Fisher Mandy, Arbuckle Tye E, Liang Chun Lei, LeBlanc Alain, Gaudreau Eric, Foster Warren G, Haines Douglas, Davis Karelyn, Fraser William D
Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, ON, Canada.
Population Studies Division, Environmental Health Science and Research Bureau, Environmental and Radiation Health Sciences Directorate, Health Canada, 50 Columbine Driveway, Tunney's Pasture, Ottawa, AL 0801A K1A 0K9, Canada.
Environ Health. 2016 May 4;15(1):59. doi: 10.1186/s12940-016-0143-y.
Pregnant women are an especially important population to monitor for environmental exposures given the vulnerability of the developing fetus. During pregnancy and lactation chemical body burdens may change due to the significant physiological changes that occur. Developmental exposures to some persistent organic pollutants (POPs) have been linked with adverse health outcomes.
First trimester maternal and cord blood plasma concentrations of several POPs including polychlorinated biphenyls (PCBs), organochlorine pesticides (OCs), polybrominated diphenyl ethers (PBDE)s and perfluoroalkyl substances (PFASs) were measured in samples from 1983 pregnant women enrolled in the Maternal-Infant Research on Environmental Chemicals (MIREC) cohort. Predictors of exposure were also identified.
In maternal plasma, there was >90 % detection for the perfluoroalkyl substances (PFASs) perfluorooctanoic acid (PFOA), perfluoroctane sulfonate (PFOS), perfluorohexane sulfonate (PFHxS), and dichlorodiphenyldichloroethylene (DDE), oxychlordane and PCB 138 and 153. Cord blood plasma had much lower detection rates with low or very limited detection for most PCBs and PBDEs. The PFASs were the most frequently detected (23-64 %) chemical class in cord plasma. In a subset of 1st and 3rd trimester paired samples, PFAS concentrations were found to be strongly correlated and had ICCs ranging from 0.64 (PFOA) to 0.83 (PFHxS). The cord:maternal plasma concentration ratios ranged from 0.14 (PFOS) to 0.87 (oxychlordane, lipid adjusted). Similar to other studies, we found parity, maternal age, income, education, smoking status, pre-pregnancy BMI and fish consumption to be significant predictors for most chemicals. Those participants who were foreign-born had significantly higher concentrations of organochlorinated pesticides and PCBs.
In the MIREC study, multiple chemical contaminants were quantified in the plasma of pregnant women. In cord plasma PFOA had the highest detection rate. However, compared to other Canadian and international population studies, the MIREC participants had lower contaminant concentrations of these substances.
鉴于发育中的胎儿较为脆弱,孕妇是监测环境暴露的一个尤为重要的人群。在孕期和哺乳期,由于发生的重大生理变化,体内化学物质负荷可能会改变。一些持久性有机污染物(POPs)的发育暴露已与不良健康结局相关联。
在参与母婴环境化学物质研究(MIREC)队列的1983名孕妇的样本中,测量了孕早期母体和脐带血血浆中几种持久性有机污染物的浓度,包括多氯联苯(PCBs)、有机氯农药(OCs)、多溴二苯醚(PBDEs)和全氟烷基物质(PFASs)。还确定了暴露的预测因素。
在母体血浆中,全氟烷基物质(PFASs)中的全氟辛酸(PFOA)、全氟辛烷磺酸(PFOS)、全氟己烷磺酸(PFHxS)、二氯二苯二氯乙烯(DDE)、氧氯丹以及多氯联苯138和153的检测率均>90%。脐带血血浆的检测率要低得多,大多数多氯联苯和多溴二苯醚的检测率很低或非常有限。全氟烷基物质是脐带血血浆中最常检测到的(23 - 64%)化学类别。在孕早期和孕晚期配对样本的一个子集中,发现全氟烷基物质浓度具有很强的相关性,组内相关系数(ICCs)范围为0.64(PFOA)至0.83(PFHxS)。脐带血与母体血浆浓度比范围为0.14(PFOS)至0.87(氧氯丹,经脂质调整)。与其他研究类似,我们发现胎次、产妇年龄、收入、教育程度、吸烟状况、孕前体重指数和鱼类消费是大多数化学物质的重要预测因素。那些出生在国外的参与者有机氯农药和多氯联苯的浓度显著更高。
在MIREC研究中,对孕妇血浆中的多种化学污染物进行了定量。在脐带血血浆中,PFOA的检测率最高。然而,与其他加拿大和国际人群研究相比,MIREC参与者这些物质的污染物浓度较低。