Evidence map›Paper›PMID 32311913›Full record

ArticleEnvironmental research2020

Prenatal dioxin exposure and thyroid hormone levels in the Seveso second generation study.

Marcella Warner, Stephen Rauch, Jennifer Ames, Paolo Mocarelli, Paolo Brambilla, Stefano Signorini, Brenda Eskenazi

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 21 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

7 authors at 2 institutions in 2 countries.

Marcella WarnerCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, CA, USA. Electronic address: mwarner@berkeley.edu.
Stephen RauchCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Jennifer AmesCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Paolo MocarelliDepartment of Laboratory Medicine, University of Milano-Bicocca, School of Medicine, Hospital of Desio, Desio, Milano, Italy.
Paolo BrambillaDepartment of Laboratory Medicine, University of Milano-Bicocca, School of Medicine, Hospital of Desio, Desio, Milano, Italy.
Stefano SignoriniDepartment of Laboratory Medicine, University of Milano-Bicocca, School of Medicine, Hospital of Desio, Desio, Milano, Italy.
Brenda EskenaziCenter for Environmental Research and Children's Health (CERCH), School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Center for Environmental Health · USUniversity of Milano-Bicocca · IT

Funding

In Utero Dioxin Exposure in Seveso, Italy and Health of the Second GenerationR01ES007171 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI ESKENAZI, BRENDA · 1996 to 2017
$7.1M
Gene-dioxin interaction and low birth weight in a highly exposed European cohortF31ES026488 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI AMES, JENNIFER LISA · 2016 to 2018
$95k
ENDOMETRIOSIS AND DIOXIN EXPOSURE OF RESIDENTS OF SEVESOF06TW002075 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI ESKENAZI, BRENDA · 1994 to 1994
–
FIC NIH HHS F06 TW002075NIEHS NIH HHS F31 ES026488NIEHS NIH HHS R01 ES007171
6 · The paper itself

Abstract

backgroundIn animal studies, perinatal exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) alters thyroid homoeostasis and thyroid hormone concentrations; epidemiologic evidence is limited.

objectivesWe aimed to determine the association of prenatal exposure to TCDD with thyroid hormone concentrations in the Seveso Second Generation Study, a unique cohort of children born to TCDD-exposed women resulting from a 1976 chemical factory explosion in Seveso, Italy.

methodsWe included 570 children (288 female, 282 male) with complete follow-up data, including a fasting blood draw. Serum levels of total and free thyroxine (T4), free triiodothyronine (T3), and thyroid stimulating hormone (TSH) were measured using immunoassays. We defined prenatal TCDD exposure as: 1) maternal initial TCDD concentration measured in serum collected soon after the explosion and 2) maternal TCDD estimated at pregnancy.

resultsCompared to the lowest quartile (Q1), maternal initial serum TCDD was associated with lower free T3 (Q2: adj-β = -0.13, 95%CI -0.26, 0.00; Q3: adj-β = -0.22, 95%CI -0.35, -0.09; Q4: adj-β = -0.14, 95%CI -0.28, 0.00; p-trend = 0.02). In participants with high thyroid antibody status, inverse associations between maternal initial serum TCDD and free T3 were significantly stronger than in participants with normal antibody status (p-interaction = 0.02). We also observed a positive association between maternal initial serum TCDD and TSH concentrations in participants with high thyroid antibody status (Q2: adj-β = 11.4%, 95%CI -25.2, 66.1; Q3: adj-β = 49.0%, 95%CI 3.0, 115.5; Q4: adj-β = 105.5, 95%CI 36.6, 209.2; p-trend < 0.01) but not in those participants with normal antibody status (p-interaction < 0.01). Similar results were found for TCDD estimated at pregnancy. DISCUSSION: Our results suggest prenatal exposure to TCDD, a potent endocrine-disrupting compound, may alter thyroid function later in life. Populations with additional thyroid stress may be particularly susceptible to in utero exposure of thyroid disrupting chemicals.

Indexed as

DioxinsPrenatal Exposure Delayed EffectsThyroid GlandThyroid HormonesAnimalsAntibodiesChildFemaleHumansItalyMalePolychlorinated DibenzodioxinsPregnancyAntibodiesDioxinsPolychlorinated DibenzodioxinsThyroid HormonesDioxinsPrenatal exposureSevesoTCDDThyroid hormones

Identifiers

PMID32311913
PMCPMC7176740
OpenAlexW3007168997

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Registered trials

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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.