PAH–DNA Adducts in Cord Blood and Fetal and Child Development in a Chinese Cohort Deliang Tang,1,2 Tin-yu Li,3 Jason J. Liu,1 Yu-hui Chen,1 Lirong Qu,1 and Frederica Perera1,2 1Department of Environmental Health Sciences, and 2Columbia Center for Children's Environmental Health, Mailman School of Public Health, Columbia University, New York, New York, USA; 3Chongqing Children Hospital, Chongqing, China Abstract Polycyclic aromatic hydrocarbons (PAHs) are an important class of toxic pollutants released by fossil fuel combustion. Other pollutants include metals and particulate matter. PAH–DNA adducts, or benzo[a]pyrene (BaP) adducts as their proxy, provide a chemical-specific measure of individual biologically effective doses that have been associated with increased risk of cancer and adverse birth outcomes. In the present study we examined the relationship between prenatal PAH exposure and fetal and child growth and development in Tongliang, China, where a seasonally operated coal-fired power plant was the major pollution source. In a cohort of 150 nonsmoking women and their newborns enrolled between 4 March 2002 and 19 June 2002, BaP–DNA adducts were measured in maternal and umbilical cord blood obtained at delivery. The number of gestational months occurring during the period of power plant operation provided a second, more general measure of exposure to plant emissions, in terms of duration. High PAH–DNA adduct levels (above the median of detectable adduct level) were associated with decreased birth head circumference (p = 0.057) and reduced children's weight at 18 months, 24 months, and 30 months of age (p < 0.05) , after controlling for potential confounders. In addition, in separate models, longer duration of prenatal exposure was associated with reduced birth length (p = 0.033) and reduced children's height at 18 (p = 0.001) , 24 (p < 0.001) , and 30 months of age (p < 0.001) . The findings suggest that exposure to elevated levels of PAHs, with the Tongliang power plant being a significant source, is associated with reduced fetal and child growth in this population. Key words: birth outcome, coal-burning emission, cord blood, fetal and child development, PAH–DNA adducts. Environ Health Perspect 114:1297–1300 (2006) . doi:10.1289/ehp.8939 available via http://dx.doi.org/ [Online 4 April 2006] Address correspondence to D. Tang, Mailman School of Public Health, Columbia University, Department of Environmental Health Sciences, Columbia University, 701 W. 168th St., Room 509, New York, NY 10032 USA. Telephone: (212) 305-1704. Fax: (212) 305-0596. E-mail: dt14@columbia.edu This project was supported by the V. Kann Rasmussen Foundation, the National Institute of Environmental Health Sciences (grants 5 P01 ES009600, 5 R01 ES008977, 5 R01ES11158, 5 R01 ES012468, 5 R01 ES10165) , the U.S. Environmental Protection Agency (grants R827027, 82860901, RD-832141) , and the New York Community Trust. The authors declare they have no competing financial interests. Received 19 December 2005 ; accepted 4 April 2006. The full version of this article is available for free in HTML or PDF formats. |