PFAS alters placental arterial vasculature in term human placentae : A prospective pregnancy cohort study

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INTRODUCTION: Perfluoroalkyl substances (PFAS) are synthetic chemicals used in industrial and consumer goods that are widely detected in human populations and are associated with adverse health outcomes, including perinatal health risks and child health. One mechanism of influence may be the impact of PFAS exposure on placental structure and function.

OBJECTIVES: The objective of this study is to investigate the relationship between maternal prenatal exposure to PFAS and measures of placental vascularization, and to assess whether changes in vascularization play a role in mediating the impact of PFAS on birth outcomes.

METHODS: Using data from a prospective cohort study, we examined associations between second trimester PFAS (individually and as mixtures using Bayesian kernel machine regression) and placental arterial vasculature in term placentae (N = 158); secondarily we evaluated the degree to which alterations in placental arterial vasculature explained associations between PFAS exposure and birth outcomes. Placental arterial vasculature features were collected from arterial tracings of each placental image.

RESULTS: In both linear regression and mixture models, natural log-transformed perfluorooctanoic acid concentrations were negatively associated with surface vasculature, indexed by the mean distance from arterial end point to perimeter (β = -0.23, 95% CI: -0.41, -0.041); additionally, maximum arterial tortuosity was negatively associated with placental weight (β = -0.19, 95% CI: -0.34, -0.051). There were no reliable differences in effect by fetal sex.

DISCUSSION: The findings provide some of the first evidence of PFAS exposure shaping a key measure of placental vascular function, which may underlie the impact of PFAS on perinatal and child health risks.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:149

Enthalten in:

Placenta - 149(2024) vom: 04. Apr., Seite 54-63

Sprache:

Englisch

Beteiligte Personen:

Chowdhury, Sadia Firoza [VerfasserIn]
Prout, Nashae [VerfasserIn]
Rivera-Núñez, Zorimar [VerfasserIn]
Barrett, Emily [VerfasserIn]
Brunner, Jessica [VerfasserIn]
Duberstein, Zoe [VerfasserIn]
Kannan, Kurunthachalam [VerfasserIn]
Salafia, Carolyn M [VerfasserIn]
Shah, Ruchit [VerfasserIn]
Miller, Richard K [VerfasserIn]
O'Connor, Thomas G [VerfasserIn]

Links:

Volltext

Themen:

Alkanesulfonic Acids
Birth outcomes
Environmental Pollutants
Fluorocarbons
Journal Article
PFAS
Placental structure
Pregnancy
Vasculature

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.placenta.2024.03.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37007968X