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