Environmental Health

Combined effects of global DNA methylation, blood lead and total urinary arsenic levels on developmental delay in preschool children
Hsu YH, Wu CY, Lee HL, Hsieh RL, Huang YL, Shiue HS, Lin YC, Chen MC and Hsueh YM
DNA methylation is a critical step in brain development, 5-Methyl-2'-deoxycytidine (5mdC) is one of the global DNA methylation markers. Arsenic and lead exposures have been associated with neurotoxicity, which may be linked to epigenetic changes. Our research sought to investigate the correlation between 5mdC and developmental delay (DD) among preschoolers. Additionally, we assessed whether 5mdC modified the impacts of blood lead and total urinary arsenic levels on DD. We analyzed the concentrations of 5mdC, blood cadmium and lead, and total urinary arsenic in 174 children with DD and 88 healthy children. Global DNA methylation levels are expressed as the ratio 5mdC/2'-dexyguanosine (dG), called 5mdC (%). In our findings, elevated levels of blood lead and total urinary arsenic were significantly associated with DD risk among preschoolers. Furthermore, high 5mdC (%) was related with reduced risk of DD, with an odds ratio (OR) and 95% confidence interval (CI) of 0.14 (0.06 - 0.32). A notable multiplicative interaction was observed between low 5mdC (%) and elevated blood lead levels to increase OR of DD, with OR and 95% CI was 9.51 (4.18 - 21.64). The findings provide evidence of the combined effects of reduced 5mdC (%) and high blood lead concentrations, increasing the OR of DD.
Integrating human biomonitoring exposure data into a primary care morbidity database: a feasibility study
Jansen P, Den Hond E, De Brouwere K, Ali EA, Hassen HY, Gabaret I and Van Pottelbergh G
The detection of a local per- and polyfluoroalkyl substances (PFAS) pollution hotspot in Zwijndrecht (Belgium) necessitated immediate action to address health concerns of the local community. Several human biomonitoring (HBM) studies were initiated, gathering cross-sectional exposure data from more than 10,000 participants. The linkage of these HBM data with primary care health registries might be a useful new tool in environmental health analysis.
Per- and polyfluoroalkyl substances, apolipoproteins and the risk of coronary heart disease in US men and women
Zhu L, Liu B, Hu Y, Wang M, Furtado JD, Rimm EB, Grandjean P and Sun Q
Existing evidence for associations of per- and polyfluoroalkyl substances (PFASs) with blood lipids, lipoproteins and apolipoproteins (apo), and coronary heart disease (CHD) risk is limited and inconsistent. This study aims to explore associations between plasma PFASs, blood lipoprotein subspecies defined by apolipoproteins, and CHD risk.
Correction: Epidemiologic and clinical features of cyanobacteria harmful algal bloom exposures reported to the National Poison Data System, United States, 2010-2022: a descriptive analysis
Bloch RA, Beuhler MC, Hilborn ED, Faulkner G and Rhea S
Air pollution is linked to cognitive decline independent of hypersensitive C-reactive protein: insights from middle-aged and older Chinese
Huang L, Hu X, Liu J, Wang J, Zhou Y, Li G, Dong G and Dong H
Long-term air pollution exposure and inflammation are considered to be associated with cognitive decline. However, whether air pollution exposure related cognitive decline is dependent on inflammation remains uncertain.
Maternal multivitamin supplementation mitigates the risk of fetal congenital heart disease associated with high indoor total volatile organic compounds exposure in east china: a case-control study
Ruan X, Shang W, Lu J, Li Z, Yang J, Cheng J, Wu Y, Sun K and Sun J
Congenital heart disease (CHD) is a common birth defect. Our previous studies suggest that indoor air pollution, especially total volatile organic compounds (TVOCs), may increase fetal CHD risk, whereas vitamin and folic acid (FA) supplements in early pregnancy might offer protection against CHD. However, limited research has explored whether FA or multivitamin supplementation can mitigate the effects of TVOCs exposure on CHD.
The association between different timeframes of air pollution exposure and COVID-19 incidence, morbidity and mortality in German counties in 2020
Hermanns S, von Schneidemesser E, Caseiro A and Koch S
Ambient air pollution is a known risk factor for several chronic health conditions, including pulmonary dysfunction. In recent years, studies have shown a positive association between exposure to air pollutants and the incidence, morbidity, and mortality of a COVID-19 infection, however the time period for which air pollution exposure is most relevant for the COVID-19 outcome is still not defined. The aim of this study was to analyze the difference in association when varying the time period of air pollution exposure considered on COVID-19 infection within the same cohort during the first wave of the pandemic in 2020.
The last decade of air pollution epidemiology and the challenges of quantitative risk assessment
Forastiere F, Orru H, Krzyzanowski M and Spadaro JV
Epidemiologic research and quantitative risk assessment play a crucial role in transferring fundamental scientific knowledge to policymakers so they can take action to reduce the burden of ambient air pollution. This commentary addresses several challenges in quantitative risk assessment of air pollution that require close attention. The background to this discussion provides a summary of and conclusions from the epidemiological evidence on ambient air pollution and health outcomes accumulated since the 1990s. We focus on identifying relevant exposure-health outcome pairs, the associated concentration-response functions to be applied in a risk assessment, and several caveats in their application. We propose a structured and comprehensive framework for assessing the evidence levels associated with each exposure-health outcome pair within a health impact assessment context. Specific issues regarding the use of global or regional concentration-response functions, their shape, and the range of applicability are discussed.
Quantifying the association between PM air pollution and IQ loss in children: a systematic review and meta-analysis
Alter NC, Whitman EM, Bellinger DC and Landrigan PJ
A growing body of epidemiologic and toxicologic literature indicates that fine airborne particulate matter (PM) pollution is neurotoxic and threatens children's neurobehavioral development, resulting in reduced cognitive function. Understanding the magnitude of this effect is critical for establishing public health policies that will protect children's health, preserve human capital, and support societal progress.
Sex-specific association of per- and polyfluoroalkyl substances (PFAS) exposure with vitamin D concentrations in older adults in the USA: an observational study
Zhao H, Ren Y, Ni J, Fang L, Zhang T, Wang M, Cai G, Ma Y and Pan F
Per- and polyfluoroalkyl substances (PFAS) are commonly utilized in consumer products. While earlier studies have suggested potential impacts of certain PFAS on serum concentrations of vitamin D, these investigations were constrained to a limited set of conventional PFAS. Moreover, they did not specifically focus on populations with longer duration of PFAS exposure and potentially higher blood PFAS levels, such as older adults, and lacked adequate evidence to examine sex-related disparities.
Human acute poisoning incidents associated with neonicotinoid pesticides in the U.S. Incident Data System (IDS) database from 2018-2022 - frequency and severity show public health risks, regulatory failures
Sass JB and Raichel D
Neonicotinoid pesticides ('neonics') - imidacloprid, thiamethoxam, clothianidin, acetamiprid, dinotefuran-are the most widely used class of insecticides in the world. They have a neurotoxic mechanism of action, similar to nicotine. They are detected in food, waterways, tap water, and breast milk.
Urinary mycoestrogens and gestational weight gain in the UPSIDE pregnancy cohort
Kinkade CW, Rivera-Núñez Z, Brinker A, Buckley B, Waysack O, Kautz A, Meng Y, Ohman Strickland P, Block R, Groth SW, O'Connor TG, Aleksunes LM and Barrett ES
Zearalenone (ZEN), a secondary metabolite of Fusarium fungi, is one of the most common mycotoxins in global food supplies such as cereal grains and processed food. ZEN and its metabolites are commonly referred to as mycoestrogens, due to their ability to directly bind nuclear estrogen receptors α (ER-α) and β (ER-β). Zeranol, a synthetic mycoestrogen, is administered to U.S. cattle as a growth promoter. Despite widespread human exposure and ample evidence of adverse reproductive impacts in vitro and in vivo, there has been little epidemiological research on the health impacts of ZEN exposure during pregnancy. The objective of our study was to examine associations between ZEN and gestational weight gain (GWG).
Use of biomarkers of metals to improve prediction performance of cardiovascular disease mortality
Fansler SD, Bakulski KM, Park SK, Walker E and Wang X
Whether including additional environmental risk factors improves cardiovascular disease (CVD) prediction is unclear. We attempted to improve CVD mortality prediction performance beyond traditional CVD risk factors by additionally using metals measured in the urine and blood and with statistical machine learning methods.
The risk of thyroid cancer in relation to residential proximity to nuclear power plants: a systematic review and meta-analysis
Cottagiri SA, King W, Rodriguez-Villamizar L and Villeneuve PJ
Ionizing radiation is a human carcinogen, and there is a public concern but limited evidence that it increases the incidence of cancer among those who live near nuclear power plants (NPPs). Previous analyses of thyroid cancer in these populations have been inconsistent, and the last synthesis was published nearly a decade ago. To address these gaps, we undertook a systematic review and meta-analysis.
Association between acute exacerbation of chronic obstructive pulmonary disease and short-term exposure to ambient air pollutants in France
Basille D, Soriot L, Weppe F, Desmettres P, Henriques P, Benoit N, Devaux S, Diouf M, Jounieaux V and Andrejak C
Ambient air pollution is recognized as a major risk factor for chronic obstructive pulmonary disease (COPD) which is the third leading cause of death worldwide. We examined whether variations in daily outdoor air pollutants levels were associated with excess hospital emergency room visits (ERV) for acute exacerbation of COPD (AECOPD).
Insights into relationship of environmental inequalities and multimorbidity: a population-based study
Rajovic N, Grubor N, Cirkovic A, Maheswaran R, Bath PA, Green D, Bellantuono I, Milicevic O, Kanazir S, Miljus D, Zivkovic S, Vidojevic D, Mickovski N, Rakocevic I, Ivanovic I, Mladenovic A, Goyder E and Milic N
Substantial inequalities in the overall prevalence and patterns of multimorbidity have been widely reported, but the causal mechanisms are complex and not well understood. This study aimed to identify common patterns of multimorbidity in Serbia and assess their relationship with air pollutant concentrations and water quality indicators.
Correction: Relationship between radiofrequency-electromagnetic radiation from cellular phones and brain tumor: meta-analyses using various proxies for RF-EMR exposure-outcome assessment
Moon J, Kwon J and Mun Y
Integrated analysis of per- and polyfluoroalkyl substances and plasma lipidomics profiles in multi-ethnic Asian subjects for exposome research
Narasimhan K, Vaitheeswari , Choi E, Chandran NS, Eriksson JG, Bendt AK, Torta F and Mir SA
Perfluoroalkyl and polyfluoroalkyl substances (PFAS) exposure has been associated with metabolic diseases, however, the underlying molecular pathogenesis remains to be understood. Integrated PFAS and lipidomic analysis has the potential to identify alterations in lipid metabolism pathways for exposome research.
Associations of per- and polyfluoroalkyl substances and heavy metals with blood lipid profiles in a representative sample of Korean adolescents
Kim Y, Shin S, Choe Y, Cho J, Kim C, Kim SH and Kim KN
Previous studies on the associations of per- and polyfluoroalkyl substances (PFASs) and heavy metals with lipid profiles among adolescents have been scarce. We sought to investigate the associations of PFASs and heavy metals with blood lipid levels in a representative sample of Korean adolescents.
Prenatal metal exposures and kidney function in adolescence in Project Viva
Price NF, Lin PD, Cardenas A, Rifas-Shiman SL, Zota AR, Hivert MF, Oken E, Aris IM and Sanders AP
The developing kidney is vulnerable to prenatal environmental factors such as metal exposure, potentially altering the risk of later-life kidney dysfunction. This study examines the relationship between prenatal metal exposures, individually and as mixtures, and adolescent kidney function in Project Viva, a prospective longitudinal birth cohort in Massachusetts, USA.
Prenatal exposure to air pollution during the early and middle stages of pregnancy is associated with adverse neurodevelopmental outcomes at ages 1 to 3 years
Perera F, Miao Y, Ross Z, Rauh V, Margolis A, Hoepner L, Riley KW, Herbstman J and Wang S
A large body of data shows that fetal brain development is vulnerable to disruption by air pollution experienced by the mother during pregnancy, adversely affecting cognitive and psychomotor capabilities during childhood (De Asis-Cruz et al., Biol Psychiatry 7:480-90, 2022; Morgan ZEM et al., Environ Health 22:11, 2023). This study has sought to identify gestational windows of susceptibility to prenatal exposure to air pollution.