Evidence map›Paper›PMID 31960937›Full record

ArticleALTEX2020

The exposome - a new approach for risk assessment.

Fenna C M Sillé, Spyros Karakitsios, Andre Kleensang, Kirsten Koehler, Alexandra Maertens, Gary W Miller, Carsten Prasse, Lesliam Quiros-Alcala, Gurumurthy Ramachandran, Stephen M Rappaport and 4 more

Open access · goldAbstract readEditorial
In one paragraph

Article in ALTEX, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.9field-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

36 citing papers in PubMed, 82 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Fenna C M SilléJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Spyros KarakitsiosAristotle University of Thessaloniki, Center for Interdisciplinary Research and Innovation, HERACLES Research Center on the Exposome and Health, Thessaloniki, Greece.
Andre KleensangJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Kirsten KoehlerJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Alexandra MaertensJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Gary W MillerColumbia University Mailman School of Public Health, New York, NY, USA.
Carsten PrasseJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Lesliam Quiros-AlcalaJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Gurumurthy RamachandranJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Stephen M RappaportUniversity of California, School of Public Health, Berkeley, CA, USA.
Ana M RuleJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Denis SarigiannisAristotle University of Thessaloniki, Center for Interdisciplinary Research and Innovation, HERACLES Research Center on the Exposome and Health, Thessaloniki, Greece.
Lena SmirnovaJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Thomas HartungJohns Hopkins University, Bloomberg School of Public Health and Whiting School of Engineering, Environmental Health and Engineering, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

Training CoreP42ES004705 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI MCHALE, CLIONA · 1987 to 2025
$74.6M
Traning Program in Environmental Health SciencesT32ES007141 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 1985 to 2026
$22.2M
NIEHS NIH HHS P42 ES004705NIEHS NIH HHS T32 ES007141
6 · The paper itself

Abstract

Complementing the human genome with an exposome reflects the increasingly obvious impact of environmental exposure, which far exceeds the role of genetics, on human health. Considering the complexity of exposures and, in addition, the reactions of the body to exposures - i.e., the exposome - reverses classical exposure science where the precise measurement of single or few exposures is associated with specific health or environmental effects. The complete description of an individual's exposome is impossible; even less so is that of a population. We can, however, cast a wider net by foregoing some rigor in assessment and compensating with the statistical power of rich datasets. The advent of omics technologies enables a relatively cheap, high-content description of the biological effects of substances, especially in tissues and biofluids. They can be combined with many other rich data-streams, creating big data of exposure and effect. Computational methods increasingly allow data integration, discerning the signal from the noise and formulating hypotheses of exposure-effect relationships. These can be followed up in a targeted way. With a better exposure element in the risk equation, exposomics - new kid on the block of risk assessment - promises to identify novel exposure (interactions) and health/environment effect associations. This may also create opportunities to prioritize the more relevant chemicals for risk assessment, thereby lowering the burden on hazard assessment in an expo-sure-driven approach. Technological developments and synergies between approaches, quality assurance (ultimately as Good Exposome Practices), and the integration of mechanistic thinking will advance this approach.

Indexed as

Environmental ExposureExposomeAnimal Use AlternativesComputer SimulationEnvironmental HealthGene Expression RegulationHazardous SubstancesHumansModels, BiologicalRisk AssessmentHazardous Substancesalternative methodsbioinformaticsexposure sciencemetabolomicsrisk assessmenttoxicology

Identifiers

PMID31960937
PMCPMC13041581
OpenAlexW3002503908

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.