Suppr超能文献

孕期接触邻苯二甲酸盐及其替代品与妊娠期血压和妊娠高血压疾病的关系。

Exposure to phthalates and replacements during pregnancy in association with gestational blood pressure and hypertensive disorders of pregnancy.

作者信息

McNell Erin E, Stevens Danielle R, Welch Barrett M, Rosen Emma M, Fenton Suzanne, Calafat Antonia M, Botelho Julianne Cook, Sinkovskaya Elena, Przybylska Ann, Saade George, Abuhamad Alfred, Ferguson Kelly K

机构信息

Epidemiology Branch, National Institute of Environmental Health Sciences, Durham, NC, USA; Curriculum in Toxicology and Environmental Medicine, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.

Epidemiology Branch, National Institute of Environmental Health Sciences, Durham, NC, USA.

出版信息

Environ Res. 2025 Aug 15;279(Pt 1):121739. doi: 10.1016/j.envres.2025.121739. Epub 2025 Apr 29.

Abstract

Exposure to endocrine-disrupting chemicals such as phthalates may increase risk of hypertensive disorders of pregnancy (HDP). Prior studies lack investigation of chemical mixtures, phthalate replacements, or key periods of susceptibility including early pregnancy. In the present study, we used a longitudinal approach to evaluate gestational exposure to phthalates and replacements, as both single-pollutants and mixtures, in association with blood pressure and diagnosis of preeclampsia or any HDP. The Human Placenta and Phthalates prospective pregnancy cohort includes 291 participants recruited from two U.S. clinics. Urinary metabolites of ten phthalates and replacements were quantified at up to 8 time points per individual and averaged to create early (12-15 weeks) and overall (12-38 weeks) pregnancy exposure biomarkers. We collected data on gestational blood pressure (mean = 6.2 measures per participant) and diagnosis of preeclampsia (n = 26 cases) or any HDP (n = 44 cases). Linear mixed effects models estimated associations between exposure biomarkers and repeated blood pressure measures. We estimated exposure biomarker associations with preeclampsia and HDP using Cox proportional hazards or logistic regression models, respectively. Quantile g-computation was used to estimate joint effects of a phthalate or replacement mixture with each outcome. Early pregnancy exposure biomarkers demonstrated greater associations with adverse outcomes compared to overall pregnancy. A one-interquartile range increase in early pregnancy di-isononyl phthalate metabolites (ƩDiNP) was associated with a 1.13 mmHg (95 % confidence interval [CI]: 0.25, 2.37) and 0.90 mmHg (CI: 0.16, 1.65) increase in systolic and diastolic blood pressure, respectively. We also found positive but nonsignificant associations of early pregnancy mono-3-carboxypropyl phthalate, di-2-ethylhexyl terephthalate metabolites, and the high molecular weight phthalate mixture with blood pressure. Early pregnancy ƩDiNP was furthermore associated with increased odds of HDP (odds ratio: 1.37, CI: 1.03, 1.82), but not preeclampsia. In sum, early gestational exposure to DiNP and other high molecular weight phthalates may contribute to HDP.

摘要

接触邻苯二甲酸盐等内分泌干扰化学物质可能会增加妊娠高血压疾病(HDP)的风险。先前的研究缺乏对化学混合物、邻苯二甲酸盐替代品或包括孕早期在内的关键易感性时期的调查。在本研究中,我们采用纵向研究方法,评估孕期邻苯二甲酸盐及其替代品作为单一污染物和混合物的暴露情况,以及它们与血压和子痫前期或任何HDP诊断之间的关系。人类胎盘与邻苯二甲酸盐前瞻性妊娠队列研究纳入了从美国两家诊所招募的291名参与者。对每位个体最多8个时间点的10种邻苯二甲酸盐及其替代品的尿液代谢物进行定量,并取平均值以创建孕早期(12 - 15周)和整个孕期(12 - 38周)的暴露生物标志物。我们收集了孕期血压数据(每位参与者平均测量6.2次)以及子痫前期(26例)或任何HDP(44例)的诊断信息。线性混合效应模型估计了暴露生物标志物与重复血压测量值之间的关联。我们分别使用Cox比例风险模型或逻辑回归模型估计暴露生物标志物与子痫前期和HDP之间的关联。分位数g计算用于估计邻苯二甲酸盐或替代品混合物与每种结局的联合效应。与整个孕期相比,孕早期暴露生物标志物与不良结局的关联更强。孕早期邻苯二甲酸二异壬酯代谢物(ƩDiNP)增加一个四分位数间距与收缩压升高1.13 mmHg(95%置信区间[CI]:0.25,2.37)和舒张压升高0.90 mmHg(CI:0.16,1.65)相关。我们还发现孕早期邻苯二甲酸单 - 3 - 羧丙酯、邻苯二甲酸二 - 2 - 乙基己酯代谢物以及高分子量邻苯二甲酸盐混合物与血压呈正相关,但无统计学意义。此外,孕早期ƩDiNP与HDP的发生几率增加相关(优势比:1.37,CI:1.03,1.82),但与子痫前期无关。总之,孕早期接触DiNP和其他高分子量邻苯二甲酸盐可能会导致HDP。

相似文献

1
3
Associations of individual and cumulative urinary phthalate and replacement biomarkers with gestational weight gain through late pregnancy.
Sci Total Environ. 2023 Jan 10;855:158788. doi: 10.1016/j.scitotenv.2022.158788. Epub 2022 Sep 16.
4
Early pregnancy phthalates and replacements in relation to fetal growth: The human placenta and phthalates study.
Environ Res. 2023 Jul 15;229:115975. doi: 10.1016/j.envres.2023.115975. Epub 2023 Apr 23.
8
Prenatal exposure to phthalates and phthalate replacements in relation to chorionic plate surface vasculature at delivery.
Sci Total Environ. 2025 Jan 1;958:178116. doi: 10.1016/j.scitotenv.2024.178116. Epub 2024 Dec 17.
10

引用本文的文献

1
Phthalates and Cardiovascular Risk: A Call for Awareness in Clinical Practice.
J Cardiovasc Pharmacol. 2025 Jul 18. doi: 10.1097/FJC.0000000000001732.

本文引用的文献

4
Variability and Longitudinal Trajectories of Phthalate and Replacement Biomarkers across Pregnancy in the Human Placenta and Phthalates Study.
Environ Sci Technol. 2023 Sep 5;57(35):13036-13046. doi: 10.1021/acs.est.3c04043. Epub 2023 Aug 22.
6
A spatially resolved timeline of the human maternal-fetal interface.
Nature. 2023 Jul;619(7970):595-605. doi: 10.1038/s41586-023-06298-9. Epub 2023 Jul 19.
7
Phthalates' exposure leads to an increasing concern on cardiovascular health.
J Hazard Mater. 2023 Sep 5;457:131680. doi: 10.1016/j.jhazmat.2023.131680. Epub 2023 May 23.
8
Early pregnancy phthalates and replacements in relation to fetal growth: The human placenta and phthalates study.
Environ Res. 2023 Jul 15;229:115975. doi: 10.1016/j.envres.2023.115975. Epub 2023 Apr 23.
9
Evaluating Chemical Mixtures in Epidemiological Studies to Inform Regulatory Decisions.
Environ Health Perspect. 2023 Apr;131(4):45001. doi: 10.1289/EHP11899. Epub 2023 Apr 6.
10
Temporal trends and predictors of phthalate, phthalate replacement, and phenol biomarkers in the LIFECODES Fetal Growth Study.
Environ Int. 2023 Apr;174:107898. doi: 10.1016/j.envint.2023.107898. Epub 2023 Mar 24.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验