Evidence map›Paper›PMID 25984247›Full record

ReviewClinical epigenetics2015

Environmental chemicals and DNA methylation in adults: a systematic review of the epidemiologic evidence.

Adrian Ruiz-Hernandez, Chin-Chi Kuo, Pilar Rentero-Garrido, Wan-Yee Tang, Josep Redon, Jose M Ordovas, Ana Navas-Acien, Maria Tellez-Plaza

Open access · goldAbstract readReview
In one paragraph

Review in Clinical epigenetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  8. Article
  9. Molecular Impacts of Occupational Exposure to Waste Anesthetic Gases.Environmental and molecular mutagenesis · 2025
    Article
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  14. Review
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  19. Review
  20. NNanotoxicology · 2023
    Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Adrian Ruiz-HernandezDepartment of Internal Medicine, Hospital Clínico de Valencia, Avenida Blasco Ibañez, 17, 46010 Valencia, Spain ; Area of Cardiometabolic and Renal Risk, Institute for Biomedical Research Hospital Clinic de Valencia INCLIVA, Av. Menendez Pelayo 4, Accesorio, 46010 Valencia, Spain.
Chin-Chi KuoDepartment of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA ; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA ; Department of Internal Medicine, Kidney Institute and Division of Nephrology, China Medical University Hospital and College of Medicine, China Medical University, 2 Yude Road, Taichung, 40447 Taiwan.
Pilar Rentero-GarridoGenotyping and Genetic Diagnosis Unit, Institute for Biomedical Research INCLIVA, Av. Menendez Pelayo, 4 Accesorio, 46010 Valencia, Spain.
Wan-Yee TangDepartment of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA.
Josep RedonDepartment of Internal Medicine, Hospital Clínico de Valencia, Avenida Blasco Ibañez, 17, 46010 Valencia, Spain ; Area of Cardiometabolic and Renal Risk, Institute for Biomedical Research Hospital Clinic de Valencia INCLIVA, Av. Menendez Pelayo 4, Accesorio, 46010 Valencia, Spain ; CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Minister of Health, Madrid, Spain.
Jose M OrdovasNutrition and Genomics Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, 711 Washington St, Boston, MA 02111-1524 USA ; Instituto Madrileño de Estudios Avanzados en Alimentación, Ctra. de Cantoblanco 8, 28049 Madrid, Spain.
Ana Navas-AcienDepartment of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA ; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA ; Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, 2024 E. Monument Street, Baltimore, 21205 MD USA.
Maria Tellez-PlazaArea of Cardiometabolic and Renal Risk, Institute for Biomedical Research Hospital Clinic de Valencia INCLIVA, Av. Menendez Pelayo 4, Accesorio, 46010 Valencia, Spain ; Department of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205 USA.
Johns Hopkins University · USHospital Clínico Universitario de Valencia · ESINCLIVA Health Research Institute · ESMenéndez Pelayo International University · ESTufts University · US

Funding

Arsenic Exposure, Genetic Determinants and Diabetes Risk in a Family StudyR01ES021367 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA, VAIDYA, DHANANJAY MADHUKAR · 2012 to 2015
$2.4M
Arsenic, Epigenetics and Incident Cardiovascular Disease in American IndiansR01ES025216 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI FALLIN, M DANIELE, NAVAS-ACIEN, ANA · 2015 to 2018
$2.2M
NIEHS NIH HHS R01 ES021367NIEHS NIH HHS R01 ES025216
6 · The paper itself

Abstract

Current evidence supports the notion that environmental exposures are associated with DNA-methylation and expression changes that can impact human health. Our objective was to conduct a systematic review of epidemiologic studies evaluating the association between environmental chemicals with DNA methylation levels in adults. After excluding arsenic, recently evaluated in a systematic review, we identified a total of 17 articles (6 on cadmium, 4 on lead, 2 on mercury, 1 on nickel, 1 on antimony, 1 on tungsten, 5 on persistent organic pollutants and perfluorinated compounds, 1 on bisphenol A, and 3 on polycyclic aromatic hydrocarbons). The selected articles reported quantitative methods to determine DNA methylation including immunocolorimetric assays for total content of genomic DNA methylation, and microarray technologies, methylation-specific quantitative PCR, Luminometric Methylation Assay (LUMA), and bisulfite pyrosequencing for DNA methylation content of genomic sites such as gene promoters, LINE-1, Alu elements, and others. Considering consistency, temporality, strength, dose-response relationship, and biological plausibility, we concluded that the current evidence is not sufficient to provide inference because differences across studies and limited samples sizes make it difficult to compare across studies and to evaluate sources of heterogeneity. Important questions for future research include the need for larger and longitudinal studies, the validation of findings, and the systematic evaluation of the dose-response relationships. Future studies should also consider the evaluation of epigenetic marks recently in the research spotlight such as DNA hydroxymethylation and the role of underlying genetic variants.

Indexed as

Bisphenol ACadmiumDNA methylationEnvironmental chemicalsLeadMercuryMetalsPersistent organic pollutantsPolycyclic aromatic hydrocarbonsSystematic review

Identifiers

PMID25984247
PMCPMC4433069
OpenAlexW1825970932

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.