全氟和多氟烷基物质(PFAS)混合物与亚特兰大非裔美国母婴队列中炎症生物标志物的关联。
Association between a Mixture of Per- and Polyfluoroalkyl Substances (PFAS) and Inflammatory Biomarkers in the Atlanta African American Maternal-Child Cohort.
机构信息
Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, Georgia 30329, United States.
Department of Gynecology and Obstetrics, School of Medicine, Emory University, Atlanta, Georgia 30329, United States.
出版信息
Environ Sci Technol. 2023 Sep 12;57(36):13419-13428. doi: 10.1021/acs.est.3c04688. Epub 2023 Aug 30.
Per- and polyfluoroalkyl substances (PFAS) have been identified as environmental contributors to adverse birth outcomes. One potential mechanistic pathway could be through PFAS-related inflammation and cytokine production. Here, we examined associations between a PFAS mixture and inflammatory biomarkers during early and late pregnancy from participants enrolled in the Atlanta African American Maternal-Child Cohort ( = 425). Serum concentrations of multiple PFAS were detected in >90% samples at 8-14 weeks gestation. Serum concentrations of interferon-γ (IFN-γ), interleukin 6 (IL-6), interleukin 10 (IL-10), tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP) were measured at up to two time points (8-14 weeks and 24-30 weeks gestation). The effect of the PFAS mixture on each inflammatory biomarker was examined using quantile g-computation, Bayesian kernel machine regression (BKMR), Bayesian Weighted Sums (BWS), and weighted quantile sum (WQS) regression. Across all models, the PFAS mixture was associated with increased IFN-γ, IL-10, and TNF-α at both time points, with the strongest effects being observed at 24-30 weeks. Using quantile g-computation, increasing concentrations of a PFAS mixture were associated with a 29% (95% confidence interval = 18.0%, 40.7%) increase in TNF-α at 24-30 weeks. Similarly, using BWS, the PFAS mixture was associated with increased TNF-α at 24-30 weeks (summed effect = 0.29, 95% highest posterior density = 0.17, 0.41). The PFAS mixture was also positively associated with TNF-α at 24-30 weeks using BKMR [75th vs 50th percentile: 17.1% (95% credible interval = 7.7%, 27.4%)]. Meanwhile, PFOS was consistently the main drivers of overall mixture effect across four methods. Our findings indicated an increase in prenatal PFAS exposure is associated with an increase in multiple pro-inflammatory cytokines, potentially contributing to adverse pregnancy outcomes.
全氟和多氟烷基物质 (PFAS) 已被确定为导致不良出生结局的环境因素之一。一种潜在的机制途径可能是通过 PFAS 相关的炎症和细胞因子产生。在这里,我们研究了在亚特兰大非裔美国母婴队列(= 425)中招募的参与者的妊娠早期和晚期的 PFAS 混合物与炎症生物标志物之间的关联。在妊娠 8-14 周时,>90%的样本中检测到多种 PFAS 的血清浓度。在多达两个时间点(妊娠 8-14 周和 24-30 周)测量干扰素-γ(IFN-γ)、白细胞介素 6(IL-6)、白细胞介素 10(IL-10)、肿瘤坏死因子-α(TNF-α)和 C 反应蛋白(CRP)的血清浓度。使用分位数 g 计算、贝叶斯核机器回归(BKMR)、贝叶斯加权和(BWS)和加权分位数和(WQS)回归来检查 PFAS 混合物对每个炎症生物标志物的影响。在所有模型中,PFAS 混合物与两个时间点的 IFN-γ、IL-10 和 TNF-α增加有关,最强的影响发生在 24-30 周。使用分位数 g 计算,PFAS 混合物浓度的增加与 24-30 周时 TNF-α增加 29%(95%置信区间=18.0%,40.7%)有关。同样,使用 BWS,PFAS 混合物与 24-30 周时 TNF-α的增加有关(总和效应=0.29,95%最高后验密度=0.17,0.41)。使用 BKMR,PFAS 混合物也与 24-30 周时的 TNF-α呈正相关[第 75 个百分位与第 50 个百分位相比:17.1%(95%可信区间=7.7%,27.4%)]。同时,在四种方法中,PFOS 始终是整体混合物效应的主要驱动因素。我们的研究结果表明,产前 PFAS 暴露的增加与多种促炎细胞因子的增加有关,这可能导致不良的妊娠结局。
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