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Veiga-Lopez A, Kannan K, Liao C, Ye W, Domino SE, Padmanabhan V. Gender-Specific Effects on Gestational Length and Birth Weight by Early Pregnancy BPA Exposure. J Clin Endocrinol Metab 2015; 100:E1394-403. [PMID: 26406292 PMCID: PMC4702459 DOI: 10.1210/jc.2015-1724] [Citation(s) in RCA: 93] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
CONTEXT AND OBJECTIVE Effects of prenatal exposure to bisphenol A (BPA) on gestational and birth outcomes are controversial. The aim of the study was to evaluate the relationship between prenatal exposure to BPA and birth and gestational outcomes. design, setting, participants, and outcome: Levels of unconjugated (uBPA) and BPA glucuronide in 80 matching samples of pregnant women during the first trimester of pregnancy and at delivery and matching term cord blood obtained from a prospective study conducted at the University of Michigan Hospitals were determined using a methodology validated in the National Institutes of Environmental Health Sciences funded Round Robin study and related to pregnancy outcomes. RESULTS Highest levels of uBPA were found in maternal term samples followed by first trimester maternal (M1) samples and cord blood. A 2-fold increase in M1 uBPA was associated with 55-g less birth weight when male and female pregnancies were combined and 183-g less birth weight with only female pregnancies. A 2-fold increase in maternal term uBPA was associated with an increased gestational length of 0.7 days for all pregnancies and 1.1 days for only female pregnancies. CONCLUSION Higher uBPA exposure levels during first trimester and term are associated with sex-specific reduction in birth weight and increase in gestational length, respectively. Race, parity, and employment have an effect on BPA exposure. Because low birth weight is associated with adverse health outcomes, effect of early pregnancy BPA levels on reducing birth weight highlights the risk posed by developmental exposure to BPA.
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Affiliation(s)
- Almudena Veiga-Lopez
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
| | - Kurunthachalam Kannan
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
| | - Chunyang Liao
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
| | - Wen Ye
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
| | - Steven E Domino
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
| | - Vasantha Padmanabhan
- Department of Pediatrics (A.V.-L., V.P.), University of Michigan, Ann Arbor, Michigan 48109; Wadsworth Center (K.K.), New York State Department of Health, Albany, New York 12208; and Department of Biostatistics (W.Y.), and Department of Obstetrics and Gynecology (S.E.D., V.P.), University of Michigan, Ann Arbor, Michigan 48109
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Okamura DM, Pennathur S. The balance of powers: Redox regulation of fibrogenic pathways in kidney injury. Redox Biol 2015; 6:495-504. [PMID: 26448394 PMCID: PMC4600846 DOI: 10.1016/j.redox.2015.09.039] [Citation(s) in RCA: 73] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Revised: 09/22/2015] [Accepted: 09/22/2015] [Indexed: 01/13/2023] Open
Abstract
Oxidative stress plays a central role in the pathogenesis of diverse chronic inflammatory disorders including diabetic complications, cardiovascular disease, aging, and chronic kidney disease (CKD). Patients with moderate to advanced CKD have markedly increased levels of oxidative stress and inflammation that likely contribute to the unacceptable high rates of morbidity and mortality in this patient population. Oxidative stress is defined as an imbalance of the generation of reactive oxygen species (ROS) in excess of the capacity of cells/tissues to detoxify or scavenge them. Such a state of oxidative stress may alter the structure/function of cellular macromolecules and tissues that eventually leads to organ dysfunction. The harmful effects of ROS have been largely attributed to its indiscriminate, stochastic effects on the oxidation of protein, lipids, or DNA but in many instances the oxidants target particular amino acid residues or lipid moieties. Oxidant mechanisms are intimately involved in cell signaling and are linked to several key redox-sensitive signaling pathways in fibrogenesis. Dysregulation of antioxidant mechanisms and overproduction of ROS not only promotes a fibrotic milieu but leads to mitochondrial dysfunction and further exacerbates kidney injury. Our studies support the hypothesis that unique reactive intermediates generated in localized microenvironments of vulnerable tissues such as the kidney activate fibrogenic pathways and promote end-organ damage. The ability to quantify these changes and assess response to therapies will be pivotal in understanding disease mechanisms and monitoring efficacy of therapy.
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Affiliation(s)
- Daryl M Okamura
- Seattle Children's Research Institute, Department of Pediatrics, University of Washington, Seattle, WA, USA.
| | - Subramaniam Pennathur
- University of Michigan, Department of Medicine, Division of Nephrology, Ann Arbor, MI, USA
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Neier K, Marchlewicz EH, Dolinoy DC, Padmanabhan V. Assessing Human Health Risk to Endocrine Disrupting Chemicals: a Focus on Prenatal Exposures and Oxidative Stress. ACTA ACUST UNITED AC 2015; 3. [PMID: 27231701 DOI: 10.1080/23273747.2015.1069916] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Understanding the health risk posed by endocrine disrupting chemicals (EDCs) is a challenge that is receiving intense attention. The following study criteria should be considered to facilitate risk assessment for exposure to EDCs: 1) characterization of target health outcomes and their mediators, 2) study of exposures in the context of critical periods of development, 3) accurate estimates of human exposures and use of human-relevant exposures in animal studies, and 4) cross-species comparisons. In this commentary, we discuss the importance and relevance of each of these criteria in studying the effects of prenatal exposure to EDCs. Our discussion focuses on oxidative stress as a mediator of EDC-related health effects due to its association with both EDC exposure and health outcomes. Our recent study (Veiga-Lopez et al. 2015)1 addressed each of the four outlined criteria and demonstrated that prenatal bisphenol-A exposure is associated with oxidative stress, a risk factor for developing diabetes and cardiovascular diseases in adulthood.
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Affiliation(s)
- Kari Neier
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan 48109
| | - Elizabeth H Marchlewicz
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan 48109
| | - Dana C Dolinoy
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan 48109; Department of Nutritional Sciences, University of Michigan, Ann Arbor, Michigan 48109
| | - Vasantha Padmanabhan
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan 48109; Department of Pediatrics, University of Michigan, Ann Arbor 48109
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