Evidence map›Paper›PMID 28805477›Full record

ArticleJournal of immunotoxicology2017

Estimated exposures to perfluorinated compounds in infancy predict attenuated vaccine antibody concentrations at age 5-years.

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

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 95 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% 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

95 citing papers in PubMed, 3 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Pooled it
  2. Public health evaluation of PFAS exposures and breastfeeding: a systematic literature review.Toxicological sciences : an official journal of the Society of Toxicology · 2023
    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. Review
  6. Article
  7. Article
  8. Article
  9. Developmental exposure to a PFAS mixture impairs the anamnestic response to influenza A virus infection in mice.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  10. Article
  11. A Call for Training Pediatric Practitioners About Industrial Chemicals and Child Health.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  12. Review
  13. Article
  14. Article
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  20. Review

35 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

7 authors at 5 institutions in 3 countries.

Philippe Grandjeana Department of Environmental Health , Harvard T.H. Chan School of Public Health , Boston , MA , USA.ORCID 0000-0003-4046-9658
Carsten Heilmannc Pediatric Clinic , Rigshospitalet - National University Hospital , Copenhagen , Denmark.ORCID 0000-0002-6421-9576
Pal Weihed Department of Occupational Medicine and Public Health , Faroese Hospital System , Torshavn , Faroe Islands.ORCID 0000-0001-8174-3671
Flemming Nielsenb Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.ORCID 0000-0001-8444-7835
Ulla B Mogensene Department of Biostatistics , University of Copenhagen , Copenhagen , Denmark.ORCID 0000-0003-3158-948X
Amalie Timmermannb Department of Environmental Medicine , University of Southern Denmark , Odense , Denmark.ORCID 0000-0001-9847-2038
Esben Budtz-Jørgensene Department of Biostatistics , University of Copenhagen , Copenhagen , Denmark.ORCID 0000-0002-5551-0724
University of Copenhagen · DKUniversity of Southern Denmark · DKHarvard University · USRigshospitalet · 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

Perfluorinated alkylate substances (PFASs) are highly persistent and may cause immunotoxic effects. PFAS-associated attenuated antibody responses to childhood vaccines may be affected by PFAS exposures during infancy, where breastfeeding adds to PFAS exposures. Of 490 members of a Faroese birth cohort, 275 and 349 participated in clinical examinations and provided blood samples at ages 18 months and 5 years. PFAS concentrations were measured at birth and at the clinical examinations. Using information on duration of breastfeeding, serum-PFAS concentration profiles during infancy were estimated. As outcomes, serum concentrations of antibodies against tetanus and diphtheria vaccines were determined at age 5. Data from a previous cohort born eight years earlier were available for pooled analyses. Pre-natal exposure showed inverse associations with the antibody concentrations five years later, with decreases by up to about 20% for each two-fold higher exposure, while associations for serum concentrations at ages 18 months and 5 years were weaker. Modeling of serum-PFAS concentration showed levels for age 18 months that were similar to those measured. Concentrations estimated for ages 3 and 6 months showed the strongest inverse associations with antibody concentrations at age 5 years, particularly for tetanus. Joint analyses showed statistically significant decreases in tetanus antibody concentrations by 19-29% at age 5 for each doubling of the PFAS exposure in early infancy. These findings support the notion that the developing adaptive immune system is particularly vulnerable to immunotoxicity during infancy. This vulnerability appears to be the greatest during the first 6 months after birth, where PFAS exposures are affected by breast-feeding.

Indexed as

AntibodiesBreast FeedingChild, PreschoolCohort StudiesDiphtheria ToxoidEnvironmental ExposureFemaleFluorocarbonsHumansImmunity, HumoralInfantInfant, NewbornMalePrognosisProspective StudiesTetanus ToxoidAntibodiesDiphtheria ToxoidFluorocarbonsTetanus ToxoidAntibodiesdevelopmental toxicityimmune functionsinfancyperfluorinated compoundsprospective studyvaccination

Identifiers

PMID28805477
PMCPMC6190594
OpenAlexW2749999375

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.