Evidence map›Paper›PMID 28091126›Full record

ArticleJournal of immunotoxicology2017

Association between perfluoroalkyl substance exposure and asthma and allergic disease in children as modified by MMR vaccination.

Clara Amalie Gade Timmermann, Esben Budtz-Jørgensen, Tina Kold Jensen, Christa Elyse Osuna, Maria Skaalum Petersen, Ulrike Steuerwald, Flemming Nielsen, Lars K Poulsen, Pál Weihe, Philippe Grandjean

Open access · goldAbstract read
In one paragraph

Article in Journal of immunotoxicology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Environmental exposure to per- and polyfluoroalkyl substances mixture and asthma in adolescents.International archives of occupational and environmental health · 2024
    Article
  8. Article
  9. Consideration of pathways for immunotoxicity of per- and polyfluoroalkyl substances (PFAS).Environmental health : a global access science source · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Application of the Key Characteristics of Carcinogens to Per and Polyfluoroalkyl Substances.International journal of environmental research and public health · 2020
    Review
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

10 authors at 6 institutions in 3 countries.

Clara Amalie Gade Timmermanna Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.
Esben Budtz-Jørgensenb Section of Biostatistics , University of Copenhagen , Copenhagen , Denmark.
Tina Kold Jensena Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.
Christa Elyse Osunac Center for Virology and Vaccine Research , Beth Israel Deaconess Medical Center, Harvard Medical School , Boston , MA , USA.
Maria Skaalum Petersend Department of Occupational Medicine and Public Health , Faroe Islands, Denmark.
Ulrike Steuerwaldd Department of Occupational Medicine and Public Health , Faroe Islands, Denmark.
Flemming Nielsena Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.
Lars K Poulsene Allergy Clinic , Copenhagen University Hospital Gentofte , Hellerup , Denmark.
Pál Weihed Department of Occupational Medicine and Public Health , Faroe Islands, Denmark.
Philippe Grandjeana Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.
University of Southern Denmark · DKUniversity of the Faroe Islands · FOBeth Israel Deaconess Medical Center · USGentofte Hospital · DKHarvard University · USUniversity of Copenhagen · DK

Funding

Epidemiology of Immunotoxicant Exposure in ChildrenR01ES012199 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRANDJEAN, PHILIPPE ADAM · 2004 to 2015
$3.4M
NIEHS NIH HHS R01 ES012199
6 · The paper itself

Abstract

Perfluoroalkyl substances (PFASs) are highly persistent chemicals that might be associated with asthma and allergy, but the associations remain unclear. Therefore, this study examined whether pre- and postnatal PFAS exposure was associated with childhood asthma and allergy. Measles, mumps, and rubella (MMR) vaccination in early life may have a protective effect against asthma and allergy, and MMR vaccination is therefore taken into account when evaluating these associations. In a cohort of Faroese children whose mothers were recruited during pregnancy, serum concentrations of five PFASs - Perfluorohexane sulfonic acid (PFHxS), perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA) - were measured at three timepoints (maternal serum in pregnancy week 34-36 and child serum at ages 5 and 13 years) and their association with immunoglobulin E (IgE) (cord blood and at age 7 years) and asthma/allergic diseases (questionnaires at ages 5 and 13 years and skin prick test at age 13 years) was determined. A total of 559 children were included in the analyses. Interactions with MMR vaccination were evaluated. Among 22 MMR-unvaccinated children, higher levels of the five PFASs at age 5 years were associated with increased odds of asthma at ages 5 and 13. The associations were reversed among MMR-vaccinated children. Prenatal PFAS exposure was not associated with childhood asthma or allergic diseases regardless of MMR vaccination status. In conclusion, PFAS exposure at age 5 was associated with increased risk of asthma among a small subgroup of MMR-unvaccinated children but not among MMR-vaccinated children. While PFAS exposure may impact immune system functions, this study suggests that MMR vaccination might be a potential effect-modifier.

Indexed as

AdolescentAsthmaChildChild, PreschoolCohort StudiesDenmarkEnvironmental ExposureFemaleFluorocarbonsFollow-Up StudiesHumansHypersensitivityImmunoglobulin EInfantMaleMeasles-Mumps-Rubella VaccineFluorocarbonsImmunoglobulin EMeasles-Mumps-Rubella VaccineAllergyasthmachildrenMMR vaccinationperfluoroalkyl substances

Identifiers

PMID28091126
PMCPMC6190697
OpenAlexW2574940205

What OpenQuestion holds

Textmetadata
LicenceTDM
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.