Cross-Sectional Associations between Prenatal Per- and Poly-Fluoroalkyl Substances and Bioactive Lipids in Three Environmental Influences on Child Health Outcomes (ECHO) Cohorts

on behalf of Program Collaborators for Environmental Influences on Child Health Outcomes, Himal Suthar, Tomás Manea, Dominic Pak, Megan Woodbury, Stephanie M. Eick, Amber Cathey, Deborah J. Watkins, Rita S. Strakovsky, Brad A. Ryva, Subramaniam Pennathur, Lixia Zeng, David Weller, June Soo Park, Sabrina Smith, Erin DeMicco, Amy Padula, Rebecca C. Fry, Bhramar Mukherjee, Andrea AguiarSarah Dee Geiger, Shukhan Ng, Gredia Huerta-Montanez, Carmen Vélez-Vega, Zaira Rosario, Jose F. Cordero, Emily Zimmerman, Tracey J. Woodruff, Rachel Morello-Frosch, Susan L. Schantz, John D. Meeker, Akram N. Alshawabkeh, Max T. Aung

Research output: Contribution to journalArticlepeer-review

Abstract

Prenatal per- and poly-fluoroalkyl substances (PFAS) exposure may influence gestational outcomes through bioactive lipids─metabolic and inflammation pathway indicators. We estimated associations between prenatal PFAS exposure and bioactive lipids, measuring 12 serum PFAS and 50 plasma bioactive lipids in 414 pregnant women (median 17.4 weeks’ gestation) from three Environmental influences on Child Health Outcomes Program cohorts. Pairwise association estimates across cohorts were obtained through linear mixed models and meta-analysis, adjusting the former for false discovery rates. Associations between the PFAS mixture and bioactive lipids were estimated using quantile g-computation. Pairwise analyses revealed bioactive lipid levels associated with PFDeA, PFNA, PFOA, and PFUdA (p < 0.05) across three enzymatic pathways (cyclooxygenase, cytochrome p450, lipoxygenase) in at least one combined cohort analysis, and PFOA and PFUdA (q < 0.2) in one linear mixed model. The strongest signature revealed doubling in PFOA corresponding with PGD2 (cyclooxygenase pathway; +24.3%, 95% CI: 7.3-43.9%) in the combined cohort. Mixture analysis revealed nine positive associations across all pathways with the PFAS mixture, the strongest signature indicating a quartile increase in the PFAS mixture associated with PGD2 (+34%, 95% CI: 8-66%), primarily driven by PFOS. Bioactive lipids emerged as prenatal PFAS exposure biomarkers, deepening insights into PFAS’ influence on pregnancy outcomes.

Original languageEnglish (US)
Pages (from-to)8264-8277
Number of pages14
JournalEnvironmental Science and Technology
Volume58
Issue number19
DOIs
StatePublished - May 14 2024

Keywords

  • bioactive lipids
  • eicosanoids
  • inflammatory pathways
  • metabolic pathways
  • mixtures
  • PFAS
  • pregnancy outcomes

ASJC Scopus subject areas

  • General Chemistry
  • Environmental Chemistry

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