Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, 48109, USA.
Department of Child Health Care, Children's Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China.
Environ Res. 2019 May;172:486-494. doi: 10.1016/j.envres.2019.02.046. Epub 2019 Mar 1.
Despite widespread use, many herbicides and fungicides are not well studied for neurological effects. Fetal and infant brains are rapidly developing, yet the effects of early-life exposure to these classes of pesticides on visual and auditory function are unknown. Here we examined the effects of prenatal herbicide and fungicide exposure on infant grating visual acuity (VA) and auditory brainstem response (ABR).
9 herbicides and 13 fungicides were measured in umbilical cord blood plasma from a cohort of infants in Fuyang County, China (n = 232). Grating VA and ABR latencies for waves I, III, V were measured at 3 time points: 6 weeks, 9 months, and 18 months. Outcomes included VA score, ABR wave V latency and ABR central conduction time (CCT [wave V- wave I]). Pesticides were analyzed as 3-level ordinal (non-detect [ND]/medium/high), or dichotomous (ND/detect), depending on detection rates. Linear mixed models were used to evaluate relations between pesticides and VA and ABR outcomes.
2,4-dichloroacetic acid (2,4-D), prometryn, simazine, and tetrahydrophthalamide (THPI, a metabolite of captan) were detected in 27%, 81%, 17%, and 16% of samples, respectively. Infants prenatally exposed to 2,4-D had slower auditory response times at 6 weeks. Infants with cord levels of 2,4-D > 1.17 ng/mL had wave V latencies that were 0.12 (95% CI: 0.03, 0.22) ms slower (p = 0.01) and overall CCTs that were 0.15 (95% CI:0.05, 0.25) ms slower (p = 0.003) than infants with non-detectable 2,4-D in their cord blood. No other statistically significant findings were observed for the other herbicides and fungicides or for the grating VA outcome.
Prenatal exposure to the herbicide 2,4-D was associated with slower auditory signal transmission in early infancy. ABR latencies reflect auditory pathway maturation and longer latencies may indicate delayed auditory development.
尽管广泛使用,但许多除草剂和杀真菌剂的神经效应研究并不充分。胎儿和婴儿的大脑正在快速发育,但目前尚不清楚这些类别的农药在生命早期暴露对视觉和听觉功能的影响。在这里,我们研究了产前除草剂和杀真菌剂暴露对婴儿光栅视觉敏锐度(VA)和听觉脑干反应(ABR)的影响。
在中国阜阳市的一个婴儿队列中,测量了脐带血血浆中的 9 种除草剂和 13 种杀真菌剂(n=232)。在 6 周、9 个月和 18 个月时,测量了光栅 VA 和 ABR 潜伏期的波 I、III、V。结果包括 VA 评分、ABR 波 V 潜伏期和 ABR 中枢传导时间(波 V-波 I)。根据检测率,将杀虫剂分析为 3 级有序(未检测[ND]/中/高)或二分(ND/检测)。线性混合模型用于评估农药与 VA 和 ABR 结果之间的关系。
2,4-二氯乙酸(2,4-D)、扑草净、西玛津和四氢邻苯二甲酰胺(THPI, captan 的代谢物)的检出率分别为 27%、81%、17%和 16%。产前暴露于 2,4-D 的婴儿在 6 周时听觉反应时间较慢。脐带水平 2,4-D>1.17ng/ml 的婴儿,其波 V 潜伏期慢 0.12(95%CI:0.03,0.22)ms(p=0.01),总 CCT 慢 0.15(95%CI:0.05,0.25)ms(p=0.003)比脐带血中 2,4-D 未检出的婴儿。未观察到其他除草剂和杀真菌剂或光栅 VA 结果的其他统计学显著发现。
产前接触除草剂 2,4-D 与婴儿早期听觉信号传输较慢有关。ABR 潜伏期反映了听觉通路的成熟,潜伏期较长可能表明听觉发育迟缓。