Evidence map›Paper›PMID 30844580›Full record

ArticleEnvironment international2019

Perfluoroalkyl substances, metabolomic profiling, and alterations in glucose homeostasis among overweight and obese Hispanic children: A proof-of-concept analysis.

Tanya L Alderete, Ran Jin, Douglas I Walker, Damaskini Valvi, Zhanghua Chen, Dean P Jones, Cheng Peng, Frank D Gilliland, Kiros Berhane, David V Conti and 2 more

Open access · goldAbstract read
In one paragraph

Article in Environment international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
9.4field-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

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Review
  5. Combined Effects of PFAS and Metals on Cognitive Function.Environments (Basel, Switzerland) · 2026
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  11. Perfluorooctanoic acid disrupts hepatic metabolism in the developing chicken embryo.Metabolomics : Official journal of the Metabolomic Society · 2025
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11 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

12 authors at 6 institutions in 1 country.

Tanya L AldereteDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, United States. Electronic address: tanya.alderete@colorado.edu.
Ran JinDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: jinr@usc.edu.
Douglas I WalkerDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: douglas.walker@mssm.edu.
Damaskini ValviDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United States. Electronic address: dvalvi@hsph.harvard.edu.
Zhanghua ChenDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: zhanghuc@usc.edu.
Dean P JonesClinical Biomarkers Laboratory, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University, Atlanta, GA, United States. Electronic address: dpjones@emory.edu.
Cheng PengDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: chengpen@usc.edu.
Frank D GillilandDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: gillilan@usc.edu.
Kiros BerhaneDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: kiros@usc.edu.
David V ContiDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: dconti@med.usc.edu.
Michael I GoranDepartment of Pediatrics, Children's Hospital of Los Angeles, The Saban Research Institute, United States. Electronic address: goran@usc.edu.
Lida ChatziDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address: chatzi@usc.edu.
University of Southern California · USChildren's Hospital of Los Angeles · USEmory University · USHarvard University · USIcahn School of Medicine at Mount Sinai · USUniversity of Colorado Boulder · US

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Statistical Methods for Integrative Genomics in CancerP01CA196569 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI David V Conti · 2016 to 2026
$25.5M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
TYPE 2 DIABETES IN HISPANIC ADOLESCENTSR01DK059211 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GORAN, MICHAEL ISAAC · 2000 to 2013
$9.2M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
National Exposure Assessment Laboratory at EmoryU2CES026560 · NIEHS · EMORY UNIVERSITY · PI WALLER, LANCE A · 2015 to 2015
$8.3M
An environment-wide association study in autism spectrum disorders using novel bioinformatics methods and metabolomics via mass spectrometryR01MH107205 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI KONG, SEK WON · 2015 to 2019
$2.1M
Incorporating intermediate biomarkers of folate with colorectal cancerR01CA140561 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CONTI, DAVID V, SCHUMACHER, FREDRICK RAY · 2011 to 2015
$1.9M
HIERARCHICAL MODELING OF INTERACTIONS IN GENOME-WIDE AND PATHWAY-BASED STUDIESR01ES016813 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CONTI, DAVID V · 2009 to 2010
$1.1M
Metabolomic Signatures Linking Air Pollution, Obesity and DiabetesR00ES027870 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, ZHANGHUA · 2019 to 2021
$747k
Near-Roadway and Ambient Air Pollution Exposure and the Gut Microbiome: Implications for Obesity and Insulin Resistance in AdolescenceR00ES027853 · NIEHS · UNIVERSITY OF COLORADO · PI ALDERETE, TANYA LYNN · 2018 to 2020
$721k
NCI NIH HHS P01 CA196569NCI NIH HHS R01 CA140561NIDDK NIH HHS R01 DK059211NIEHS NIH HHS F32 ES029828NIEHS NIH HHS K99 ES027870NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P30 ES019776NIEHS NIH HHS R00 ES027853NIEHS NIH HHS R00 ES027870NIEHS NIH HHS R01 ES016813NIEHS NIH HHS R21 ES028903NIEHS NIH HHS T32 ES012870NIEHS NIH HHS U2C ES026560NIH HHS S10 OD018006NIMH NIH HHS R01 MH107205
6 · The paper itself

Abstract

objectiveTo examine the prospective associations between exposure to perfluoroalkyl substances (PFASs) and longitudinal measurements of glucose metabolism in high-risk overweight and obese Hispanic children.

methodsForty overweight and obese Hispanic children (8-14 years) from urban Los Angeles underwent clinical measures and 2-hour oral glucose tolerance tests (OGTT) at baseline and a follow-up visit (range: 1-3 years after enrollment). Baseline plasma perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS), perfluorohexane sulfonic acid (PFHxS), and the plasma metabolome were measured by liquid-chromatography with high-resolution mass spectrometry. Multiple linear regression models were used to assess the association between baseline PFASs and changes in glucose homeostasis over follow-up. A metabolome-wide association study coupled with pathway enrichment analysis was performed to evaluate metabolic dysregulation associated with plasma PFASs concentrations. We performed a structural integrated analysis aiming to characterize the joint impact of all factors and to identify latent clusters of children with alterations in glucose homeostasis, based on their exposure and metabolomics profile.

resultsEach ln (ng/ml) increase in PFOA and PFHxS concentrations was associated with a 30.6 mg/dL (95% CI: 8.8-52.4) and 10.2 mg/dL (95% CI: 2.7-17.7) increase in 2-hour glucose levels, respectively. A ln (ng/ml) increase in PFHxS concentrations was also associated with 17.8 mg/dL increase in the glucose area under the curve (95% CI: 1.5-34.1). Pathway enrichment analysis showed significant alterations of lipids (e.g., glycosphingolipids, linoleic acid, and de novo lipogenesis), and amino acids (e.g., aspartate and asparagine, tyrosine, arginine and proline) in association to PFASs exposure. The integrated analysis identified a cluster of children with increased 2-h glucose levels over follow up, characterized by increased PFAS levels and altered metabolite patterns.

conclusionsThis proof-of-concept analysis shows that higher PFAS exposure was associated with dysregulation of several lipid and amino acid pathways and longitudinal alterations in glucose homeostasis in Hispanic youth. Larger studies are needed to confirm these findings and fully elucidate the underlying biological mechanisms.

Indexed as

AdolescentAlkanesulfonic AcidsAmino AcidsCaprylatesChildEnvironmental PollutantsFemaleFluorocarbonsGlucoseHispanic or LatinoHomeostasisHumansLipidsLos AngelesMaleMetabolomicsAlkanesulfonic AcidsAmino AcidsCaprylatesEnvironmental PollutantsFluorocarbonsGlucoseLipidsperflexaneperfluorooctane sulfonic acidperfluorooctanoic acidChildrenGlucose metabolismMetabolomicsPerfluoroalkyl substancesType 2 diabetes

Identifiers

PMID30844580
PMCPMC6555482
OpenAlexW2918371302

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LicenceCC BY-NC-ND
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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.