Prenatal exposure to barium and the occurrence of neural tube defects in offspring

Neural tube defects (NTDs) have a complex etiology. Few studies have assessed alkaline earth metals exposures and occurrence of NTDs. We examined the association between prenatal exposure to magnesium (Mg), calcium (Ca), strontium (Sr) and barium (Ba) and risk for NTDs in a case-control study, and a...

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Veröffentlicht in:The Science of the total environment 2021-04, Vol.764, p.144245, Article 144245
Hauptverfasser: Wang, Chengrong, Pi, Xin, Chen, Yongyan, Wang, Di, Yin, Shengju, Jin, Lei, Li, Zhiwen, Ren, Aiguo, Wang, Linlin, Yin, Chenghong
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container_title The Science of the total environment
container_volume 764
creator Wang, Chengrong
Pi, Xin
Chen, Yongyan
Wang, Di
Yin, Shengju
Jin, Lei
Li, Zhiwen
Ren, Aiguo
Wang, Linlin
Yin, Chenghong
description Neural tube defects (NTDs) have a complex etiology. Few studies have assessed alkaline earth metals exposures and occurrence of NTDs. We examined the association between prenatal exposure to magnesium (Mg), calcium (Ca), strontium (Sr) and barium (Ba) and risk for NTDs in a case-control study, and assessed the teratogenic effects of Ba on mice. Placentas were collected from 408 women with NTD-affected pregnancies and 593 women who delivered healthy infants, and concentrations of these metals were determined as prenatal exposure markers. The single effect of individual exposure and joint effect of coexposure to these metals were evaluated with logistic regression and Bayesian kernel machine regression (BKMR), respectively. Barium chloride (BaCl2) was intragastrically administered to pregnant ICR mice and fetal mice were examined for NTDs. Median concentrations of Mg and Ba were higher in NTD cases than in controls (Pall 
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Few studies have assessed alkaline earth metals exposures and occurrence of NTDs. We examined the association between prenatal exposure to magnesium (Mg), calcium (Ca), strontium (Sr) and barium (Ba) and risk for NTDs in a case-control study, and assessed the teratogenic effects of Ba on mice. Placentas were collected from 408 women with NTD-affected pregnancies and 593 women who delivered healthy infants, and concentrations of these metals were determined as prenatal exposure markers. The single effect of individual exposure and joint effect of coexposure to these metals were evaluated with logistic regression and Bayesian kernel machine regression (BKMR), respectively. Barium chloride (BaCl2) was intragastrically administered to pregnant ICR mice and fetal mice were examined for NTDs. Median concentrations of Mg and Ba were higher in NTD cases than in controls (Pall &lt; 0.001). In logistic regression, higher levels of Ba were associated with 1.6-fold increased risk for NTDs (95% confidence interval: 1.06–2.43). In BKMR, the joint effect of the four-metal mixture on NTD risk increased steadily with the levels of the mixture. A change in Ba concentration from the 25th to 75th percentile displayed a risk effect when the other three metals were fixed at the 25th, 50th or 75th percentile, while such a change in Ca concentration showed a protective effect when the other metals were held at the 25th or 50th percentile. No interactions among metals were found. In the mouse experiment, dams treated with 200 mg/kg BaCl2 showed 16.8% of NTDs in fetal mice, compared to 2.6% in the untreated control group (P &lt; 0.01). Taken together, higher mixture levels of the four alkaline earth metals were associated with increased risk for NTDs, with Ba being the major contributor for the joint effect. Intragastric administration of Ba can induce NTDs in mice. [Display omitted] •Concentrations of Mg, Ca, Sr and Ba in placental tissue were used as prenatal exposure markers.•Higher levels of Ba were associated with elevated NTD risk in both logistic regression and BKMR.•Higher levels of Ca were associated with reduced NTD risk when the other metals were considered.•NTD risk increased with levels of all metals when they were treated as a coexposure mixture.•Prenatal administration of Ba by gavage may induce fetal NTDs in ICR mice.</description><identifier>ISSN: 0048-9697</identifier><identifier>EISSN: 1879-1026</identifier><identifier>DOI: 10.1016/j.scitotenv.2020.144245</identifier><identifier>PMID: 33385660</identifier><language>eng</language><publisher>AMSTERDAM: Elsevier B.V</publisher><subject>Alkaline earth metal ; Animals ; Barium ; Barium - toxicity ; Bayes Theorem ; Bayesian kernel machine regression ; Case-Control Studies ; Environmental Sciences ; Environmental Sciences &amp; Ecology ; Female ; ICR mice ; Life Sciences &amp; Biomedicine ; Mice ; Mice, Inbred ICR ; Mixture effect ; Neural tube defects ; Neural Tube Defects - chemically induced ; Neural Tube Defects - epidemiology ; Pregnancy ; Prenatal Exposure Delayed Effects ; Science &amp; Technology</subject><ispartof>The Science of the total environment, 2021-04, Vol.764, p.144245, Article 144245</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. 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Few studies have assessed alkaline earth metals exposures and occurrence of NTDs. We examined the association between prenatal exposure to magnesium (Mg), calcium (Ca), strontium (Sr) and barium (Ba) and risk for NTDs in a case-control study, and assessed the teratogenic effects of Ba on mice. Placentas were collected from 408 women with NTD-affected pregnancies and 593 women who delivered healthy infants, and concentrations of these metals were determined as prenatal exposure markers. The single effect of individual exposure and joint effect of coexposure to these metals were evaluated with logistic regression and Bayesian kernel machine regression (BKMR), respectively. Barium chloride (BaCl2) was intragastrically administered to pregnant ICR mice and fetal mice were examined for NTDs. Median concentrations of Mg and Ba were higher in NTD cases than in controls (Pall &lt; 0.001). In logistic regression, higher levels of Ba were associated with 1.6-fold increased risk for NTDs (95% confidence interval: 1.06–2.43). In BKMR, the joint effect of the four-metal mixture on NTD risk increased steadily with the levels of the mixture. A change in Ba concentration from the 25th to 75th percentile displayed a risk effect when the other three metals were fixed at the 25th, 50th or 75th percentile, while such a change in Ca concentration showed a protective effect when the other metals were held at the 25th or 50th percentile. No interactions among metals were found. In the mouse experiment, dams treated with 200 mg/kg BaCl2 showed 16.8% of NTDs in fetal mice, compared to 2.6% in the untreated control group (P &lt; 0.01). Taken together, higher mixture levels of the four alkaline earth metals were associated with increased risk for NTDs, with Ba being the major contributor for the joint effect. Intragastric administration of Ba can induce NTDs in mice. [Display omitted] •Concentrations of Mg, Ca, Sr and Ba in placental tissue were used as prenatal exposure markers.•Higher levels of Ba were associated with elevated NTD risk in both logistic regression and BKMR.•Higher levels of Ca were associated with reduced NTD risk when the other metals were considered.•NTD risk increased with levels of all metals when they were treated as a coexposure mixture.•Prenatal administration of Ba by gavage may induce fetal NTDs in ICR mice.</description><subject>Alkaline earth metal</subject><subject>Animals</subject><subject>Barium</subject><subject>Barium - toxicity</subject><subject>Bayes Theorem</subject><subject>Bayesian kernel machine regression</subject><subject>Case-Control Studies</subject><subject>Environmental Sciences</subject><subject>Environmental Sciences &amp; Ecology</subject><subject>Female</subject><subject>ICR mice</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Mice</subject><subject>Mice, Inbred ICR</subject><subject>Mixture effect</subject><subject>Neural tube defects</subject><subject>Neural Tube Defects - chemically induced</subject><subject>Neural Tube Defects - epidemiology</subject><subject>Pregnancy</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Science &amp; Technology</subject><issn>0048-9697</issn><issn>1879-1026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkMFuGyEQhlHVqHGdvkLKvVoHdllgj5HVJpUiJYqSM2LZocGyFwvYNHn7jrWury0X0PD9M5qPkK-crTjj8mqzyi6UWGB8XdWsxqoQtWg_kAXXqqs4q-VHsmBM6KqTnTonn3PeMDxK80_kvGka3UrJFuTxIcFoi91SeNvHPCWgJdLepjDtqB0HWl6ARuemhJzDp6cjTAn5MvVAB_DgSqZhxB-f9ymMvy7ImbfbDF-O95I8__j-tL6t7u5vfq6v7yqH00vV1m3Xt563loPiQkvfMa69lr1VWmvWMMG5FU6wxtZKCd-C9UoNVnHfeSebJVFzX5dizgm8wfE7m94NZ-ZgyWzMyZI5WDKzJUxezsn91O9gOOX-akFAz8Bv6KPHJofdTxhqlBwbdZIxXot1KLaEOK7jNBaMfvv_KNLXMw0o6jVAMsfEEBKKNUMM_9zmD1_GnhM</recordid><startdate>20210410</startdate><enddate>20210410</enddate><creator>Wang, Chengrong</creator><creator>Pi, Xin</creator><creator>Chen, Yongyan</creator><creator>Wang, Di</creator><creator>Yin, Shengju</creator><creator>Jin, Lei</creator><creator>Li, Zhiwen</creator><creator>Ren, Aiguo</creator><creator>Wang, Linlin</creator><creator>Yin, Chenghong</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-9115-5638</orcidid><orcidid>https://orcid.org/0000-0002-5709-6643</orcidid></search><sort><creationdate>20210410</creationdate><title>Prenatal exposure to barium and the occurrence of neural tube defects in offspring</title><author>Wang, Chengrong ; Pi, Xin ; Chen, Yongyan ; Wang, Di ; Yin, Shengju ; Jin, Lei ; Li, Zhiwen ; Ren, Aiguo ; Wang, Linlin ; Yin, Chenghong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-5259b5f15a1e71486f9018f86ba7888030411a4c403a2774f5eaf77da71f9fc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alkaline earth metal</topic><topic>Animals</topic><topic>Barium</topic><topic>Barium - toxicity</topic><topic>Bayes Theorem</topic><topic>Bayesian kernel machine regression</topic><topic>Case-Control Studies</topic><topic>Environmental Sciences</topic><topic>Environmental Sciences &amp; Ecology</topic><topic>Female</topic><topic>ICR mice</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Mice</topic><topic>Mice, Inbred ICR</topic><topic>Mixture effect</topic><topic>Neural tube defects</topic><topic>Neural Tube Defects - chemically induced</topic><topic>Neural Tube Defects - epidemiology</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Science &amp; Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Chengrong</creatorcontrib><creatorcontrib>Pi, Xin</creatorcontrib><creatorcontrib>Chen, Yongyan</creatorcontrib><creatorcontrib>Wang, Di</creatorcontrib><creatorcontrib>Yin, Shengju</creatorcontrib><creatorcontrib>Jin, Lei</creatorcontrib><creatorcontrib>Li, Zhiwen</creatorcontrib><creatorcontrib>Ren, Aiguo</creatorcontrib><creatorcontrib>Wang, Linlin</creatorcontrib><creatorcontrib>Yin, Chenghong</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Science of the total environment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Chengrong</au><au>Pi, Xin</au><au>Chen, Yongyan</au><au>Wang, Di</au><au>Yin, Shengju</au><au>Jin, Lei</au><au>Li, Zhiwen</au><au>Ren, Aiguo</au><au>Wang, Linlin</au><au>Yin, Chenghong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal exposure to barium and the occurrence of neural tube defects in offspring</atitle><jtitle>The Science of the total environment</jtitle><stitle>SCI TOTAL ENVIRON</stitle><addtitle>Sci Total Environ</addtitle><date>2021-04-10</date><risdate>2021</risdate><volume>764</volume><spage>144245</spage><pages>144245-</pages><artnum>144245</artnum><issn>0048-9697</issn><eissn>1879-1026</eissn><abstract>Neural tube defects (NTDs) have a complex etiology. Few studies have assessed alkaline earth metals exposures and occurrence of NTDs. We examined the association between prenatal exposure to magnesium (Mg), calcium (Ca), strontium (Sr) and barium (Ba) and risk for NTDs in a case-control study, and assessed the teratogenic effects of Ba on mice. Placentas were collected from 408 women with NTD-affected pregnancies and 593 women who delivered healthy infants, and concentrations of these metals were determined as prenatal exposure markers. The single effect of individual exposure and joint effect of coexposure to these metals were evaluated with logistic regression and Bayesian kernel machine regression (BKMR), respectively. Barium chloride (BaCl2) was intragastrically administered to pregnant ICR mice and fetal mice were examined for NTDs. Median concentrations of Mg and Ba were higher in NTD cases than in controls (Pall &lt; 0.001). In logistic regression, higher levels of Ba were associated with 1.6-fold increased risk for NTDs (95% confidence interval: 1.06–2.43). In BKMR, the joint effect of the four-metal mixture on NTD risk increased steadily with the levels of the mixture. A change in Ba concentration from the 25th to 75th percentile displayed a risk effect when the other three metals were fixed at the 25th, 50th or 75th percentile, while such a change in Ca concentration showed a protective effect when the other metals were held at the 25th or 50th percentile. No interactions among metals were found. In the mouse experiment, dams treated with 200 mg/kg BaCl2 showed 16.8% of NTDs in fetal mice, compared to 2.6% in the untreated control group (P &lt; 0.01). Taken together, higher mixture levels of the four alkaline earth metals were associated with increased risk for NTDs, with Ba being the major contributor for the joint effect. Intragastric administration of Ba can induce NTDs in mice. [Display omitted] •Concentrations of Mg, Ca, Sr and Ba in placental tissue were used as prenatal exposure markers.•Higher levels of Ba were associated with elevated NTD risk in both logistic regression and BKMR.•Higher levels of Ca were associated with reduced NTD risk when the other metals were considered.•NTD risk increased with levels of all metals when they were treated as a coexposure mixture.•Prenatal administration of Ba by gavage may induce fetal NTDs in ICR mice.</abstract><cop>AMSTERDAM</cop><pub>Elsevier B.V</pub><pmid>33385660</pmid><doi>10.1016/j.scitotenv.2020.144245</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9115-5638</orcidid><orcidid>https://orcid.org/0000-0002-5709-6643</orcidid></addata></record>
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subjects Alkaline earth metal
Animals
Barium
Barium - toxicity
Bayes Theorem
Bayesian kernel machine regression
Case-Control Studies
Environmental Sciences
Environmental Sciences & Ecology
Female
ICR mice
Life Sciences & Biomedicine
Mice
Mice, Inbred ICR
Mixture effect
Neural tube defects
Neural Tube Defects - chemically induced
Neural Tube Defects - epidemiology
Pregnancy
Prenatal Exposure Delayed Effects
Science & Technology
title Prenatal exposure to barium and the occurrence of neural tube defects in offspring
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