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Gulson B, Taylor A, Eisman J. Bone remodeling during pregnancy and post-partum assessed by metal lead levels and isotopic concentrations. Bone 2016; 89:40-51. [PMID: 27233973 DOI: 10.1016/j.bone.2016.05.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 05/21/2016] [Accepted: 05/23/2016] [Indexed: 11/16/2022]
Abstract
Bone remodeling is normally evaluated using bone turnover markers/indices as indicators of bone resorption and formation. However, during pregnancy and post-partum, there have been inconsistent results between and within biomarkers for bone formation and resorption. These differences may relate to pregnancy-related changes in metabolism and/or hemodilution altering measured marker levels. An alternative approach to evaluating bone remodeling is to use the metal lead (Pb) concentrations and Pb isotopic compositions in blood. These measurements can also provide information on the amount of Pb that is mobilized from the maternal skeleton. Despite some similarities with accepted bone turnover markers, the Pb data demonstrate increased bone resorption throughout pregnancy that further continues post-partum independent of length of breast-feeding, dietary intake and resumption of menses. Furthermore the isotopic measurements are not affected by hemodilution. These data confirm calcium balance studies that indicate increased bone resorption throughout pregnancy and lactation. They also indicate potentially major public health implications of the transfer of maternal Pb burden to the fetus and new born.
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Affiliation(s)
- Brian Gulson
- Department of Environmental Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, NSW, Australia; Commonwealth Scientific and Industrial Research Organisation (CSIRO), Energy Flagship, Sydney, Australia.
| | - Alan Taylor
- Department of Psychology, Macquarie University, Australia.
| | - John Eisman
- Garvan Institute of Medical Research, St Vincent's Hospital, School of Medicine Sydney, University of Notre Dame Australia, Sydney, NSW, Australia; University of New South Wales, Garvan Institute of Medical Research, St Vincent's Hospital, School of Medicine Sydney, Sydney, NSW, Australia.
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Barbieri FL, Gardon J, Ruiz-Castell M, Paco V. P, Muckelbauer R, Casiot C, Freydier R, Duprey JL, Chen CM, Müller-Nordhorn J, Keil T. Toxic trace elements in maternal and cord blood and social determinants in a Bolivian mining city. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2015; 26:158-74. [PMID: 26179629 PMCID: PMC4733940 DOI: 10.1080/09603123.2015.1061114] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2015] [Accepted: 04/25/2015] [Indexed: 05/19/2023]
Abstract
This study assessed lead, arsenic, and antimony in maternal and cord blood, and associations between maternal concentrations and social determinants in the Bolivian mining city of Oruro using the baseline assessment of the ToxBol/Mine-Niño birth cohort. We recruited 467 pregnant women, collecting venous blood and sociodemographic information as well as placental cord blood at birth. Metallic/semimetallic trace elements were measured using inductively coupled plasma mass spectrometry. Lead medians in maternal and cord blood were significantly correlated (Spearman coefficient = 0.59; p < 0.001; 19.35 and 13.50 μg/L, respectively). Arsenic concentrations were above detection limit (3.30 μg/L) in 17.9% of maternal and 34.6% of cord blood samples. They were not associated (Fischer's p = 0.72). Antimony medians in maternal and cord blood were weakly correlated (Spearman coefficient = 0.15; p < 0.03; 9.00 and 8.62 μg/L, respectively). Higher concentrations of toxic elements in maternal blood were associated with maternal smoking, low educational level, and partner involved in mining.
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Affiliation(s)
- Flavia L. Barbieri
- Institut de Recherche pour le Développement (IRD), La Paz, Bolivia
- Servicios de Laboratorio de Investigación en Salud (SELADIS), Universidad Mayor de San Andrés, La Paz, Bolivia
- Berlin School of Public Health (BSPH), Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Jacques Gardon
- Institut de Recherche pour le Développement (IRD), La Paz, Bolivia
- Servicios de Laboratorio de Investigación en Salud (SELADIS), Universidad Mayor de San Andrés, La Paz, Bolivia
- Hydrosciences Montpellier (HSM), Maison des Sciences de l’eau, Montpellier, France
| | - María Ruiz-Castell
- Institut de Recherche pour le Développement (IRD), La Paz, Bolivia
- Servicios de Laboratorio de Investigación en Salud (SELADIS), Universidad Mayor de San Andrés, La Paz, Bolivia
- Centre de Recherche du Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, Canada
| | - Pamela Paco V.
- Institut de Recherche pour le Développement (IRD), La Paz, Bolivia
- Servicios de Laboratorio de Investigación en Salud (SELADIS), Universidad Mayor de San Andrés, La Paz, Bolivia
| | - Rebecca Muckelbauer
- Berlin School of Public Health (BSPH), Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Corinne Casiot
- Hydrosciences Montpellier (HSM), Maison des Sciences de l’eau, Montpellier, France
- Centre National de la Recherche Scientifique (CNRS), Maison des Sciences de l’eau, Montpellier, France
| | - Rémi Freydier
- Hydrosciences Montpellier (HSM), Maison des Sciences de l’eau, Montpellier, France
- Centre National de la Recherche Scientifique (CNRS), Maison des Sciences de l’eau, Montpellier, France
| | - Jean-Louis Duprey
- Institut de Recherche pour le Développement (IRD), La Paz, Bolivia
- Laboratorio de Calidad Ambiental (LCA), Universidad Mayor de San Andrés, Instituto de Ecología, La Paz, Bolivia
| | - Chih-Mei Chen
- Berlin School of Public Health (BSPH), Charité – Universitätsmedizin Berlin, Berlin, Germany
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | | | - Thomas Keil
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany
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Revisiting mobilisation of skeletal lead during pregnancy based on monthly sampling and cord/maternal blood lead relationships confirm placental transfer of lead. Arch Toxicol 2015; 90:805-16. [DOI: 10.1007/s00204-015-1515-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2015] [Accepted: 03/31/2015] [Indexed: 10/23/2022]
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Shen W, Zhang B, Liu S, Wu H, Gu X, Qin L, Tian P, Zeng Y, Ye L, Ni Z, Wang Q. Association of blood lead levels with methylenetetrahydrofolate reductase polymorphisms among Chinese pregnant women in Wuhan city. PLoS One 2015; 10:e0117366. [PMID: 25723397 PMCID: PMC4344240 DOI: 10.1371/journal.pone.0117366] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 12/23/2014] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Pregnancy is an important stimulus of bone lead release. Elevated blood lead levels (BLLs) may cause adverse pregnancy outcomes for mothers and harmful lead effects on fetuses. However, the reports about maternal BLL changes during pregnancy are conflicting to some extent. This article is to explore the variations in BLLs among pregnant women. The relationships of BLLs with methylenetetrahydrofolate reductase (MTHFR) gene C677T, A1298C, and G1793A polymorphisms, which are associated with bone resorption, were also studied. A total of 973 women, including 234, 249, and 248 women in their first, second, and third trimesters, respectively, and 242 non-pregnant women, were recruited at the Wuhan Women and Children Medical Health Center. METHODS BLLs were determined using a graphite furnace atomic absorption spectrometer. Single-nucleotide polymorphisms of MTHFR were identified with the TaqMan probe method. RESULTS The geometric mean (geometric standard deviation) of BLLs was 16.2 (1.78) μg/L for all participants. All the studied MTHFR alleles were in Hardy-Weinberg equilibrium. Multiple-linear regression analysis revealed the following results. Among the pregnant women, those that carried MTHFR 677CC (i.e. wild-genotype homozygote) and 1298CC (i.e. mutant-genotype homozygote) exhibited higher BLLs than those that carried 677CT/TT (standardized β = 0.074, P = 0.042) and 1298AC/AA (standardized β = 0.077, P = 0.035) when other covariates (e.g., age, no. of children, education and income, etc.) were adjusted. The BLLs of pregnant women consistently decreased during the pregnancy and these levels positively correlated with BMI (standard β = 0.086-0.096, P<0.05). CONCLUSIONS The 1298CC mutant-type homozygote in the MTHFR gene is a risk factor for high BLLs among low-level environmental lead-exposed Chinese pregnant women, whose BLLs consistently decreased during gestation.
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Affiliation(s)
- Wei Shen
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Bin Zhang
- Wuhan Women and Children Medical Care Center, Wuhan 430016, China
| | - Shuyun Liu
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Hongling Wu
- Wuhan Women and Children Medical Care Center, Wuhan 430016, China
| | - Xue Gu
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Lingzhi Qin
- Wuhan Women and Children Medical Care Center, Wuhan 430016, China
| | - Ping Tian
- Wuhan Women and Children Medical Care Center, Wuhan 430016, China
| | - Yun Zeng
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Linxiang Ye
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
| | - Zemin Ni
- Women and Children Medical Center of Jiang-an District, Wuhan 430017, China
| | - Qi Wang
- Department of Epidemiology and Biostatistics, MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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Rabito FA, Kocak M, Werthmann DW, Tylavsky FA, Palmer CD, Parsons PJ. Changes in low levels of lead over the course of pregnancy and the association with birth outcomes. Reprod Toxicol 2014; 50:138-44. [PMID: 25461912 DOI: 10.1016/j.reprotox.2014.10.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Revised: 08/14/2014] [Accepted: 10/07/2014] [Indexed: 11/25/2022]
Abstract
Data are lacking on the effect of low level prenatal lead exposure. We examined the change in blood lead from the second trimester until delivery and the association between maternal and cord blood lead and birth outcomes in 98 participants of the CANDLE birth cohort study. Mixed effects models were constructed to assess blood lead change over pregnancy and regression models were used to explore the relationship with cord blood lead, characteristics effecting maternal lead, birth weight and gestational age. Overall, the geometric mean maternal blood level was 0.43 μg/dL. Maternal blood lead at each time point was predictive of cord blood lead level. A 0.1 μg/dL increase in second trimester lead was associated with lower birth weight and pre-term birth. Maternal blood lead below 1 μg/dL behaves in a manner similar to lead at higher levels and is associated with a small decrease in birth weight and gestational age.
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Affiliation(s)
- Felicia A Rabito
- Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112, United States.
| | - Mehmet Kocak
- Department of Preventive Medicine, University of Tennessee Health Science Center, 66 North Pauline Street, 6th floor, Memphis TN 38105, United States
| | - Derek W Werthmann
- Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112, United States
| | - Frances A Tylavsky
- Department of Preventive Medicine, University of Tennessee Health Science Center, 66 North Pauline Street, 6th floor, Memphis TN 38105, United States
| | - Christopher D Palmer
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, P.O. Box 509, Albany, NY 12201-0509, United States; Department of Environmental Health Sciences, School of Public Health, The University at Albany, P.O. Box 509, NY 12201-0509, United States
| | - Patrick J Parsons
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, P.O. Box 509, Albany, NY 12201-0509, United States; Department of Environmental Health Sciences, School of Public Health, The University at Albany, P.O. Box 509, NY 12201-0509, United States
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Liu KS, Hao JH, Shi J, Dai CF, Guo XR. Blood Lead Levels During Pregnancy and Its Influencing Factors in Nanjing, China. ACTA ACUST UNITED AC 2013; 28:95-101. [DOI: 10.1016/s1001-9294(13)60029-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Jiang Y, Wang H, Chen J, Zhang G, Chen L, Dai W, Zhou W, Yang H, Shi H. Blood lead levels during different trimesters of pregnancy and the possible influencing factors in Chengdu, China. Biol Trace Elem Res 2011; 144:27-35. [PMID: 21448565 DOI: 10.1007/s12011-011-9020-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2010] [Accepted: 03/01/2011] [Indexed: 11/25/2022]
Abstract
Lead is a toxic element. It can damage multiple human organs and systems. In present study, we detected the blood lead levels (BLLs) during the whole pregnancy period and 6-12th weeks after delivery and analyzed their influencing factors by healthy pregnant women. We recruited 128 healthy pregnant women absent of pregnancy or obstetric complications or abnormal pregnancy outcomes as the gravida group. The control group consisted of 120 healthy non-pregnant women. The lead concentrations of all the three pregnancy trimesters and postpartum were: 5.95 ± 2.27, 5.51 ± 1.93, 5.57 ± 1.85, and 6.88 ± 1.90 μg/dl; and the mean lead concentration of control group was 6.87 ± 2.29 μg/dl. We found that the BLLs of the gravida group were lower than that of control group during all three trimesters and occupations, supplement nutrition elements, and time of house painted could affect blood lead levels of pregnant women. Lead-related occupations, using cosmetics, and living in a house painted <1 year are risk factors of high BLLs among pregnant women, while calcium, iron, zinc, and milk supplements are protective factors. These may help people especially pregnant women to reduce lead exposure via supplement of calcium, iron, zinc, and milk or avoiding contacting above risk factors.
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Affiliation(s)
- Yongmei Jiang
- Department of Laboratory Medicine, West China Second University Hospital, Sichuan University, No. 20, Section 3, Ren Min Nan Lu, Chengdu, Sichuan, 610041, People's Republic of China
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Hou SF, Li HR, Wang LZ, Li DZ, Yang LS, Li CZ. Contents of chemical elements in stomach during prenatal development: different age-dependent dynamical changes and their significance. World J Gastroenterol 2003; 9:1063-6. [PMID: 12717857 PMCID: PMC4611373 DOI: 10.3748/wjg.v9.i5.1063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To observe dynamic of different chemical elements in stomach tissue during fetal development.
METHODS: To determine contents of the 21 chemical elements in each stomach samples from fetus aging four to ten months. The content values were compared to those from adult tissue samples, and the values for each month group were also analyzed for dynamic changes.
RESULTS: Three representations were found regarding the relationship between contents of the elements and ages of the fetus, including the positive correlative (K), reversely correlative (Na, Ca, P, Al, Cu, Zn, Fe, Mn, Cr, Sr, Li, Cd, Ba, Se) and irrelevant groups (Mg, Co, Ni, V, Pb, Ti).
CONCLUSION: The chemical elements’ contents in stomach tissues were found to change dynamically with the stomach weights. The age-dependent representations for different chemical elements during the prenatal development may be of some significance for assessing development of fetal stomach and some chemical elements. The data may be helpful for the nutritional balance of fetus and mothers during prenatal development and even the perinatal stages.
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Affiliation(s)
- Shao-Fan Hou
- Institute of Geographical Sciences and Natural Resources Research, CAS, Beijing 100101, China.
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