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孕期金属混合物暴露与婴儿迷你青春期生殖激素的关系。

Associations between prenatal exposure to metal mixtures and infant reproductive hormones during mini-puberty.

作者信息

Yu Ling, Liu Jiangtao, Li Ying, Li Shulan, Cao Shuting, Li Fasheng, Li Yuanyuan, Liu Hongxiu, He Zhenyu, Xu Shunqing, Xia Wei

机构信息

Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health, School of Public Health, Tong ji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health, School of Public Health, Tong ji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Environmental Science and Engineering, Hainan University, Haikou, Hainan, China.

出版信息

Sci Total Environ. 2024 Dec 10;955:177192. doi: 10.1016/j.scitotenv.2024.177192. Epub 2024 Nov 2.

Abstract

BACKGROUND

The reproductive hormone homeostasis is crucial for child development. Exposure to metals during pregnancy may have adverse effects on offspring health. However, the association between prenatal exposure to metals and infant reproductive hormone levels remains unknown.

METHODS

This study involved 812 mother-infant pairs from Wuhan, China, assessing prenatal exposure to 13 metals in maternal plasma during early pregnancy and measuring five reproductive hormones in urine samples of one-month-old infants. Generalized linear models were employed to investigate the associations between individual metal exposures and urinary hormone levels in infants. Additionally, weighted quantile sum (WQS) regression and quantile g-computation were employed to evaluate the impact of metal mixtures.

RESULTS

Most of the detected metals in maternal plasma were associated with lower levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in infants. Each interquartile range (IQR) increase in manganese (Mn), barium (Ba), thallium (Tl), vanadium (V), cobalt (Co), nickel (Ni), and lead (Pb) was significantly associated with an approximately 9.87 % to 38.24 % decrease in FSH or LH. WQS and quantile g-computation models confirmed a significant association between prenatal metal mixtures and reduced FSH and LH in male infants, and WQS indicated a significant association between metal mixtures and decreased FSH in female infants.

CONCLUSIONS

Maternal exposure to mixed metals during early pregnancy was associated with lower levels of FSH and LH in infants, suggesting that prenatal exposure to metals may disrupt the balance of infant reproductive hormones. Further research is warranted to confirm these associations and explore the underlying mechanisms.

摘要

背景

生殖激素稳态对儿童发育至关重要。怀孕期间接触金属可能对后代健康产生不良影响。然而,产前暴露于金属与婴儿生殖激素水平之间的关系尚不清楚。

方法

本研究纳入了来自中国武汉的 812 对母婴,评估了孕妇在妊娠早期血浆中 13 种金属的产前暴露情况,并测量了一个月大婴儿尿液样本中的 5 种生殖激素。采用广义线性模型探讨了个体金属暴露与婴儿尿液中激素水平之间的关系。此外,还采用加权分位数总和(WQS)回归和分位数 g 计算评估了金属混合物的影响。

结果

母体血浆中大多数检测到的金属与婴儿的促卵泡激素(FSH)和促黄体生成激素(LH)水平降低有关。锰(Mn)、钡(Ba)、铊(Tl)、钒(V)、钴(Co)、镍(Ni)和铅(Pb)每增加一个四分位间距(IQR),FSH 或 LH 分别显著下降约 9.87%至 38.24%。WQS 和分位数 g 计算模型证实了产前金属混合物与男婴 FSH 和 LH 降低之间存在显著关联,WQS 表明金属混合物与女婴 FSH 降低之间存在显著关联。

结论

孕妇在妊娠早期接触混合金属与婴儿的 FSH 和 LH 水平降低有关,提示产前暴露于金属可能会破坏婴儿生殖激素的平衡。需要进一步研究来证实这些关联并探讨其潜在机制。

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