于低水平、生命早期多氯联苯暴露与后续神经发育的人类数据解读存在问题,因为各研究中暴露水平的量化方式并不相同。我们综合原始研究者的数据、实验室重新分析、基于已发表数据的计算以及专家意见,以统一的方式表达了10项多氯联苯与神经发育研究的暴露水平。我们比较的主要依据是孕妇孕期血清中多氯联苯153的中位数水平。这10项研究中多氯联苯153的中位数浓度在30至450纳克/克血清脂质之间,10个中位数的中位数为110纳克/克。我们发现:(a)大多数研究中多氯联苯153的暴露分布有很大重叠;(b)法罗群岛研究中的暴露水平比大多数其他研究高约3至4倍;(c)美国最近两项研究中的暴露水平约为美国早期四项研究以及最近荷兰、德国和魁北克北部研究的三分之一。当这10项研究全部发表时,我们的结果将有助于直接比较多氯联苯与神经发育的研究结果。