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一项基于出生队列的研究:探讨产前甲基汞与儿童认知发育关联的遗传修饰作用。

A Birth Cohort Study on the Genetic Modification of the Association of Prenatal Methylmercury With Child Cognitive Development.

机构信息

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

ISGlobal, Barcelona Institute for Global Health-Campus MAR, Barcelona Biomedical Research Park, Barcelona, Catalonia, Spain.

出版信息

Am J Epidemiol. 2019 Oct 1;188(10):1784-1793. doi: 10.1093/aje/kwz156.

Abstract

Genetic predisposition might affect neurodevelopmental outcomes of prenatal methylmercury exposure. We examined suspected heterogeneities for modification of exposure-related neurodevelopment in children from the Avon Longitudinal Study of Parents and Children (1991-2000), Bristol, United Kingdom. A subgroup (n = 1,127 from a pilot study and 1,045 from the present study) was identified based on the availability of the mercury concentration of cord tissue as a measure of prenatal methylmercury exposure, data on 247 single-nucleotide polymorphisms (SNPs), and Wechsler Intelligence Scale for Children intelligence quotient (IQ) scores. Log10-transformed mercury concentration was positively associated with IQ, but adjustment for confounding cofactors attenuated this association. A finding of enhanced interaction with methylmercury was replicated in this study for the minor allele of rs1042838 (progesterone receptor) (β = -11.8, 95% confidence interval: -23.0, -0.6; P for interaction = 0.004) and weakly for rs662 (paraoxonase 1) (β = -3.6, 95% confidence interval: -11.4, 4.3; P = 0.117). In the joint sample, new interacting single-nucleotide polymorphisms were discovered in relation to superoxide dismutase 2, ATP binding cassette subfamily A member 1, and metallothionein 1M genes. While the low-level prenatal exposure to methylmercury was not associated with child cognition, progesterone receptor rs1042838 minor alleles revealed a negative association of mercury exposure with IQ.

摘要

遗传易感性可能会影响产前甲基汞暴露对神经发育的影响。我们研究了英国布里斯托尔阿冯纵向研究父母和儿童(1991-2000 年)中儿童的疑似异质性,这些儿童受到了暴露相关的神经发育影响。根据脐带组织中汞浓度作为产前甲基汞暴露的衡量标准,在一个试点研究中(n=1127)和当前研究中(n=1045),我们确定了一个亚组,这些研究提供了 247 个单核苷酸多态性(SNP)的数据和韦氏儿童智力量表智商(IQ)评分。经对数转换的汞浓度与 IQ 呈正相关,但调整混杂协变量后,这种关联减弱了。本研究在孕激素受体 rs1042838(minor allele)(β=-11.8,95%置信区间:-23.0,-0.6;P for interaction=0.004)和对氧磷酶 1(rs662)(β=-3.6,95%置信区间:-11.4,4.3;P=0.117)上发现了与甲基汞的增强交互作用,这一发现得到了重复验证。在联合样本中,与超氧化物歧化酶 2、ATP 结合盒亚家族 A 成员 1 和金属硫蛋白 1M 基因有关的新的相互作用的单核苷酸多态性也被发现了。虽然低水平的产前甲基汞暴露与儿童认知能力无关,但孕激素受体 rs1042838 的次要等位基因显示出与汞暴露与智商呈负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b69/6768817/a32829cc1302/kwz156f01.jpg

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