Evidence map›Paper›PMID 28749778›Full record

ArticleEnvironmental health perspectives2017

Serum Vaccine Antibody Concentrations in Adolescents Exposed to Perfluorinated Compounds.

Philippe Grandjean, Carsten Heilmann, Pal Weihe, Flemming Nielsen, Ulla B Mogensen, Esben Budtz-Jørgensen

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 3% 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

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 203 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The effects of exposures to mycotoxins on immunity in children: A systematic review.Current problems in pediatric and adolescent health care · 2019
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Environmental science & technology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

32 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

6 authors at 5 institutions in 3 countries.

Philippe GrandjeanDepartment of Environmental Medicine, University of Southern Denmark, Odense, Denmark
Carsten HeilmannPaediatric Clinic, Rigshospitalet – National University Hospital, Copenhagen, Denmark
Pal WeiheDepartment of Occupational Medicine and Public Health, Faroese Hospital System, Tórshavn, Faroe Islands, Denmark
Flemming NielsenDepartment of Environmental Medicine, University of Southern Denmark, Odense, Denmark
Ulla B MogensenDepartment of Biostatistics, University of Copenhagen, Copenhagen, Denmark
Esben Budtz-JørgensenDepartment of Biostatistics, University of Copenhagen, Copenhagen, Denmark
University of Copenhagen · DKHarvard University · USRigshospitalet · DKUniversity of Southern Denmark · DKUniversity of the Faroe Islands · FO

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

backgroundPostnatal exposure to perfluorinated alkylate substances (PFASs) is associated with lower serum concentrations of specific antibodies against certain childhood vaccines at 7 y.

objectivesWe prospectively followed a Faroese birth cohort to determine these associations at 13 y.

methodsIn 516 subjects (79% of eligible cohort members) who were 13 years old, serum concentrations of PFASs and of antibodies against diphtheria and tetanus were measured and were compared with data from the previous examination at 7 y. Multiple regression analyses and structural equation models were applied to determine the association between postnatal PFAS exposures and antibody concentrations.

resultsSerum concentrations of PFASs and antibodies generally declined from 7 y to 13 y. However, 68 subjects had visited the emergency room and had likely received a vaccination booster, and a total of 202 children showed higher vaccine antibody concentrations at 13 y than at 7 y. Therefore, separate analyses were conducted after exclusion of these two subgroups. Diphtheria antibody concentrations decreased at elevated PFAS concentrations at 13 y and 7 y; the associations were statistically significant for perfluorodecanoate (PFDA) at 7 y and for perfluorooctanoate (PFOA) at 13 y, both suggesting a decrease by ∼25% for each doubling of exposure. Structural equation models showed that a doubling in PFAS exposure at 7 y was associated with losses in diphtheria antibody concentrations at 13 y of 10–30% for the five PFASs. Few associations were observed for anti-tetanus concentrations.

conclusionsThese results are in accord with previous findings of PFAS immunotoxicity at current exposure levels. https://doi.org/10.1289/EHP275.

Indexed as

Environmental ExposureAdolescentAntibodies, BacterialChildDenmarkDiphtheria ToxoidEnvironmental MonitoringEnvironmental PollutantsFemaleFluorocarbonsHumansMaleProspective StudiesSulfonic AcidsTetanus ToxoidAntibodies, BacterialDiphtheria ToxoidEnvironmental PollutantsFluorocarbonsSulfonic AcidsTetanus Toxoid

Identifiers

PMID28749778
PMCPMC5744724
OpenAlexW2519038435

What OpenQuestion holds

Textmetadata
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.