In utero pyrethroid pesticide exposure in relation to autism spectrum disorder (ASD) and other neurodevelopmental outcomes at 3 years in the MARBLES longitudinal cohort
We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years. Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because famil...
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| Vydáno v: | Environmental research Ročník 194; s. 110495 |
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01.03.2021
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| Abstract | We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years.
Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos).
The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD.
This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive.
•First study of pregnancy pyrethroid pesticide biomarker and risk of ASD at 3-years.•Higher concentration of urinary 3-PBA associated with modest increased risk for ASD.•Pesticide exposure characterization difficult due to temporal variability and multiple sources. |
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| AbstractList | Background: We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years.Methods: Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos).Results: The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD.Conclusions: This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive. We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years. Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos). The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD. This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive. We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years.BACKGROUNDWe assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years.Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos).METHODSParticipants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos).The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD.RESULTSThe median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD.This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive.CONCLUSIONSThis study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive. We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years.Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos).The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD.This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive. We assessed the relationships between prenatal pyrethroid pesticide exposure and autism spectrum disorders (ASD) or non-typical development (non-TD) at 3 years. Participants were mother-child pairs (n = 201) in the MARBLES (Markers of Autism Risk in Babies-Learning Early Signs) cohort. Because familial recurrence risk is high, MARBLES enrolls pregnant women with a family history of ASD. Children from these pregnancies were clinically assessed at 3 years of age and classified into 3 outcome categories: ASD, typically developing (TD), or non-TD (neither TD or ASD). Repeated maternal second and third trimester urine samples were analyzed for pyrethroid metabolite 3-phenoxybenzoic acid (3-PBA). Multinomial logistic regression was used to obtain relative risk ratios (RRR) linking 3-PBA concentrations averaged across each trimester and over pregnancy with child's outcome: ASD or non-TD vs. TD. Models were adjusted for specific gravity, maternal pre-pregnancy BMI, prenatal vitamin use, birth year, home-ownership, and pregnancy concentrations of TCPy (3,5,6-trichloro-2-pyridinol, a metabolite of chlorpyrifos). The median specific gravity corrected 3-PBA concentration of all samples was 1.46 ng/mL. Greater second trimester 3-PBA concentrations were associated with a relative risk ratio (RRR) for ASD of (RRR: 1.50 (95% CI 0.89 to 2.51), p = 0.12). There were no differences between non-TD and TD. This study found no evidence for differences in 3-PBA comparing non-TD with TD. A modestly elevated RRR was found comparing second trimester urinary 3-PBA concentrations for ASD versus TD; however, the confidence interval was wide and hence, these findings cannot be considered definitive. •First study of pregnancy pyrethroid pesticide biomarker and risk of ASD at 3-years.•Higher concentration of urinary 3-PBA associated with modest increased risk for ASD.•Pesticide exposure characterization difficult due to temporal variability and multiple sources. |
| ArticleNumber | 110495 |
| Author | Hertz-Picciotto, Irva Tancredi, Daniel Schmidt, Rebecca J. Barr, Dana Boyd Philippat, Claire Elms, William Bennett, Deborah H. Barkoski, Jacqueline M. Ozonoff, Sally |
| AuthorAffiliation | 2 Institute for Advanced Biosciences, INSERM U1209, CNRS UMR 5309, University Grenoble Alpes, 38000 Grenoble, France 1 Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA 5 Rollins School of Public Health, Emory University, Atlanta, GA, USA 4 MIND (Medical Investigations of Neurodevelopmental Disorders) Institute, University of California, Davis, CA, USA 3 Department of Pediatrics, School of Medicine, University of California, Davis, CA, USA |
| AuthorAffiliation_xml | – name: 4 MIND (Medical Investigations of Neurodevelopmental Disorders) Institute, University of California, Davis, CA, USA – name: 3 Department of Pediatrics, School of Medicine, University of California, Davis, CA, USA – name: 5 Rollins School of Public Health, Emory University, Atlanta, GA, USA – name: 2 Institute for Advanced Biosciences, INSERM U1209, CNRS UMR 5309, University Grenoble Alpes, 38000 Grenoble, France – name: 1 Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA |
| Author_xml | – sequence: 1 givenname: Jacqueline M. orcidid: 0000-0002-6582-9990 surname: Barkoski fullname: Barkoski, Jacqueline M. email: jmbarkoski@ucdavis.edu organization: Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA – sequence: 2 givenname: Claire orcidid: 0000-0002-4959-6648 surname: Philippat fullname: Philippat, Claire organization: University Grenoble Alpes, Inserm, CNRS, Team of Environmental Epidemiology applied to Reproduction and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France – sequence: 3 givenname: Daniel orcidid: 0000-0002-3884-7907 surname: Tancredi fullname: Tancredi, Daniel organization: Department of Pediatrics, School of Medicine, University of California, Davis, CA, USA – sequence: 4 givenname: Rebecca J. surname: Schmidt fullname: Schmidt, Rebecca J. organization: Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA – sequence: 5 givenname: Sally surname: Ozonoff fullname: Ozonoff, Sally organization: MIND (Medical Investigations of Neurodevelopmental Disorders) Institute, University of California, Davis, CA, USA – sequence: 6 givenname: Dana Boyd surname: Barr fullname: Barr, Dana Boyd organization: Rollins School of Public Health, Emory University, Atlanta, GA, USA – sequence: 7 givenname: William surname: Elms fullname: Elms, William organization: Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA – sequence: 8 givenname: Deborah H. surname: Bennett fullname: Bennett, Deborah H. organization: Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA – sequence: 9 givenname: Irva orcidid: 0000-0001-6952-2390 surname: Hertz-Picciotto fullname: Hertz-Picciotto, Irva organization: Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USA |
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| Keywords | Pyrethroid Pregnancy Neurodevelopment Autism MARBLES Pesticide |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Jacqueline M. Barkoski: Funding Acquisition, Conceptualization, Methodology, Writing- Original draft preparation, data curation, Project administration, Writing- reviewing and editing, Formal analysis; Claire Philippat: Conceptualization, Methodology, Writing- reviewing and editing; Daniel Tancredi: Methodology, Software, Validation, Formal Analysis; Rebecca Schmidt: Funding Acquisition, Writing- reviewing and editing, Methodology; Sally Ozonoff: Writing- reviewing and editing, Conceptualization, Methodology, Funding Acquisition; Dana Boyd Barr: Methodology, Writing- reviewing and editing, Resources; William Elms: Software, Validation; Deborah Bennett: Writing- reviewing and editing, Conceptualization, Methodology, Funding Acquisition, Supervision, Resources; Irva Hertz-Picciotto: Funding Acquisition, Writing- reviewing and editing, Methodology, Supervision |
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| SubjectTerms | Autism Autism Spectrum Disorder - chemically induced Autism Spectrum Disorder - epidemiology Calcium Carbonate Child children chlorpyrifos Cohort Studies confidence interval Female home ownership Humans Life Sciences MARBLES metabolites Neurodevelopment Pesticide Pesticides - toxicity Pregnancy pyrethrins Pyrethrins - toxicity Pyrethroid regression analysis relative risk Santé publique et épidémiologie specific gravity urine |
| Title | In utero pyrethroid pesticide exposure in relation to autism spectrum disorder (ASD) and other neurodevelopmental outcomes at 3 years in the MARBLES longitudinal cohort |
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