Evidence map›Paper›PMID 33159049›Full record

ArticleNature communications2020

Application of an analytical framework for multivariate mediation analysis of environmental data.

Max T Aung, Yanyi Song, Kelly K Ferguson, David E Cantonwine, Lixia Zeng, Thomas F McElrath, Subramaniam Pennathur, John D Meeker, Bhramar Mukherjee

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 72 citations in OpenAlex.

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  8. Mediation with External Summary Statistic Information.Biostatistics (Oxford, England) · 2025
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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

9 authors at 3 institutions in 1 country.

Max T AungDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, US.
Yanyi SongDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, US.
Kelly K FergusonEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, Chapel Hill, US.ORCID 0000-0001-8467-3250
David E CantonwineDivision of Maternal and Fetal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, US.
Lixia ZengDepartment of Internal Medicine-Nephrology, University of Michigan, Ann Arbor, MI, US.
Thomas F McElrathDivision of Maternal and Fetal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, US.
Subramaniam PennathurDepartment of Internal Medicine-Nephrology, University of Michigan, Ann Arbor, MI, US.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, US.
Bhramar MukherjeeDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, US. bhramar@umich.edu.ORCID 0000-0003-0118-4561
University of Michigan · USBrigham and Women's Hospital · USNational Institute of Environmental Health Sciences · US

Funding

Research Experiences and Training Coordination CoreP42ES017198 · NIEHS · NORTHEASTERN UNIVERSITY · PI HARRIS, SEAN M · 2010 to 2024
$38.6M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
Untargeted Analysis ResourceU2CES026553 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURANT, CHARLES F · 2015 to 2015
$9.5M
LIFECODES pregnancy cohortZIAES103321 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI FERGUSON, KELLY · 2016 to 2025
$6.1M
Environmental PAH exposure and preeclampsia risk: Investigation of PE subtypes and the role of inflammation and oxidative stress.R01ES031591 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI John D. Meeker · 2021 to 2026
$3.9M
Toxicogenomics-based Mechanistic Multimedia Exposure Assessment and Child DevelopmentP50ES026049 · NIEHS · NORTHEASTERN UNIVERSITY · PI SUH, HELEN · 2015 to 2018
$3.6M
Bisphenol A and Phthalate Exposure in Relation to Fetal Growth and Preterm BirthR01ES018872 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEEKER, JOHN D. · 2010 to 2014
$2.6M
Intramural NIH HHS ZIA ES103321NIEHS NIH HHS P30 ES017885NIEHS NIH HHS P42 ES017198NIEHS NIH HHS P50 ES026049NIEHS NIH HHS R01 ES018872NIEHS NIH HHS R01 ES031591NIEHS NIH HHS U2C ES026553
6 · The paper itself

Abstract

Diverse toxicological mechanisms may mediate the impact of environmental toxicants (phthalates, phenols, polycyclic aromatic hydrocarbons, and metals) on pregnancy outcomes. In this study, we introduce an analytical framework for multivariate mediation analysis to identify mediation pathways (q = 61 mediators) in the relationship between environmental toxicants (p = 38 analytes) and gestational age at delivery. Our analytical framework includes: (1) conducting pairwise mediation for unique exposure-mediator combinations, (2) exposure dimension reduction by estimating environmental risk scores, and (3) multivariate mediator analysis using either Bayesian shrinkage mediation analysis, population value decomposition, or mediation pathway penalization. Dimension reduction demonstrates that a one-unit increase in phthalate risk score is associated with a total effect of 1.07 lower gestational age (in weeks) at delivery (95% confidence interval: 0.48-1.67) and eicosanoids from the cytochrome p450 pathway mediated 26% of this effect (95% confidence interval: 4-63%). Eicosanoid products derived from the cytochrome p450 pathway may be important mediators of phthalate toxicity.

Indexed as

AdultEnvironmental ExposureEnvironmental PollutantsFemaleGestational AgeHumansInfant, NewbornMaleMaternal ExposurePhenolsPhthalic AcidsPolycyclic Aromatic HydrocarbonsPregnancyPregnancy OutcomeEnvironmental PollutantsPhenolsphthalic acidPhthalic AcidsPolycyclic Aromatic Hydrocarbons

Identifiers

PMID33159049
PMCPMC7648785
OpenAlexW3094651242

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.